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HMO



HMO JOBS - Page 1


1 HMO/Medicaid Biller (Hospice) Level 1 West Covina, CA, USA The ideal candidate will have knowledge of hospice billing procedures for providers (HMO and Medi-Cal payers) Main responsibilities will include: - Responsible for acting as a billing liaison between ...... Apply Now>>

2 HMO Coordinator Pomona, NY, USA HMO Coordinator Cypress Skilled Rehabilitation & Nursing is actively seeking a HMO coordinator for our Skilled Nursing Facilities. Role And Responsibilities Obtains and maintain authorizations Send ...... Apply Now>>

3 Medicare and HMO Medical Supplies Biller New York, NY, USA Experience with HMO billing is a plus. Please reply only if you have at least 2 years Experience with Medicare and HMO Medical Billing for DMEPOS supplies. MBS Ltd provides Enteral, Colostomy ...... Apply Now>>

4 HMO/Medicaid Follow Up Representative West Covina, CA, USA Strong preference for applicants familiar with HMO, private insurance and/or Medi-Cal. * Excellent phone etiquette/customer service skills * Exceptional ability to professionally communicate with ...... Apply Now>>

5 Home Health Agency Biller Hialeah, FL, USA Bill and Post Payments for Medicaid MMA HMO's and Third-Party Payors * Bill and Post Payments for ACO's, Commercial Insurance, HMO's, Worker's Compensation Claims * Bill both electronic and paper ...... Apply Now>>

6 Medical Biller Los Angeles, CA, USA Will work with medicare, HMO, PPO, commercial insurance, electronic clearing EHR experience, ophthalmology is a huge plus, clearing house experience, accounts receivable experience, experience with ...... Apply Now>>

7 Receptionist/ / Insurance Verification- Eye Doctor office Whittier, CA, USA Checking eligibility, benefits and insurance verification (HMO authorization) * Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing... Apply Now>>

8 Referral Coordinator/ Medical Assistant Carlsbad, CA, USA Processing HMO, PPO, and Medicare referrals/authorizations in a timely manner * Comfortable entering medical data into EHR (Epic) * Answering phones, scheduling, and checking in patients * Collecting ...... Apply Now>>

9 Nurse Specialist (Registered Nurse) Los Angeles, CA, USA At least 2 years Utilization Management experience in a hospital or HMO setting. At least 2 years CM experience in a home health, hospice, or HMO setting. Preferred: Managed Care experience ...... Apply Now>>

10 General Dentist Fort Walton Beach, FL, USA Top tier pay and benefits with leading edge compensation and benefits package at this non-corporate, non-HMO, high-end practice. This is a rare opening at this destination dental practice position... Apply Now>>

11 Medical Billing Associate Tulsa, OK, USA Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid * Follow up on unpaid claims within standard billing cycle time frame * Check each insurance payment for accuracy ...... Apply Now>>

12 Dental Treatment Coordinator Los Angeles, CA, USA Experienced Treatment Coordinator Must have experience presenting treatment plans for 2+ years Must have experience with PPO and HMO ( Must be Familiar with HMO Treatment Planning) Excellent ...... Apply Now>>

13 Medical Biller Tulsa, OK, USA Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state. * Medicaid Follow up on unpaid claims within standard billing cycle timeframe. * Check each insurance payment for accuracy ...... Apply Now>>

14 Dental Office front desk administrative assistant Costa Mesa, CA, USA Excellent written and verbal communications skills Company Description pribvate dental office, PPO, HMO, and cash patients... Apply Now>>

15 Dental Office Manager Cape Coral, FL, USA Knowledge of dental billing (HMO & PPO) * Self-motivated, ambitious and attains a positive attitude * Ability to work well with patients, staff members, and doctors * Dentrix/Dental Software ...... Apply Now>>

16 Claims Program Manager Bakersfield, CA, USA Health maintenance organization (HMO) claims payment-processing experience and StateFederal Encounter Submission experience is highly desirable.... Apply Now>>

17 Machine Operator Smyrna, GA, USA HMO $20.00 month for family * 3 weeks of accrued PTO in the 1st year * 40% discount merchandise * $2 shift differential (when applicable) * Secured worksite * Advancement Opportunities * 401k after ...... Apply Now>>

18 Business Office Manager Great Neck, NY, USA CMS manages and coordinates HMO approvals & authorizations for patients receiving services in skilled nursing facilities. About us: Medicare Managed Care represents nearly one-third of all Medicare ...... Apply Now>>

19 Sales/Marketing & Customer Service Great Neck, NY, USA CMS is an outsourced HMO case management/ revenue cycle management company. CMS manages and coordinates HMO approvals & authorizations for patients receiving services in skilled nursing facilities... Apply Now>>

20 Assembly Worker Smyrna, GA, USA HMO $20.00 month for family * 3 weeks of accrued PTO in the 1st year * 40% discount merchandise * $2 shift differential (when applicable) * Secured worksite * Advancement Opportunities * 401k after ...... Apply Now>>

