• Clinical Denial Coding Review Specialist

    HCA Healthcare (Plano, TX)
    …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (11/26/25)
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  • CASSP Coordinator (County Mental Health Program…

    Commonwealth of Pennsylvania (PA)
    CASSP Coordinator (County Mental Health Program Specialist 1) (LG) - Washington County MH/ID Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5086618) Apply  CASSP Coordinator (County Mental Health Program Specialist 1) (LG) - Washington County MH/ID Salary $41,201.41… more
    Commonwealth of Pennsylvania (11/27/25)
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  • Order Returns Specialist

    TEKsystems (Delavan, WI)
    About the Role We are seeking a detail-oriented and customer-focused Claims Resolution Specialist to join our team. This role is responsible for managing and ... aging of accounts receivable. + Report daily metrics on claim status, including processed and oldest claims ....for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
    TEKsystems (11/25/25)
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  • Pbm Payer Audit Specialist / Remote

    BrightSpring Health Services (Centennial, CO)
    …Payer Audit Specialist also performs quality assurance checks for all medical and PBM billing documentation before submission and notifies the RCM Ancillary ... requests and updates until final resolution is obtained. Responsible for correcting PBM claim audit deficiencies and resubmitting claims back to the payer as… more
    BrightSpring Health Services (11/21/25)
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  • Single Path Coding Specialist II (Remote)

    Stanford Health Care (Palo Alto, CA)
    …and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding, and ... job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for...modifiers as applicable for both the hospital and professional claim + Validate and process any medical more
    Stanford Health Care (10/24/25)
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  • Specialist , Appeals & Grievances - Remote…

    Molina Healthcare (Omaha, NE)
    …and prepares written response to incoming provider reconsideration requests related to claims payment, requests for claim adjustments, and/or requests from ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to… more
    Molina Healthcare (11/23/25)
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  • Oncology Pharmacy Tech Specialist

    Trinity Health (Ann Arbor, MI)
    …Type:** Part time **Shift:** Day Shift **Description:** **Pharmacy Tech Specialist - Home Infusion** **Department:** Home Infusion **Location:** Trinity Health ... drug inventory. Performs all job functions of the Pharmacy Technician Specialist as needed/appropriate for the Home Infusion Pharmacy department. Performs pharmacy… more
    Trinity Health (11/20/25)
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  • Financial Operations Recovery Specialist

    Elevance Health (Indianapolis, IN)
    …Operations Recovery Specialist ** is responsible for setting up and adjusting claims overpayments that have been previously identified. May do all or some of ... the following in relation to cash receipts, cash application, claim audits, collections, overpayment vendor validation, and claim adjustments. **How you will… more
    Elevance Health (11/20/25)
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  • Revenue Cycle Management Specialist

    KPH Healthcare Services, Inc. (Oklahoma City, OK)
    **Overview** The Revenue Cycle Management Specialist - Collections responsibility is to ensure timely collection of outstanding balances. **Responsibilities** + ... Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other responsible parties via phone, email, and written… more
    KPH Healthcare Services, Inc. (11/15/25)
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  • Revenue Cycle Manager

    Oak Orchard Health (Brockport, NY)
    …5+ years' experience working with coding and billing, required. + Certified Medical Billing Specialist / Medical Coder highly preferred. Comprehensive ... making a difference in someone's life. We have 8 medical offices located in communities throughout Western NY and...billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports,… more
    Oak Orchard Health (10/14/25)
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