- State of Indiana (Evansville, IN)
- …for Medicare & Medicaid Services certification as a Psychiatric Medicare /Medicaid Hospital. Role Overview: Psychiatric Service Specialist provides clinical ... Psychiatric Services Specialist Date Posted: Oct 3, 2025 Requisition ID: 465275 Location: Evansville, IN, US, 47714 Work for Indiana Begin a fulfilling career with… more
- Gentiva (St. Louis, MO)
- …ensures compassionate care reaches every patient, every day. As an Executive Director Specialist - RN, you'll serve as the operational and clinical leader in our ... all federal, state, and organizational standards. **What You'll Do as Executive Director Specialist - RN:** + Serve as the Administrator on record at assigned… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... 2. Researches literature from regulatory groups such as; HHS/OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' practices/policies/guidelines… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …social, and educational services. We are recruiting for the following position(s): Billing Specialist I, II or III - Posting #26048 Hourly Rate: $20.00 - $21.75 ... Position Summary: Full-time Billing Specialist available immediately for our Federal Way Billing Department....and timely processing of all third party insurance, Medicaid, Medicare , Private Pay, and special programs. This position will… more
- Apex Health Solutions (Houston, TX)
- Position Summary: The Pharmacy services Specialist will assist the Clinical Services staff (pharmacists and technicians) in all aspects of pharmacy operations and ... services including Medicare part D oversight, coverage determination and re-determination (appeal)...to all applicable parties (internal and external). The pharmacy specialist will also work with the compliance department to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the… more
- Molina Healthcare (Everett, WA)
- **JOB DESCRIPTION** **Job Summary** Responsible for reviewing and resolving Medicare member appeals and Medicare claims in communicating resolution to members ... with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research… more
- Marshfield Clinic (Eau Claire, WI)
- …most exciting missions in the world!** **Job Title:** Patient Access Specialist **Cost Center:** 101201274 Registration-Acute-EC Reg **Scheduled Weekly Hours:** 20 ... (United States of America) **Job Description:** **JOB SUMMARY** The Patient Access Specialist serves as an initial contact for patients and customers, in-person and… more
- HCA Healthcare (Nashville, TN)
- …over 156,000 hours volunteering in our communities. As a Provider Enrollment Credentialing Specialist with Parallon you can be a part of an organization that is ... in our organization. We are looking for an enthusiastic Provider Enrollment Credentialing Specialist to help us reach our goals. Unlock your potential! **Job Summary… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more