- Queen's Health System (Honolulu, HI)
- …special projects as assigned. * Performs duties of a Professional Billing Specialist as needed. II. TYPICAL PHYSICAL DEMANDS: * Essential: sitting, stooping/bending, ... subjected to adverse environmental conditions. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/ CERTIFICATION AND LICENSURE: * High School diploma or equivalent education.… more
- Novant Health (Salisbury, NC)
- …Health Surgical Institute is seeking a Board Certified/Board Eligible ENT & Allergy specialist to join Novant Health Pinnacle Ear, Nose, Throat & Allergy, a busy ... in total community benefit (including financial assistance and unpaid cost of Medicare and Medicaid). In 2022, Novant Health community engagement contributed more… more
- City and County of San Francisco (San Francisco, CA)
- …required documentation for credentialing + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR ... Board of California* AND + Possession of valid Board Certification in the appropriate medical specialty area for the...the following criteria: + Be eligible to participate in Medicare , Medicaid, and/or other federal healthcare programs + Possess… more
- Queen's Health System (Honolulu, HI)
- …subjected to adverse environmental conditions. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/ CERTIFICATION AND LICENSURE: * Current Hawaii State license as a ... or evidence of good driving record. * Current BLS certification . B. EXPERIENCE: * Minimum one (1) year experience...clinician (RN). * One (1) year experience in a Medicare Certified home health agency. * Working knowledge of… more
- Hackensack Meridian Health (Edison, NJ)
- …Tuition Reimbursement, Employee Discounts and much more The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access functions ... patient demographics to validate patient identity. Conducts intensive screening of all Medicare , Medicaid and managed care patients to identify network status and… more
- Texas Health Resources (Bedford, TX)
- Admissions Specialist I _Bring your passion to Texas Health so we are Better + Together_ Work Location: Texas Health HEB, 1600 Hospital Pkwy, Bedford, TX 76022 Work ... network coverage and obtains and/or validates healthcare benefits and/or pre- certification for applicable tests and/or procedures. These efforts maximize… more
- Texas Health Resources (Denton, TX)
- Admissions Specialist I _Bring your passion to Texas Health So We Are Better + Together_ Work Location: Texas Health Denton, 3000 N Interstate 35, Denton, TX 76201 ... network coverage and obtains and/or validates healthcare benefits and/or pre- certification for applicable tests and/or procedures. These efforts maximize… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …care patients need to keep moving and keep enjoying their life. The DME Coordinator/ Specialist plays a crucial role in our clinical offices and urgent care centers, ... DME in a manner that is compliant with all Medicare regulations . Liaison between patient, physician, or other...Education Requirements: . BA, BS, or Associate degree . Certification as an Athletic Trainer, Orthotic Fitter, or Orthopedic… more
- Martin's Point Health Care (Portland, ME)
- …to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through ... line of business within Martin's Point Health Care, including Medicare Advantage, US Family Health Plan (USFHP). + Demonstrates...like the Defense Health Agency (DHA) Annual review, NCQA certification audit, CMS Data Validation audits or CMS Full… more
- BJC HealthCare (St. Louis, MO)
- …Information About the Role** BJC HealthCare is seeking a prior authorization specialist to assist with processing high cost infusion and injectable medication. ... entrance into any BJC facility, including insurance validation, benefit verification, pre- certification & financial clearance. Responsible for ensuring that the most… more