• Medicare Specialist

    Southeast Health (Dothan, AL)
    …Summary Job Description Shift DayShift Details FTE 1 Type Regular Join one of Forbes 500 best mid-sized employers in America. Equal Employment Employer Southeast ... Health is committed to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or… more
    Southeast Health (09/09/25)
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  • Access Service Representative - Admitting and ED…

    Sharp HealthCare (Coronado, CA)
    …coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order ... of insurance plans. Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.Validate insurance eligibility electronically (eg MPV, Experian)… more
    Sharp HealthCare (11/28/25)
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  • Regional Case Manager

    NHS Management, LLC (Tuscaloosa, AL)
    …well as Company policy and procedure Directs the MDS assessment and Medicare related activities of the assigned facilities, ensuring accurate and timely assessments ... each resident. Provides case management services for certain high-risk Medicare Part A residents to ensure services are provided...with at least one year experience in MDS and Medicare related activities is required. + Must have excellent… more
    NHS Management, LLC (11/26/25)
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  • Medical Billing Specialist III/IV - Behavioral…

    Ventura County (Ventura, CA)
    …for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal ... expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual and TAR process, they… more
    Ventura County (11/26/25)
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  • Transplant Charge Specialist - Kidney Acquisition…

    University of Southern California (Los Angeles, CA)
    …under the transplant program and revenue capture surrounding transplant services and Medicare cost report (MCR) requirements. This includes but not limited to charge ... (ie heart, lung, liver, kidney, pancreas, etc.) for commercial, Medicare , hospital-based, provider-based inpatient and outpatient transplant accounts to support… more
    University of Southern California (11/19/25)
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  • Pharmacy Svcs Payor Credentialing & Enrollment Sr…

    Fairview Health Services (Minneapolis, MN)
    …Care Organizations as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure uninterrupted patient access ... position **Job Expectations:** **Enrollment Management** + Advanced working knowledge of Medicare , Medicaid, and third-party insurance/ payor plans. + Lead internal… more
    Fairview Health Services (11/15/25)
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  • Medical Billing Clerk

    Luke Staffing (Butner, NC)
    …Proficient in database software. . Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to: . Medicare ... . Medicare Outpatient Prospective Payment System . Medicare Ambulatory Surgical Center Payment Rates . Medicare Part B Physician Fee Schedule . Medicare more
    Luke Staffing (11/13/25)
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  • Director of Reimbursement

    AdventHealth (Altamonte Springs, FL)
    …activities. These activities include preparation and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and ... of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a… more
    AdventHealth (11/12/25)
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  • Associate Director of Finance - Government…

    UTMB Health (Galveston, TX)
    …calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional **Responsibilities:** + Responsible ... for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to, cost report… more
    UTMB Health (11/07/25)
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  • Licensed Benefits Advisor (Field Based)

    Centers Plan for Healthy Living (Brooklyn, NY)
    …need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located throughout the five (5)… more
    Centers Plan for Healthy Living (10/14/25)
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