- AmeriHealth Caritas (West Chester, PA)
- …. + Knowledge/experience with government market lines of business (Medicaid, Medicare ) is preferred . ;Some knowledge/ experience with Medicaid/ Medicare ... **Role Overview** The **Application Support Specialist ** will support a state government healthcare system...knowledge/ experience of HealthCare and/or Managed Care Organizations is preferred + At least five to seven 5-7 years… more
- Penn Medicine (Lititz, PA)
- …each day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Health Location: Kissel Hill Outpatient Center- 51 Peters ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...(1) year of Epic (or equivalent Electronic Medical Record) experience.( Preferred ) + One (1) year of registration experience, point… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... including all lines of business ( Medicare , Marketplace, Medicaid) Executes health plan's member and community...and Visio (flow chart equivalent) + Excellent problem-solving skills ** PREFERRED QUALIFICATIONS:** + Bachelor's Degree in preferred … more
- State of Minnesota (Vadnais Heights, MN)
- **Working Title: Eligibility and Authorization Specialist ** **Job Class: Management Analyst 2** **Agency: Direct Care and Treatment** + **Job ID** : 90488 + ... DCT Finance team for an exciting opportunity as an Eligibility and Authorization Specialist . As the Eligibility and Authorization Specialist , you will secure… more
- Montrose Memorial Hospital (Montrose, CO)
- …to the patient. About The Career: + The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality of physician and nursing ... unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist to facilitate documentation that clearly supports medical necessity and level… more
- Humana (Stuart, FL)
- …our caring community and help us put health first** The DME Delivery Specialist 2 handles the delivery, setup, and comprehensive explanation of various medical ... varied activities that are moderately complex in nature. The DME Delivery Specialist 2 follows standard policies/practices that allow for some opportunity for… more
- Merck (North Wales, PA)
- **Job Description** The Central Contract Services (CCS) Senior Specialist will function as a vital member of the broader Integrated Account Management team focusing ... develop, implement, and execute contract strategies. The CCS Senior Specialist will also be responsible for driving continuous improvement...box. + Working knowledge of MS Word and Excel ** Preferred ** + 3+ years business experience in Managed Care… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Trinity Health (Boise, ID)
- …care preferred . + Working knowledge of six sigma and LEAN preferred . **ESSENTIAL FUNCTIONS:** + The Performance Improvement Specialist will function as ... Type:** Full time **Shift:** Day Shift **Description:** **SUMMARY:** The Performance Improvement Specialist serves as a key member of the Saint Alphonsus Health… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …**Work Location:** El Paso ** Preferred Qualifications:** + Associate's degree preferred . + Understanding of Medicare , Medicaid eligibility requirements and ... **43131BR** **Extended Job Title:** Medical Billing Specialist **Org Level 1:** Texas Tech Unv Hlth...companies in a timely manner. + Perform follow-up with Medicare , Medicaid, Medicaid, Managed Care, and Commercial insurance companies… more