. JOB DISTINCTIONS: Differs from Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services... (NLC/eNLC) state, or a licensed physician (Doctor of Medicine). Medical Certification Specialist 1 - $36.56 hourly...
station. Sheps is seeking a talented individual to work as a Data Analyst and Visualization Specialist. They will be part... research projects that utilize large-scale data including Medicare, Medicaid, private claims, electronic health records...
80 HOURS PER PAY PERIOD ***(POTENTIALLY ELIGIBLE FOR SIGN ON BONUS) The Patient Access Specialist is responsible... requirements. The Patient Access Specialist must demonstrate Customer Focus with Patience, Composure, and Compassion...
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Waltham, MA. This will be a Full-Time... disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate...
: A Correspondence Policy Specialist on the Shared Services Correspondence team will be working with a highly skilled team of specialists...), Centers for Medicare and Medicaid Services (CMS), and Company Policy span across product lines and business segments...
& development Vision insurance Patient Access Specialist Mission Statement: To serve God according to His will and purpose... (Medicaid, Medicare, private insurance, private payee, sliding fee discount program.) and collects data and/or payment...
relationships The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly... preferred Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required. Basic understanding...
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time... disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate...
Job Description: Business Office Specialist St Paul's Rehabilitation and Health Care | Belleville..., IL Are you a Business Office Specialist seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care...
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Louisville, KY. This will be a Full-Time... disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate...
. The Authorization Specialist must have clinical knowledge of services so appropriate information can be communicated/given... of the insurance company. The Cost Estimate Specialist determines the cost for the service by applying the patient benefits...
in certain positions. Responsibilities: Radiology Tech Specialist/CVL Tech - One (1) Full-Time 10-Hour Shift Position.... Community Memorial Hospital – Ventura has been awarded a prestigious five-star rating by the Centers for Medicare & Medicaid...
Employment Type: Full time Shift: Description: Why MediGold? is a not-for-profit Medicare Advantage insurance... plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excellent...
and materials to our consumer plan members throughout their plan lifecycles. The Marketing Operations Specialist, Senior will report... materials and member communications for our consumer business lines: Medi-Cal, Medicare, and Individual & Family Plans...
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in New Hyde Park, NY. This will be a Full... disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate...
relationships The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly... preferred Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required. Basic understanding...
, billing, or related experience in a healthcare organization. Job Description: The Provider Enrollment Specialist... and collections Prepare enrollment applications for all health plans including Medicare and Medicaid Complete data entry...
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations... authorization requests. Pharmacy Prior Authorization Specialist Primary Responsibilities: Assist with medical necessity...
Specialist Major Responsibilities: The Benefit Verification Specialist will investigate, review, and load accurate patient... for applicable commercial, Medicaid, and Medicare, or facility medication claims. Maintain a safe and clean pharmacy by complying...
relationships The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly... preferred Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required. Basic understanding...