- LA Care Health Plan (Los Angeles, CA)
- …and feedback on performance to department management. Oversees the daily office workflow, develops and recommends enhancements to process and procedures. 10% ... outside of regular operating hours and days based on business needs. Escalates complex member/visitor or staffing issues to...multiple stakeholders and have worked as a senior CRC Specialist . Health care product experience including one of the… more
- Cardinal Health (Nashville, TN)
- …contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. Benefits Eligibility ... Aurhorization will contact insurance companies, on behalf of the physician's office , to verify patient specific benefits. The Benefits Verification Specialist… more
- UnityPoint Health (West Des Moines, IA)
- …policies and procedures and safety guidelines. . Demonstrates ability to meet business needs of department with regular, reliable attendance. . Employee maintains ... compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any questions or concerns… more
- Evolent (Helena, MT)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …is to provide overall support to the Training & Development team, handle office duties and optimize office operations. The Training Coordinator will provide ... continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale Agents, Benefit Navigators, and Medicare Support… more
- University of Colorado (Aurora, CO)
- …to Front Desk Staff, Referral Specialists, and Surgery Schedulers regarding office practices and operating procedures. + Assists Department of Quality, Safety, ... + Adheres to employer work practices, policies, and procedures, including office and state protocols. + Establishes and maintains effective working relationships… more
- TEKsystems (West Des Moines, IA)
- Description Will be a 6-9 month set contract need to support automation within the business office . Contract needs may extend longer. Must live in- Iowa, Quad ... Internal Medicine coding experience is relatable to all roles Coding Specialist II reviews inpatient and outpatient medical records for documentation, abstracting… more
- LA Care Health Plan (Los Angeles, CA)
- …during research or claims review. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve ... business performance. Consults across business operations, providing...Required: Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations. Knowledge of healthcare reimbursement concepts,… more
- City of New York (New York, NY)
- …The primary means of achieving self-sufficiency is through paid employment. FIA's Office of Project Services is recruiting for one (1) Administrative Job Opportunity ... Specialist , M5, to function as Deputy Commissioner, Division of...with Human Resources Administration (HRA) executive staff and Mayoral office staff. Assists in the planning and development of… more
- Henry Ford Health System (Troy, MI)
- …call center productivity. + Ensure compliance with the Centers for Medicare & Medicaid Services (CMS) and other regulatory agency guidelines, such as NCQA. + ... policies, procedures, systems tools, in cooperation with the departmental Training Specialist . + Assist and/or handle member complaints received through the… more
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