Job Search
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Missouri, USA ● Req #2578Friday, May 17, 2024Role Summary: The Out of State team works with facilities across the US to process their Out of State Medicaid claims. We focus on hospital billing and follow up, hospital and physician enrollment, as well as eligibility verifications. Team members who work within the Account Reimbursement Coordinator (“ARC”) role are assigned to support the billing of Out of State Medicaid claims (either UB-04 or HCFA 1500 claims). ARC’s work in a collaborative environment to serve the needs of our clients. ...Read more about Account Reimbursement Coordinator - Healthcare Billing - Fully Remote!More
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Charleston, SC, USA ● Req #2570Wednesday, May 15, 2024Role Summary: This position is responsible for accurately performing the Schedule+® functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public. Role Responsibilities: Insurance Auth ...Read more about Radiology Scheduling Coordinator, Trident Medical CenterMore
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Savannah, GA, USA ● Req #2571Wednesday, May 15, 2024Role Summary: This position is responsible for accurately performing the Schedule+® functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public. Role Responsibilities: Insurance Auth ...Read more about Radiology Scheduling Coordinator, Memorial HealthMore
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Summerville, SC, USA ● Req #2572Wednesday, May 15, 2024Role Summary: This position is responsible for accurately performing the Schedule+® functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public. Role Responsibilities: Insurance Auth ...Read more about Radiology Scheduling Coordinator (Summerville, SC)More
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Role Overview:The Medicaid Eligibility Specialist advocates for and assists beneficiaries in applying to and requalifying for government assistance programs. The Medicaid Eligibility Specialist builds trusting relationships with members to provide critical application assistance. Role Responsibilities: Conducts telephonic outreach activities for members who need to apply or recertify and are potentially eligible for various Medicaid programs. Collaborates with government offices to accurately c ...Read more about Medicaid Redetermination Specialist - Fully Remote!More
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Role Summary: Outreach Specialists build relationships with health plan members and patients that are eager to learn more about Centauri's services. Outreach Specialists interpret and clarify information such as eligibility requirements and application details, and also determine what additional support may be required. Outreach Specialists will initiate procedures to refer patient/member to other agencies for assistance as appropriate. Outreach Specialists must be compassionate and understand ...Read more about Healthcare Outreach Specialist - Fully Remote!More
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Role Summary: Medicaid Eligibility Account Representatives assist clients in the process of applying for government sponsored benefits. Medicaid Eligibility Account Representatives provide a high level of customer service, facilitate appointments, coordinate translation assistance, and communicate with various federal agencies and private institutions to determine services. Medicaid Eligibility Account Representatives are passionate about assisting clients navigate aspects of the healthcare syst ...Read more about Patient Account Representative - OnsiteMore
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Role Summary: As an Implementation Specialist at SES, you are a critical member of our Implementation Team and report to the Director of Implementation Services. The role is responsible for delivering first-class implementation support as part of an innovative and forward-thinking company in the health informatics market. The Implementation Specialist serves customers by documenting customer requirements, updating customer programs, providing product and service information, and assisting in t ...Read more about Implementation Specialist, Healthcare TechnologyMore
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Phoenix, AZ, USA ● Req #2503Thursday, May 9, 2024Role Overview Provider Enrollment Specialist is a vital team member with Centauri’s Out of State Medicaid billing agency that works with facilities across the US to process their Out of State Medicaid claims with a focus on hospital billing, hospital and physician enrollment, and eligibility verifications. The Provider Enrollment Specialist will learn about different aspects of the Out of State enrollment process in phases. Based on individual progression, this includes the ability to learn all ...Read more about Provider Enrollment Specialist - Out of State BillingMore
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Role Overview: As a Technical Support Specialist, you are a critical member of our Support team and report to the Director of Customer Support and Enrollment. This role is responsible for delivering first class technical customer support as part of an innovative and forward-thinking company in the health informatics market. The Technical Support Specialist serves customers by responding to support requests related to Centauri SES products and services. As a customer-focused team player, the ...Read more about Technical Support Specialist, Fully RemoteMore
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Port Huron, MI, USA ● Req #2563Tuesday, May 7, 2024Role Summary: Patient Service Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Service Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of benefits application process. Patient Service Representatives partner with team members and client to ensure that patients' and client’s needs are met. S Learn more a ...Read more about Patient Service Representative - Onsite McLaren Port HuronMore
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Phoenix, AZ, USA ● Req #2549Monday, May 6, 2024Role Summary: The Accounts Receivables Specialist will provide professional-level Accounts Receivable support, including responsibilities in the following functional areas: posting and processing payments, processing refunds, month-end, invoice correction, past-due accounts, check tracing. The Accounts Receivables Specialist possesses strong communication skills, keen attention to detail, excellent organization skills, and the ability to independently and responsibly work in a team environment, ...Read more about Out of State Billing - Accounts Receivables SpecialistMore