21 Nurse Case Manager Rancho Cucamonga, CA, USA Experience in an HMO or experience in Managed Care setting preferred. * Minimum 1-year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred... Apply Now>>

22 Behavioral Health Medical Director Remote, OR, USA Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization ...... Apply Now>>

23 Licensed Vocational Nurse San Fernando, CA, USA Comprehensive Dental Plans (HMO or PPO) and Vision insurance. Time Off - Generous time off the package - 14 to 26 vacation days, 12 sick days and 10 paid holidays a year. Retirement - up to 5% ...... Apply Now>>

24 Information Systems Security Officer Long Beach, CA, USA ISO2700x and the ITIL, COBIT and NIST frameworks: 4 years (Preferred) * Healthcare HMO Industry: 4 years (Preferred) * HITRUST security framework: 4 years (Preferred) Education: * Bachelor ...... Apply Now>>

25 Dental office scheduler / Treatment coordinator Valencia, CA, USA Knowledge of dental insurance, Familiar with HMO, Denti-Cal, PPO be able to work with HMO upgrades. *Insurance benefits verification/checking eligibility, dental coding *Treatment plan presentation... Apply Now>>

26 DENTIST - Support our Troops! Cape May, NJ, USA Founded in 1963, Sterling Medical is one of the largest providers of healthcare services to Government agencies, HMO's, hospitals, and clinics nationwide. Medical services provided by Sterling ...... Apply Now>>

27 SAS Admin Albany, NY, USA SAS ADMIN Albany NY Full time bull Minimum 5+ years related experience performing duties that include, data mining, report development, and healthcare cost analysis in an HMO, indemnity insurer or ...... Apply Now>>

28 Service Maintenance Technician Orange County, CA, USA Dental HMO and PPO insurance * Vision insurance * Life/AD&D insurance * Flexible Spending Accounts - Unreimbursed Medical and Dependent Care * 401(k) retirement plan * Vacation and Sick Time... Apply Now>>

29 CASE MANAGER Lauderdale Lakes, FL, USA Obtain HMO level increases such as IVs (high cost drugs), special equipment and change in skilled needs if applicable. * Communicate and coordinate with third party bundle payment programs if ...... Apply Now>>

30 SMT Setup Feeder Milford, NH, USA Medical HMO & PPO Plan * HRA (Health Reimbursement Arrangement) * FSA (Flexible Spending Account) * Vision Plan * Dental Plan * EAP (Employee Assistance Program) * 401 (k) Retirement Plan * ESOP ...... Apply Now>>

31 Construction Project Coordinator Roseville, CA, USA Dental HMO and PPO insurance * Vision insurance * Life/AD&D insurance * Flexible Spending Accounts - Unreimbursed Medical and Dependent Care * 401(k) retirement plan * Vacation and Sick Time... Apply Now>>

32 Dental Assistant or Expanded Functions Dental Assistant West Chester, PA, USA No HMO patients--only Fee for Service and PPO patients. Full time benefit package includes paid vacation, paid holidays, 401k, flex spending, health insurance, etc. Must be professional, personable ...... Apply Now>>

33 Business Office Manager Huntington Station, NY, USA Experience with Medicare, Medicaid and HMO Billing. * Experience in a nursing home business office setting required... Apply Now>>

34 Collector Escondido, CA, USA Knowledge of insurances (PPO's & HMO's), authorizations, HIPPA, etc. a plus. Must be detailed orientated, courteous, and work well with others. Experience in billing and collections preferred but ...... Apply Now>>

35 Medical Billing Coding Specialist Louisville, KY, USA ... HMO/PPO, Medicare and Medicaid Follow up on unpaid claims within standard billing cycle timeframe Call insurance companies regarding any discrepancy in payment Problem solving skills to research and ...... Apply Now>>

36 Skilled Construction Laborer Roseville, CA, USA Dental HMO and PPO insurance * Vision insurance * Life/AD&D insurance * Flexible Spending Accounts - Unreimbursed Medical and Dependent Care * 401(k) retirement plan * Vacation and Sick Time... Apply Now>>

37 Pharmacy Technician - Billing Specialist Somerset, NJ, USA ... HMO plans, & commercial insurances. · Familiarity with resolving Insurance rejections for prescriptions such as refill too soon, Prior Authorization and Non Covered items. · Entry-level experience ...... Apply Now>>

38 Dental Billing Los Angeles, CA, USA Knowledge of Dentical, HMO and PPO is a must Company Description GENERAL AND ORTHO dental office... Apply Now>>

39 Registered Nurse Minneapolis, MN, USA ... HMO's, hospitals, and clinics nationwide with over 30 years of experience matching qualified healthcare providers throughout the United States and with facilities around the world. We offer permanent ...... Apply Now>>

40 Registered Dental Hygienist Vallejo, CA, USA We do not accept any HMO plans. Our software is Dentrix. Immediate Position Available We are offering three to four days a week to start. Monday, Tuesday Wednesday and one Friday a month. Our ...... Apply Now>>



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