• Associate Specialist , Appeals & Grievances

    Molina Healthcare (Rio Rancho, NM)
    …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare, Marketplace and/or other government-sponsored program), or medical… more
    Molina Healthcare (11/21/25)
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  • Patient Access Specialist - New England…

    Tufts Medicine (Lawrence, MA)
    …role focuses on activities related to revenue cycle operations such as billing , collections, and payment processing. In addition, this role focuses on performing ... 8. Completes, files, and follows to resolution applications for Massachusetts Medicaid , including disability, Health Safety Net, and other such programs. 9.… more
    Tufts Medicine (11/29/25)
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  • Senior Administrative Specialist - Plastic…

    SUNY Upstate Medical University (Syracuse, NY)
    …Pre-Admission Testing and Anesthesia linked appointments. + Works in conjunction with billing office to ensure that appropriate referrals or authorizations have been ... + Schedules outside services as requested by the physician for the patient ( Medicaid cab, interpreter services, etc.). + Responsible for review of the procedural… more
    SUNY Upstate Medical University (11/19/25)
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  • Revenue Recovery Specialist | Avera Heart…

    Avera (Sioux Falls, SD)
    …achieve a double 5-star rating from the Centers for Medicare and Medicaid Services. **Position Highlights** **Position Summary:** The position is responsible for ... patients and other third party payers. This position should be proficient in billing and collections using an automated system and electronic claims processing. This… more
    Avera (11/06/25)
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  • Certified Coding Specialist

    Randolph Hospital (Asheboro, NC)
    …coding and abstracting of inpatient and outpatient discharges. Works closely with billing department to assure compliance with governmental rules and regulations and ... insurance billing guidelines. Serves as liason with medical staff concerning...ICD-9-CM, CPT-4 coding guidelines. Knowledgeable of current Medicare and Medicaid rules and regulations. Experience in encoder software. Knowledge… more
    Randolph Hospital (11/06/25)
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  • Durable Medical Equipment Specialist

    Sanford Health (Minot, ND)
    …including the intake process, product selection, dispensing and setup, documentation, billing , compliance and performance management. Must also be knowledgeable on ... of traditional hand tools. Maintain a working knowledge base regarding billing , documentation, and reimbursement guidelines/issues, including but not limited to… more
    Sanford Health (10/07/25)
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  • Payment Recovery Specialist - QHS Payment…

    Queen's Health System (Honolulu, HI)
    …in an acute care facility, demonstrating good working knowledge of Medicare, Medicaid , Third Party payor requirements. SNF/ICF, ICD-9/ICD-10 and DRG. * Prior ... applications, such as Word, Excel, etc. * Experience with hospital accounts receivable and hospital billing systems. Equal Opportunity Employer/Disability/Vet more
    Queen's Health System (11/27/25)
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  • Provider Engagement Network Specialist

    Centene Corporation (Tallahassee, FL)
    …policies and standards **Education/Experience:** Associate's degree and claims processing, billing and/or coding experience preferred. Three years of experience in ... and medical claims. Knowledge of health care, managed care, Medicare or Medicaid .Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits… more
    Centene Corporation (11/27/25)
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  • Senior Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …Pre-Admission Testing andAnesthesia linked appointments. + Works in conjunction with billing office to ensure that appropriate referrals or authorizations have been ... + Schedules outside services as requested by the physician for the patient ( Medicaid cab, interpreter services, etc.). + Responsible for review of the procedural… more
    SUNY Upstate Medical University (11/20/25)
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  • Access Specialist

    CaroMont Health (Gastonia, NC)
    …diploma or equivalent required. Computer training recommended. Experience in registration, billing , patient accounting, cash collections or working in a healthcare ... and/or customer service experience preferred. Knowledge of insurance, Medicare, Medicaid , collections, and other business office related duties is preferred.… more
    CaroMont Health (11/20/25)
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