- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... 2. Researches literature from regulatory groups such as; HHS/OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' practices/policies/guidelines… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function is to learn the specialty level appeals and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...duties as assigned Working Conditions: * This is a remote or hybrid role with the expectation of working… more
- HCA Healthcare (Overland Park, KS)
- **Description** **After 90 days, Hybrid/ Remote work may be available - Interested candidates must live in the local Kansas City metro area.** Hours: 7:30AM-4:00PM ... recognized. Submit your application for the opportunity below: Medical Collections Specialist HCA Healthcare **Benefits** HCA Healthcare offers a total rewards… 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 ... teams to develop, implement, and execute contract strategies. The CCS Senior Specialist will also be responsible for driving continuous improvement of these core… more
- AmeriHealth Caritas (West Chester, PA)
- **Role Overview** The **Application Support Specialist ** will support a state government healthcare system (LTSS). In this role, you will lead a team that helps keep ... is not a heads-down developer role.;_** **Work Arrangement** + This is a 100% Remote position but you must live in EST or CST time zones **Responsibilities:;** +… more
- University of Miami (Doral, FL)
- …of Clinical Access has an exciting opportunity for a full-time Patient Access Specialist . Core Job Summary: The Patient Access Specialist (On-Site) is ... Advance Directives, HIPAA, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance, ABNs, and MSPQ, prior to services being rendered. + Provides… more
- Deschutes County (La Pine, OR)
- Behavioral Health Specialist II - Access Team, La Pine Print (https://www.governmentjobs.com/careers/deschutes/jobs/newprint/5146728) Apply Behavioral Health ... Specialist II - Access Team, La Pine Salary $6,004.15...Deschutes County and may be eligible for hybrid of in-office/ remote work as allowed by policy and approved by… more
- Penn Medicine (Philadelphia, PA)
- …living your life's work? + Entity: Corporate + Department: Corp HIM CDI + Location: Remote : Based out of Penn Presbyterian Medical Center- 51 N 39th St + Hours: PART ... TIME (Anytime between 7am-7pm Monday-Friday) **Summary:** The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for… more