- Molina Healthcare (Kenosha, WI)
- …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response. * Meets claims production standards set… more
- Cleveland Clinic (Mayfield Heights, OH)
- …for professional nursing practice. **_The Safety and Quality Patient Experience Specialist II (SQPE) primary function is to support Patient Experience activities ... at our Cleveland Clinic Hillcrest location._** The Specialist coordinates and implements improvement initiatives by partnering with leadership and caregivers. The… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Benefits Verification Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $21.00 Hourly Job Category Pharmaceutical ... Description JOB SUMMARY: Polaris Specialty Pharmacy is seeking a Benefits Verification specialist to support patient access to specialty medications. This role is… more
- Cleveland Clinic (Euclid, OH)
- …healthcare organizations in the world. The Safety and Quality Patient Experience Specialist II (SQPE) leads safety, quality, and experience work at our Cleveland ... Clinic Euclid Campus. The Specialist coordinates and implements improvement initiatives. The focus of this role is safety through leading steps to building a HRO… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function is to learn the specialty level appeals and… more
- Prime Therapeutics (Oklahoma City, OK)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...outbound calls to qualified members across all lines of business to review the benefits of the MTM program.… more
- Fair Haven Community Health Care (New Haven, CT)
- …and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of ... a great passion for helping individuals obtain treatment. The Billing Specialist /Dental Authorization Coordinator works with the Billing and Dental department… more
- Sweetser (Saco, ME)
- Sr. Billing Specialist & Collections Specialist - Saco Job Code:12859 Location:Saco 04072 Department:Other FT/PT Status:Full Time Summary: Assures quality of ... Ensure compliance with government/funding source rules and regulations. Position is office -based in Saco. **$2,000 sign-on bonus!!** **$2,000 SIGN ON BONUS**… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary Region-340b Admin **Scheduled ... of America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design, development, implementation… more
- Adelante (Peoria, AZ)
- Eligibility Specialist Job Details Job Location Adelante Healthcare Peoria - Peoria, AZ Description POSITION SUMMARY The Eligibility Specialist is responsible ... accredited institution + Minimum one (1) year experience in medical front office , customer service and/or experience in sales, interview techniques, and extensive… more