• Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function is to learn the specialty level appeals and… more
    LA Care Health Plan (11/06/25)
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  • Medication Therapy Management Specialist

    Prime Therapeutics (Oklahoma City, OK)
    …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...outbound calls to qualified members across all lines of business to review the benefits of the MTM program.… more
    Prime Therapeutics (10/31/25)
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  • Dental Billing Specialist

    Fair Haven Community Health Care (New Haven, CT)
    …and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of ... a great passion for helping individuals obtain treatment. The Billing Specialist /Dental Authorization Coordinator works with the Billing and Dental department… more
    Fair Haven Community Health Care (10/28/25)
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  • Sr. Billing Specialist & Collections…

    Sweetser (Saco, ME)
    Sr. Billing Specialist & Collections Specialist - Saco Job Code:12859 Location:Saco 04072 Department:Other FT/PT Status:Full Time Summary: Assures quality of ... Ensure compliance with government/funding source rules and regulations. Position is office -based in Saco. **$2,000 sign-on bonus!!** **$2,000 SIGN ON BONUS**… more
    Sweetser (10/18/25)
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  • Pharmacy Systems Support Specialist Senior

    Marshfield Clinic (Marshfield, WI)
    …exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary Region-340b Admin **Scheduled ... of America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design, development, implementation… more
    Marshfield Clinic (10/08/25)
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  • Eligibility Specialist

    Adelante (Peoria, AZ)
    Eligibility Specialist Job Details Job Location Adelante Healthcare Peoria - Peoria, AZ Description POSITION SUMMARY The Eligibility Specialist is responsible ... accredited institution + Minimum one (1) year experience in medical front office , customer service and/or experience in sales, interview techniques, and extensive… more
    Adelante (10/04/25)
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  • Habilitation Specialist 1

    New York State Civil Service (Little Valley, NY)
    NY HELP Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services ... and assists individuals in participating in community.LinkedIn: https://www.linkedin.com/company/nys- office -for-people-with-developmental-disabilities/posts/?fedView=all#LI-BD1 Minimum Qualifications Competitive Minimum Qualifications:Must be… more
    New York State Civil Service (11/20/25)
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  • Billing and Credentialing Specialist

    WestCare Foundation (Dandridge, TN)
    …Level High School Description Position Summary: The Billing and Credentialing Specialist is responsible for overseeing insurance billing processes, managing provider ... initial credentialing and re-credentialing of clinicians with commercial insurance payers, Medicaid , Medicare, and relevant licensing boards. + Track and maintain… more
    WestCare Foundation (09/04/25)
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  • Vermont Intake & Eligibility Specialist

    Public Consulting Group (VT)
    …evaluating client needs, and determining appropriate courses of action. The specialist is empowered to make decisions that directly impact client eligibility ... Care Plans. + Provide live phone support during State business hours (8:00 AM-4:30 PM EST); respond within one...collaboratively in a remote team environment. + Familiarity with Medicaid regulations and relevant state and federal laws. +… more
    Public Consulting Group (11/14/25)
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  • Research & Resolution Specialist

    Aveanna Healthcare (Dallas, TX)
    Research & Resolution Specialist ApplyRefer a FriendBack Job Details Requisition #: 208950 Location: Dallas, TX 75254 Category: Medical Billing/Collections Salary: ... equipment without assistance Environment * Performs duties in an office environment during agency operating hours * Must be...United States only, and in states where Aveanna conducts business . Remote workers should be prepared to come into… more
    Aveanna Healthcare (11/08/25)
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