- 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. ... **Overview** ** Preferred Qualifications** **Role Purpose** This role is critical in...detail & maintain knowledge & competence with insurance carriers, Medicare guidelines & federal, state & accreditation agencies. **Responsibilities**… more
- WellSpan Health (Lebanon, PA)
- …hour experience. Preferred and + Professional office work experience. Preferred **Licenses:** + Certified Peer Specialist Upon Hire Required **Driver's ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Centene Corporation (Frankfort, KY)
- …to monitor network compliance with State requirements. The Provider Data Management Specialist I position is primarily remote, with an expectation to travel onsite ... regarding provider enrollment specifications and demographic changes + Update delegated provider Medicare and Medicaid documents on a monthly and ad hoc basis and… more
- Centene Corporation (Bronx, NY)
- …Hindi, Bengali or Urdu** **Position Purpose:** The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals ... travel within assigned territory) **Occasional evenings and weekends.** **Highly Preferred - Bilingual English/ Punjabi, Hindi, Bengali or Urdu**… 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 ... in Columbus. Learn more at www.experiencecolumbus.com ! The Quality Improvement Specialist effectively leads quality and safety improvement efforts to implement… 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
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …coursework may be substituted for prior experience. + HFMA or AAHAM certification preferred . + Extensive knowledge of Medicare regulations, minimum of 2 years ... to apply today. SUMMARY OF JOB The Sr. A/R Specialist - is responsible for the claim submission and...in English, both written and verbal. Additional languages are preferred . + Ability to handle multiple tasks and accurately… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre-Arrival Scheduling Specialist I will serve patients/customers and physician offices by obtaining a valid physician order to schedule ... Scheduling/Customer Service, dealing with the public and/or healthcare organization strongly preferred . . Prior experience working with computers as well as regular… more
- Robert Half Accountemps (San Luis Rey, CA)
- …or collections (required). + Knowledge of Epic, NextGen, or Allscripts systems preferred . + Familiarity with Medicare , Medi-Cal, and commercial payer ... Our healthcare client in San Luis Rey is seeking a proactive Collections Specialist to manage outstanding patient and insurance balances within the revenue cycle… 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