- Fallon Health (Barnstable, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost...attend in person care plan meetings with providers and office staff and may lead care plan review with… more
- Catholic Health Services (Melville, NY)
- …visit is financially secured, which requires communication with patients, physicians, office staff, clinicians, and insurance companies to obtain and accurately ... other patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, and that… more
- Caris Life Sciences (Irving, TX)
- …follow up on requests, and apply acquired knowledge of Medicare, Medicaid , and other Third-Party Payer requirements **Job Responsibilities** + Proficient in ... and exceeding job responsibilities of Verification/ Authorization Personnel - Specialist either through Caris or with a former employer in a similar industry. +… more
- Molina Healthcare (Albuquerque, NM)
- …improvement, organizational change management, program management and other processes relative to business needs. * Serves as a subject matter expert and leads ... quality initiatives within the department as appropriate. * Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs),… more
- Hannaford (Augusta, ME)
- …have to the source of our fresh foods is core to the way we do business , becoming the first major supermarket in the United States to document that all its seafood ... Communicate standards to other department personnel as needed * Oversee the daily office operations of the pharmacy department * Promote and participate in growing… more
- Cordis (NJ)
- …the people behind the people who keep saving lives.** The **Clinical Closure Sales Specialist ** is focused on the support of the Cordis closure business within ... support and product in-servicing. Responsible for direct revenue generation (transactional Business ) through direct case support. Reports to National Clinical Sales… more
- Nuvance Health (Danbury, CT)
- …other coordinators 8. Responds to inquiries and facilitates communications with the System Business Office related to appeals, denial and clinical reviews 9. ... Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in ensuring all… more
- BrightSpring Health Services (Englewood, CO)
- …purposes + Serves as primary back up for the RCM Administrative Services Specialist in times of absence Qualifications + High School diploma/GED or equivalent ... a working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursement + Working knowledge of automated billing systems; experience with… more
- UnityPoint Health (Anamosa, 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
- CVS Health (Oklahoma City, OK)
- …to identify post-discharge needs, including but not limited to: medications, specialist appointments, home health, DME, caregiver support, social determinants of ... and Communication with the plan and appropriate lines of business . + Identify partnership development opportunities and systems improvements. Coordinate… more
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