- 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
- 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
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Arrhythmia Nurse Specialist **Cost Center:** 301351038 Mfld-Cardiology **Scheduled Weekly Hours:** 40 **Employee ... basic history taking. **Preferred/Optional:** None **CERTIFICATIONS/LICENSES** _The following licensure(s), certification (s), registration(s), etc., are required for this position. Licenses… 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
- Molina Healthcare (Green Bay, WI)
- …**Required Experience** 3+ years of Member Billing /R **Required License, Certification , Association** Marketplace, Commercial or Medicare Industry preferred ... timely and accurate processing of payment received.* Marketplace, Commercial, or Medicare healthcare experience with premium billing and reconciliation. * Must have… more
- Hackensack Meridian Health (Manahawkin, NJ)
- …healthcare and serve as a leader of positive change. The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access functions within ... patient demographics to validate patient identity. Conducts intensive screening of all Medicare , Medicaid and managed care patients to identify network status and… more
- YAI (Manhattan, NY)
- …onboarding specialists may be selected for assignment as lead or background/clearance specialist and may perform the following tasks, in addition to the above: ... + Conducts monthly staff checks including but not limited to Medicaid/ Medicare Exclusion reporting, random drug testing, and license verification. Minimum… 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. Ideal ... entrance into any BJC facility, including insurance validation, benefit verification, pre- certification & financial clearance. Responsible for ensuring that the most… more
- Centene Corporation (Atlanta, GA)
- …workplace flexibility. **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical ... or Master's Degree in related health field (ie MPH or MPA) ** Certification /License:** Valid state clinical license preferred Certified Professional in Health Care… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... own in Columbus. Learn more at www.experiencecolumbus.com ! The Peer Review Specialist provides leadership and coordination for the provider peer review processes… more