• Criminal Investigator - Medicaid Fraud

    State of Georgia (Fulton County, GA)
    Criminal Investigator - Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/73115/other-jobs-matching/location-only) Hot ... through this announcement will serve in the Investigations section of our Medicaid Fraud Division. Duties & Responsibilities: Investigators conduct health care fraud… more
    State of Georgia (10/10/25)
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  • Provider Network Operations Medicaid

    AmeriHealth Caritas (Charleston, SC)
    …matter expert in State specific health reimbursement rules and provider billing requirements and as liaison to the Enterprise Operations Configuration Department. ... or related experience preferred. + 1 to 2 years Medicaid experience preferred. + 2 to 5 years of...analysis experience in a healthcare environment preferred. + Healthcare billing and coding experience required. + Strong with MicroSoft… more
    AmeriHealth Caritas (11/19/25)
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  • Billing And Coding Compliance Analyst

    Hunterdon Health Care System (Flemington, NJ)
    …of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, analyzing ... use of Medicare website tools, educates providers and staff on applicable billing coding and regulations and updates, Provides corrective measure plan and… more
    Hunterdon Health Care System (10/19/25)
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  • Medical Billing Supervisor - EMS

    Hartford HealthCare (Norwich, CT)
    …compassionate patient care. *_Your Impact:_* Under the direction of the EMS Network Billing Manager, this position serves as lead for multiple Billing ... timely, accurate, effective processing and collection of payments from Medicare, Medicaid , commercial insurances and private payers. Work collaboratively with team… more
    Hartford HealthCare (11/14/25)
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  • Billing Clerk

    Washington County Mental Health Services (Barre, VT)
    …related field or equivalent experience and education. + Experience with computerized billing systems. + Experience with Title XIX Medicaid regulations preferred. ... Billing Clerk We are seeking a detail-oriented billing specialist to join our financial team. This position supports our agency's critical work by maintaining… more
    Washington County Mental Health Services (10/17/25)
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  • Billing Specialist I

    US Tech Solutions (Monroeville, PA)
    **Position Summary:** + Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid . ... fills and work claims through to resolution to ensure compliant, timely and accurate billing practices. Worker must live within 1 hour of the site (Monroeville, PA)… more
    US Tech Solutions (10/17/25)
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  • Revenue Cycle Management Billing

    Genesis Healthcare (PA)
    …cycle management-from pre-admission through discharge-ensuring timely, accurate, and efficient billing and collections. The ideal candidate is a strong communicator, ... the Market President and center teams on all payer types, with priority on Medicaid Pending and Private accounts. + Oversee and train Market and Center-level RCM… more
    Genesis Healthcare (11/05/25)
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  • Senior Fraud and Waste Investigator, Special…

    Humana (Tallahassee, FL)
    …appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Begins to ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (11/13/25)
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  • Professional Billing Coding Supervisor…

    Truman Medical Centers (Kansas City, MO)
    …programs; ie Medicare, Medicaid , MC+, etc. + Knowledge of medical insurance billing and collection. + Extensive knowledge with CPT, ICD 9/10 , and HCPCS coding ... myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Professional Billing Coding Supervisor (Remote) 101 Truman Medical Center **Job… more
    Truman Medical Centers (11/20/25)
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  • Senior Contracting Compliance Analyst…

    Mount Sinai Health System (New York, NY)
    …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing ) Analyst who will primarily be responsible for tracking, trending, and… more
    Mount Sinai Health System (10/08/25)
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