- Independent Health (Buffalo, NY)
- …a culture that fosters growth, innovation and collaboration. **Overview** The Billing Specialist assists with the various activities of the pharmacy operations not ... requiring the professional judgment of the pharmacist. The Billing Specialist is primarily responsible for completing the billing of both pharmacy and medical claims… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12405 ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform...caseload. Knowledge of community resources. Knowledge of Medi-Cal and Medicare regulations. Ability to work as a part of… more
- WestCare Foundation (Dandridge, TN)
- Billing and Credentialing Specialist Job Details Job Location Dandridge - 207 W Main - Dandridge, TN Position Type Full Time Education Level High School Salary Range ... $60000.00 Salary/year Description Position Summary: The Billing and Credentialing Specialist is responsible for overseeing insurance billing processes, managing… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management and oversight activities associated… more
- UCHealth (Aurora, CO)
- …physician. Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor ... action. Requirements: + Minimum Required Education: None required. + Required Licensure/ Certification : Relevant life support certification as determined at… more
- Trinity Health (Howell, MI)
- …_Performs other duties as assigned._ **REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION /LICENSURE** **Education:** High school diploma or an equivalent combination ... financial counseling and clearance, or accounting is also highly preferred. ** Certification /Licensure:** Completion of certification and skills competencies such… more
- Highmark Health (Charleston, WV)
- …organizations and leaders. + Build an understanding of SDOH, Managed Care issues, Medicare , Medicaid, Dual Special Needs and delivery of those services to the ... with outside entities regularly to learn of community needs. + Collaborate with Medicare Sales team to identify enrollment opportunities. + Other duties as assigned… more
- ChenMed (Eastpointe, MI)
- …for multiple payers strongly preferred + Healthcare experience within the Medicare Advantage population preferred. + Medical Assistant certification preferred ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- Cleveland Clinic (Cleveland, OH)
- …organizations in the world. As a Safety, Quality and Patient Experience (SQPE) Specialist II at Lutheran Hospital, you will help drive excellence across a diverse ... experience in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid: Government agency that provides reimbursement for accredited trainees)… more
- Virginia Mason Franciscan Health (Poulsbo, WA)
- …Mason Franciscan Health, is currently seeking a full-time Behavioral Health Specialist for the Franciscan Psychiatric and Behavorial Health Clinic in Silverdale, ... to most recent treatment plan and documented frequency per evaluation/ certification or reassessment/recertification. + Facilitates treatment plan changes (eg changes… more