Under the direction of the Director of Revenue Cycle or designee, the Medicaid Billing Specialist ensures... or equivalent Experience Minimum 2-years Medicaid billing experience in an acute care facility Working knowledge of Common...
- whatever your ambitions. About the role: Account Resolution Specialist is a position within our Houston Based Boston Scientific Cardiac... claims and appeals. Resolve claim edits via work queues and/or our external billing software. Compile and file...
– whatever your ambitions. About the role: Account Resolution Specialist is a position within our Houston Based Boston Scientific Cardiac... claims and appeals. Resolve claim edits via work queues and/or our external billing software. Compile and file...
Job Description Job Title: Revenue Cycle Specialist Division: Baylor Population Program Work Arrangement: Onsite... with managing the overall day to day billing process of the 8 clinic system, from provider documentation and coding to payer...
A/R Specialist is responsible for the company’s third-party medical claims processing and assisting patients and office... staff with questions on insurance claims, authorizations, statements, and other billing issues. This position will submit...
400,000 Members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low-income children... Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace...
Verification Specialist Major Responsibilities: The Benefit Verification Specialist will investigate, review, and load accurate... for applicable commercial, Medicaid, and Medicare, or facility medication claims. Maintain a safe and clean pharmacy by complying...
collections setting. 3 years' experience with Medicare, Medicaid, and Commercial carriers' collections. Knowledge of Billing...Medical AR Collection Specialist We have a dynamic opportunity for an experienced AR Collection Specialist...
recruiting for a Risk Adjustment Coding Specialist to join our Gulf Coast Population Health team. The successful candidate..., practices, and methods of current coding certificate required Knowledge of billing practices required Knowledge of medical...
We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time...-term disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist...
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...
billing, monitoring and collections of Medicaid, Managed Medicaid payers, and private insurance payers. Must possess critical... thinking skills and understanding of Medicaid Eligibility requirements and third party payer payment methods to prepare...
overall day to day billing process of the 8 clinic system, from provider documentation and coding to payer reimbursements... for billing of services provided, as well as identify billing process improvement opportunities and taking on special projects...
or by telephone, and explain the services available, payment categories, and billing procedures. Sign in patients Update patient... into Eligibility for services, such as admission, re-certification, and insurance changes. Assist in screening of Medicaid...
knowledge base of guidelines for Medicare/Medicaid providers. May conduct pre-admission assessments for residents seeking... assessments prior to final submission to Center for Medicare/Medicaid Services (CMS) using the standard organizational software...
knowledge base of guidelines for Medicare/Medicaid providers. May conduct pre-admission assessments for residents seeking... assessments prior to final submission to Center for Medicare/Medicaid Services (CMS) using the standard organizational software...