) Eligibility Specialist provides clients with personalized assistance to achieve eligibility for Medicaid Long Term Care (LTC... Medicaid Team Manager, the Eligibility Specialist will handle a caseload of up to 40 clients, concentrating on pre-application...
, denials, and payment issues Verify patient coverage and eligibility through Medicaid and other payer portals Ensure...Join Our Team as a Medicare Billing Specialist Ensure Accuracy. Support Compliance. Make an Impact. We are seeking...
Eligibility Specialist Bilingual - Sharpstown (Job Overview) Schedule: 8AM-5PM At Legacy Community Health, we are catalysts... for change, pioneering a new era of healthcare accessibility. As an Eligibility Specialist, you will be at the forefront...
Overview: We're Hiring: Patient Eligibility-Authorization Specialist (Care Readiness) Join our fast-growing... and How You’ll Make a Difference: As a key member of the BI team, the Patient Eligibility and Authorization Specialist...
! Eligibility Specialist Bilingual - LGC (Mon-Fri 8AM – 5PM) Position Overview Join the innovative team at Legacy Community... Health as a bilingual Eligibility Specialist, where your passion for community healthcare will make a tangible impact in the...
Collections Specialist is part of the Patient Financial Services AR Recovery Team and is responsible for resolving outstanding... setting 1+ year of experience in Commercial, Medicare, or Medicaid payers Ability to work full time (40hours/week) Monday...
Job Title: Insurance Verification Specialist Department: Billing Position Summary: Responsible for insurance... with the verification of insurance benefits, eligibility, co-pay and deductibles. Precertification/preauthorization...
to live with dignity, independence, and comfort. ActivStyle is currently hiring for a dedicated Customer Service Specialist...’s eligibility, coverage, co-insurances, and deductibles Obtain pre-authorization if required by an insurance carrier and process...
for verification of health plan coverage eligibility and collection of payment toward their plan, at the time of service. This position... requires knowledge of HMOs, PPOs, Commercial Payers, HSAs, Cobra, Medicaid, STAR plans, CSHCN, CHIP and hospital financial...
Overview: The Care Specialist is responsible for the coordination of all in office tasks associated with durable... medical equipment services to Medicaid eligible children in conjunction with the family, prescribing doctor, and managed care...
, repetitive work setting. Medicaid experience is a plus but not required. Key Responsibilities: Research claim and eligibility...We are seeking a Follow-Up Specialist to join our temporary staff. The ideal candidate will have strong customer...
The Insurance & Patient AR Specialist is tasked with overseeing all aspects of medical accounts receivable collections..., the Billing Specialist ensures that accounts receivable remain current, actively monitoring for delinquent payments...
to Medicare, Medicaid, managed care and commercial insurance payers within timely filing guidelines as determined by hospital... Terminology: CPT Codes. modifiers and diagnosis codes as they relate to billing · Specific knowledge of Texas Medicare, Medicaid...
calls promptly. Coordinate patient flow into Eligibility for services, such as admission, re-certification, and insurance... changes. Assist in screening of Medicaid and other insurances. Accurately implement and collect co-pays. Maintain stock...
reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based... Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines...
escalation while aligning payor strategies with Specialty1 Partners' commitment to specialist-driven patient care and financial... contracting, reimbursement methodologies, and healthcare regulations, including Medicare, Medicaid, and commercial payors...
business objectives Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), OR Certified Professional Coder (CPC...: Presentation or policy documentation experience Knowledge of Medicaid/Medicare Reimbursement methodologies MS Access (create...
and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate... of experience coordinating and managing medical and social services, and providing patient advocacy and education to Medicaid...
to ensure accurate and timely completion of resident assessments in accordance with Medicare, Medicaid, OBRA and other payer... referral source(s). Ensures accurate and timely completion of all Medicare/Medicaid case-mix documents to assure appropriate...
and specialist candidates. Partners with Clinical COE and Talent Acquisition to support clinical talent lifecycle to accelerate.... Strongly prefer one (1) years’ previous experience as Medical Director or equivalent with a Medicare or Medicaid patient...