- New York State Civil Service (Middle Island, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade… more
- Medical Express Ambulance Service (Skokie, IL)
- …submissions. Applicants must have ambulance billing experience, including knowledge of Medicare , Medicaid and MCO compliance, coding, billing , posting, ... Service is seeking a full-time, experienced Ambulance Accounts Receivable Specialist . Responsibilities include accurate data entry, coding, medical necessity, and… more
- Insight Global (Camden, NJ)
- …Experience with credit/overpayments and/or insurance refund processes - Strong knowledge of Medicare / Medicaid - Experience with EMR systems - Experience working ... Job Description Insight Global is looking for a Credit/Balance Specialist to join one of our healthcare clients teams in Camden, NJ. The ideal candidate will have… more
- Trinity Health (Livonia, MI)
- …NAHAM strongly preferred Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid , managed care contracts ... an understanding of regulatory and payer changes. Special note for Physician Billing Denials Prevention - Additional nice to have qualification: 3 years revenue… more
- Molina Healthcare (Rio Rancho, NM)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare , Marketplace and/or other government-sponsored program), or… more
- J&J Family of Companies (Fort Worth, TX)
- …pre-authorization, billing , coding, claims, and appeals/grievances); practice management; Medicare and Medicaid rules and regulations; OSHA; HIPAA; and ... **Job Description:** We are searching for the best talent for Area Business Specialist to be in Fort Worth, TX/Dallas, TX. **About Immunology** Our expertise in… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …billing , health insurance, or specialty pharmacy. . Familiarity with commercial insurance, Medicare , Medicaid , and specialty drug coverage. . Knowledge of Rx ... Benefits Verification Specialist Job Details Job Location Polaris Specialty Pharmacy...SUMMARY: Polaris Specialty Pharmacy is seeking a Benefits Verification specialist to support patient access to specialty medications. This… more
- Starfish Family Services, Inc. (Westland, MI)
- …timely, pleasant, professional manner. + Maintains a working knowledge of 3rd party billing procedures for Medicare , Medicaid , MCPN and commercial insurance ... Access Services Specialist Job Details Level Entry Job Location Westland...Social Services POSITION SUMMARY: The Access & Customer Service Specialist is responsible for answering calls, determining eligibility, and… more
- Waystar (Atlanta, GA)
- …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and...other healthcare technology platforms. + Knowledge of coding and billing practices. + Experience with revenue cycle management including… more
- Mount Sinai Health System (Elmhurst, NY)
- …up projects for Claim Edit holds are placed for providers pending certification with Medicaid for electronic billing , and Follow Up work queues are monitored for ... the supervision of the Administrative Manager assists with the Medicaid enrollment and maintains files . 2. Assist with... enrollment and maintains files . 2. Assist with Medicare enrollment and maintenance file requests. 3. Submits updated… more