• Registered Nurse

    US Tech Solutions (Columbia, SC)
    …both health care providers and members. **Experience:** + Required Education: Associate degree - Nursing, OR, Graduate of Accredited School of Nursing, OR, ... provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
    US Tech Solutions (05/16/25)
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  • TRICARE Beneficiary Services Representative…

    Leidos (Yigo, GU)
    …like Defense Online Enrollment System (DOES) and MHS Genesis. + **Primary Care Manager (PCM) Changes:** Follow Military Treatment Facility (MTF) guidelines to make ... individual and batch PCM updates. + **Education & Customer Service:** Offer guidance on TRICARE resources, benefits, enrollment, and claims , assisting… more
    Leidos (04/25/25)
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  • Patient Access Specialist

    Trinity Health (Ann Arbor, MI)
    …managed care industries is highly preferred. Experience performing medical claims processing, financial counseling and clearance, or accounting is also highly ... for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and… more
    Trinity Health (05/31/25)
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  • Provider Engagement Network Specialist

    Centene Corporation (Oklahoma City, OK)
    …medical provider office, customer service within a healthcare organization, and medical claims . Knowledge of health care , managed care , Medicare or ... as assigned + Complies with all policies and standards **Education/Experience:** Associate 's degree and claims processing, billing and/or coding experience… more
    Centene Corporation (05/23/25)
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  • Sr. Authorization Specialist (Hybrid) - Magee…

    UPMC (Pittsburgh, PA)
    …for the REI department. Position is at the forefront of patient care requiring benefit verification, obtaining authorizations, and completing all revenue cycle ... approach, knowledge, and expertise to provide highly personalized reproductive health care , including evaluation, diagnosis, and treatment. We offer a wide range… more
    UPMC (05/14/25)
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  • Network Education Representative Senior - LTSS

    Elevance Health (Mason, OH)
    …through customer service including training and education, contracting assistance, claims resolution, and advocacy. **How You Will Make an Impact** Primary ... LTSS** **Location:** This position is based in Ohio, the associate will report to one of our 4 office...the resources, tools, and supports necessary to deliver high-quality care to members. This specialist position will demonstrate, teach,… more
    Elevance Health (05/31/25)
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  • Regional Field Service Manager II

    AO Smith (Lebanon, TN)
    …of production quality assurance, and sales departments of status and disposition of customer complaints and claims . + Utilize interpersonal skills to communicate ... with regional sales managers to provide localized service support, customer site visits, defusing tense situations, application evaluations, contracted service… more
    AO Smith (03/18/25)
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  • Medical Billing & Coding Specialist

    Arab Community Center for Economic and Social Serv (Dearborn, MI)
    …Medical Billing and Coding Specialist is responsible for processing health insurance claims for services provided at all clinics. Employee is responsible for ... submitting claims for reimbursement and coach healthcare providers to achieve...Skills and Abilities: Knowledge of: + Billing and managed care department basic services and hours of operation to… more
    Arab Community Center for Economic and Social Serv (03/14/25)
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  • Accounting Assistant II -Treasurer-Tax Collector

    Ventura County (Ventura, CA)
    …+ Educational Incentive: An educational incentive of 2.5% for completion of an associate 's degree, 3.5% for completion of a bachelor's degree, OR 5% for completion ... Flexible Spending Accounts: Pre-tax benefit towards eligible medical, dental and vision care expenses. + Pension Plan: Participation in the County's defined pension… more
    Ventura County (05/16/25)
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  • Business Analyst - Operations

    AmeriHealth Caritas (Philadelphia, PA)
    …healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care , stay well, and build healthy communities. As one of the nation's leaders ... than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer...Analytics, Forecasting and critical Workforce Management procedures of our Claims and other Back Office teams.; This person will… more
    AmeriHealth Caritas (05/27/25)
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