Healthcare Eligibility Specialist

Job Summary: We are seeking an experienced Medical Eligibility Specialist to join our team at Prospect Medical Holdings. This is a challenging role that requires strong analytical and problem-solving skills, as well as the ability to work independently with minimal supervision.

Job SummaryWe are seeking an Eligibility Processor II to join our team at Alta Hospitals. In this role, you will play a vital part in ensuring the seamless delivery of healthcare services to our 260,000 members.Maintaining accurate and up-to-date Provider, Network, and Member entries in our core system is crucial for our operations. You will thoroughly...

Job SummaryWe are seeking a highly skilled Healthcare Eligibility Coordinator to join our team at Alta Hospitals. In this role, you will be responsible for managing health plan eligibility files for 9,000 physicians serving 260,000 members.You will ensure accurate inbound and outbound transmissions, troubleshoot issues, and maintain data integrity. Your...

Company Overview: Alignment Healthcare is a healthcare provider that prioritizes the needs of seniors and those who need it most. Our team is dedicated to delivering exceptional care and services, and we are seeking a Healthcare Network Specialist to join our team.Job Description: As a Healthcare Network Specialist, you will be responsible for building and...

We are looking for a skilled Healthcare Support Specialist to provide top-notch customer service and support to our members and providers. In this role, you will be responsible for addressing inquiries, resolving issues, and providing information on eligibility, enrollment, benefits, and services related to the OneCare program.

We are seeking a Healthcare Access Specialist to join our team at Prospect Medical Holdings. In this role, you will be responsible for downloading and merging eligibility files, uploading files to our subsystem, and updating our system with changes.This position requires a high level of accuracy, attention to detail, and effective communication skills. Our...

CompSpec Inc. is a leading provider of administrative social services and financial solutions. We are seeking a skilled Patient Advocate to join our team and contribute to our mission of improving patient outcomes.About the JobThis role involves working with uninsured populations and linking them with government programs and third-party providers. You will...

As a Medical Eligibility Coordinator at Prospect Medical Holdings, you will be responsible for uploading eligibility files, updating our IDX system, and verifying manual claims, electronic claims, and authorizations. This role requires effective communication with health plans and knowledge of HMO, Medicare, and Medical products.We offer a dynamic work...

About UsThe Orange Unified School District serves approximately 28,000 students in grades kindergarten through 12th. Our district encompasses all or part of the cities of Anaheim, Garden Grove, Orange, Santa Ana, and Villa Park.Our long history of excellence continues to grow and be enriched by the accomplishments of our students, teachers, staff, and...

About Our TeamJudge Healthcare is seeking a skilled Customer Service Representative to join our team in Orange, CA. As a representative, you will play a vital role in ensuring our members and providers receive the highest level of service and support. If you're passionate about delivering exceptional customer experiences, we encourage you to apply.Key...

About This Opportunity:This is an exciting opportunity to join our team as a Healthcare Call Center Specialist. As a key member of our call center team, you will be responsible for providing exceptional customer service to patients, answering calls efficiently, and scheduling appointments in accordance with our guidelines.Responsibilities:You will respond to...

The Healthcare Specialist role at UCI Health involves working collaboratively with interdisciplinary teams to deliver high-quality patient care.About UCI HealthAs an academic health system, UCI Health is committed to innovation and excellence in patient care. Our team of healthcare professionals is dedicated to delivering exceptional patient care and...

Job SummaryWe are seeking a highly motivated and experienced Healthcare Contracts Specialist to join our team at The Midtown Group. The successful candidate will be responsible for developing, maintaining, and negotiating contracts with health networks, professional, ancillary, and facility providers.

Job Description:The Midtown Group is seeking a skilled Career Development professional to join our team as a Healthcare Customer Service Specialist.In this role, you will serve as the first point of contact for our members and providers, providing timely and accurate information regarding eligibility, enrollment, benefits, and services. You will be...

Job Title: Healthcare Registration SpecialistLocation: University of California, IrvineJob Type: Full-timeAbout Us: UCI Health is committed to providing high-quality patient care and exceptional customer service. Our team of dedicated professionals works together to achieve our mission of improving the health and well-being of our patients and...

Providence Health & Service is committed to delivering compassionate care to vulnerable populations. As a Healthcare Support Specialist, you will play a vital role in facilitating patient-centered transitions from the ED/hospital to the community. This includes establishing trust-based relationships with patients, identifying their needs, and collaborating...

Join Our Team:We are seeking an experienced Compassionate Healthcare Specialist to join our team at Senior Doc. As a key member of our Mobile Primary Care, Geriatric House Call Group, you will have the opportunity to make a meaningful difference in the lives of elderly patients and their families. Our team is dedicated to providing high-quality, personalized...

About the JobEstimated salary: $75,000 - $90,000 per year. As a Healthcare Utilization Specialist at Equiliem Healthcare, you will play a crucial role in ensuring the quality and cost-effectiveness of healthcare services.Job DescriptionCase Management Intervention: Provide intervention on behalf of members with short-term, stable, and predictable courses of...

About the RoleWe are seeking a skilled Healthcare Appeals Specialist to join our team. As a member of our appeals management group, you will play a crucial role in ensuring that all medical appeals and state hearing reviews are handled efficiently and effectively.Job SummaryThe successful candidate will be responsible for managing organization medical...

Job DescriptionWe are seeking a dedicated and detail-oriented Healthcare Support Specialist to join our team at The Midtown Group. In this role, you will be responsible for providing exceptional customer service to members and providers, addressing their inquiries and concerns in a timely and professional manner.Responsibilities:Participate in a culture of...