- Trinity Health (Maywood, IL)
- …hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary team including physicians, staff ... not meeting medical necessary services for acute care. + Knowledgeable of Medicare , Medicaid and non-governmental payer regulations for patient care requirements. +… more
- Molina Healthcare (Owensboro, KY)
- **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
- Marshfield Clinic (Weston, WI)
- …exciting missions in the world!** **Job Title:** Clinical Pharmacy Specialist **Cost Center:** 301691245 WesHos-Pharmacy-Inpatient **Scheduled Weekly Hours:** 40 ... (United States of America) **Job Description:** **JOB SUMMARY** The Clinical Pharmacy Specialist works with physicians, staff, and committees to optimize the care of… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Reimbursement Auditing Specialist (Remote in Wisconsin) **Cost Center:** 101651059 Coding-Audit Appeals Educ ... residents only eligible to apply**_** **JOB SUMMARY** The Reimbursement Auditing Specialist assists personnel in various areas of Revenue Integrity/Revenue Cycle as… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Job Summary and Responsibilities** The Referral Specialist works with patients requiring a referral for a test or to a specialist office, to ensure patient's ... reimbursements. Follows up on all test and referrals to specialist office until the documentation is received and scanned...+ Develop and maintain database of referral physician offices preferred by each physician within the clinic. + Maintains… more
- Marshfield Clinic (Marshfield, WI)
- …missions in the world!** **Job Title:** Clinical Nutrition Specialist -Pediatrics **Cost Center:** 301351055 MfdHos-Clinical Nutrition **Scheduled Weekly Hours:** ... States of America) **Job Description:** **JOB SUMMARY** The Clinical Nutrition Specialist is responsible for assessing and documents high-risk patient's nutritional… more
- Penn Medicine (Willow Street, PA)
- …day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Hospital Location: Lancaster General Health Willow Lakes ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...year of Epic (or equivalent Electronic Medical Record) experience. ( Preferred ) + One (1) year of registration experience, point… more
- Penn Medicine (Lancaster, PA)
- …diploma or equivalent required. + One 1 year experience as a Customer Service Specialist . + One 1 year experience in Revenue Cycle in a Hospital Medical Office ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...or any other federal or state health insurance program. Preferred Qualifications + Associates degree preferred . +… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Billing Specialist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Category Admin - Clerical ... Description BILLING SPECIALIST WHO WE ARE Polaris Pharmacy Services is an...Verify insurance and Medicaid coverage * Handle Dual Coverage, Medicare Part D, and Commercial Plans related to Long-Term… 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