- Avera (Sioux Falls, SD)
- …- to achieve a double 5-star rating from the Centers for Medicare and Medicaid Services. **Position Highlights** **Position Summary:** **An exercise specialist ... cardiac patient care experience with strong knowledge of cardiac rhythms preferred .** **Licensure/Certification:** **None Required.** At Avera, the way you are… more
- Centene Corporation (Honolulu, HI)
- …Oahu and surrounding islands.** **Position Purpose:** The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals ... preferably with government products. required Health insurance or managed care experience preferred Specific language skills may be required by some plans. Driver's… more
- Humana (Gainesville, FL)
- …community and help us put health first** The Medical Record Retrieval Specialist (Risk Adjustment Representative 3) Travels to provider offices within the region ... running a Motor Vehicle Report as part of the background check process. ** Preferred Qualifications** + Knowledge and experience in managed care + Medical terminology… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services and ... service focus and application of positive language principles + Knowledge of Medicare , Medicaid, and managed care reimbursement methodologies + Ability to manage… more
- Waystar (Lehi, UT)
- **ABOUT THIS POSITION** We're looking for a talented Specialist Application Engineer to join our Technology team. In this role, you'll collaborate with both ... Bachelor's degree in a related field or equivalent experience ** Preferred Skills** + N-Tier and SaaS development experience +...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- MetroHealth (Cleveland, OH)
- …with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds. Preferred : Active CCDS (Certified Clinical Documentation Specialist ) from ACDIS ... experience in a tertiary academic healthcare system. Working knowledge of Medicare reimbursement and ICD-10 coding structures. Demonstrated knowledge of the EPIC… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is seeking a team-oriented Prior Authorization Specialist to work in the Business Office! This position is responsible for obtaining ... of authorizations within the EMR. Identifies patients who will need to receive Medicare Advance Beneficiary Notices of Noncoverage (ABNs) as well as other Commercial… 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, ... of work experience as a member of an interdisciplinary team is preferred . **Licensure/Certification** + Possession of a valid Washington State license to practice… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Physician Practice Compliance Specialist ** is responsible for assuring on-going compliance by actively participating in ... compliance with payer and regulatory requirements including but not limited to those of Medicare , Medicaid and the State of New Jersey. This is a Hybrid Position**… more
- WestCare Foundation (Dandridge, TN)
- …Level High School Description Position Summary: The Billing and Credentialing Specialist is responsible for overseeing insurance billing processes, managing provider ... credentialing and re-credentialing of clinicians with commercial insurance payers, Medicaid, Medicare , and relevant licensing boards. + Track and maintain current… more