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New Mexico, USA ● Req #2537Monday, May 6, 2024Role Summary: Outreach Specialists build relationships with health plan members and patients that are eager to learn more about Centauri's services. Outreach Specialists interpret and clarify information such as eligibility requirements and application details, and also determine what additional support may be required. Outreach Specialists will initiate procedures to refer patient/member to other agencies for assistance as appropriate. Outreach Specialists must be compassionate and understandin ...Read more about Bilingual Healthcare Customer Service Outreach Specialist - Fully Remote!More
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Role Summary The Payment Recovery Specialist reviews claims to make sure that payer specific billing requirements are met, follows-up on billing through payment of the claim, answers inquiries, and updates accounts as necessary. The Payment Recovery Specialist is responsible for analysis of denied reimbursement claims and ensures appropriate insurance coverage for compliance standards and revenue generation. The Payment Recovery Specialist coordinates with departments and insurance companies to ...Read more about Payment Recovery Specialist - Out of State BillingMore
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Pensacola, FL, USA ● Req #2547Thursday, May 2, 2024Role Summary: This position is responsible for accurately performing the Schedule+® functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public. In order to be considered for this po ...Read more about Radiology Scheduling Coordinator (Remote in Pensacola, FL)More
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Utah, USA ● Req #2182Wednesday, May 1, 2024Role Overview: Our company helps hospitals and health plans improve their revenue and deliver community benefits. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs. Disability Specialists work in a fast-paced, multi-tasking, contact center environment, managing both inbound and outbound calls. Disability Specialists will handle all submitted Social Security applications from b ...Read more about Bilingual Disability Specialist - Healthcare - Fully Remote!More
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Phoenix, AZ, USA ● Req #2543Wednesday, May 1, 2024Role Summary: Bilingual Patient Service Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Service Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of benefits application process. Patient Service Representatives partner with team members and client to ensure that patients' and client’s needs are met. Sch ...Read more about Bilingual Patient Service Representative - Valleywise Phoenix (Onsite)More
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Role Overview: Centauri Health Solutions seeks an experienced .NET Application Developer to join our remote team. The Application Developer II uses a combination of application and database development skills to create, troubleshoot, and maintain usable and efficient application systems; analyze, integrate, and enable secure access to large data set; assess application and code quality; document solutions; assess and report on opportunities and risks. Role Responsibilities: Design, develo ...Read more about Application Developer II, Fully RemoteMore
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Job Summary: The Risk Adjustment Coder performs medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Risk Adjustment Coder will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Captur ...Read more about Retro-Coding - CoderMore
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Myrtle Beach, SC, USA ● Req #2522Tuesday, April 30, 2024Role Summary: This position is responsible for accurately performing the Schedule+® functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public. Role Responsibilities: Insurance Auth ...Read more about Radiology Scheduling Coordinator (Onsite Myrtle Beach, SC)More
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Brookhaven, GA, USA ● Kennesaw, GA, USA ● Req #2505Monday, April 22, 2024Role Responsibilities: The Physician Relations Manager develops strategic initiatives to nurture and grow Centauri’s hospital client’s outpatient services. The Physician Relations Manager brings a disciplined and tactical approach to managing their assigned territory, developing strategic relationships, and ensuring market share growth. Please watch the video below from one of our current Physician Relations Managers: https://www.youtube.com/watch?v=lXAhJGEm47M Role Responsibilities: Mana ...Read more about Physician Relations Manager - Healthcare Sales & MarketingMore
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Parker, CO, USA ● Req #2446Tuesday, April 16, 2024Role Summary: Bilingual Patient Service Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Service Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of benefits application process. Patient Service Representatives partner with team members and client to ensure that patients' and client’s needs are met. Lear ...Read more about Bilingual Medicaid Eligibility Specialist - Advent Heath - ParkerMore
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Greeley, CO, USA ● Req #2515Tuesday, April 16, 2024Role Summary: Bilingual Patient Eligibility Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Eligibility Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of benefits application process. Patient Eligibility Representatives partner with team members and client to ensure that patients' and client’s needs ar ...Read more about Patient Eligibility Representative - Banner NCMC ED - OnsiteMore
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Role Overview The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned based upon clinical documentation, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic Guidance, CMS program guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Coding Quality Specialist will apply guidance provided for the medical re ...Read more about Medical Coder, Quality AuditorMore
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Albuquerque, NM, USA ● Req #2447Tuesday, March 26, 2024Role Summary: Bilingual Patient Service Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Service Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of benefits application process. Patient Service Representatives partner with team members and client to ensure that patients' and client’s needs are met. Must ...Read more about Bilingual Patient Service Representative - Onsite PresNow facilitiesMore