• Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …+ Research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies, and all state Medicaid ... for full time employees + Medical, Dental, and Vision insurance + 401 (k) (available for Part Time &...Time & Full Time EEs) + Company Paid Life insurance + Short-term and Long-term disability insurance more
    Polaris Pharmacy Services, LLC (09/11/25)
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  • Surgery Scheduler - Colon and Rectal Surgeons of

    UPMC (Erie, PA)
    …+ Work independently and possess sound decision-making skills. + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers ... assist with data collection for research studies, manage billing and insurance details, and help facilitate patient education seminars. If you're detail-oriented,… more
    UPMC (09/05/25)
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  • Senior Medical Biller (CPC or CPA Certification),…

    FlexStaff (New York, NY)
    …* Timely and accurately submit claims to both private and public insurance carriers, including Medicare , Medicaid, and commercial plans. * Investigate ... with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading… more
    FlexStaff (09/05/25)
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  • Scheduling Coordinator

    UPMC (Pittsburgh, PA)
    …medical terminology are required, including an understanding of Blue Cross, Medicare , Medical Assistance and commercial insurance coverage for hospitalization ... for neurotrauma patients. This will include gathering patient demographics and insurance information, registering patients in the Epic system, and redirecting other… more
    UPMC (08/27/25)
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  • Lead Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Covina, CA)
    …customers* Research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies, and all state ... for full time Employees + Medical, Dental, and Vision insurance + 401 (k) (available for Part Time &...Time & Full Time EEs) + Company Paid Life insurance + Short-term and Long-term disability insurance more
    Polaris Pharmacy Services, LLC (08/23/25)
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  • A/R Rep

    UnityPoint Health (Sioux City, IA)
    …experience required. + Knowledge of medical terminology required. + Knowledge of Medicare , Medicaid, MCOs, and commercial insurance required. + Must have ... all bills for inpatient and outpatients for all third-party insurance companies as well as billings directly to patients....an employee recognition program . + Dental and health insurance , paid holidays, short and long-term disability and more.… more
    UnityPoint Health (08/22/25)
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  • Surgery Scheduler - Heart and Vascular

    UPMC (Erie, PA)
    …+ Work independently and possess sound decision-making skills + Knowledge of insurance regulations, specifically Medicare , BC/BS, managed care plans and workers ... in procedure/appointment scheduling, obtaining and scanning medical records, and insurance authorization to ensure seamless surgical coordination. This role allows… more
    UPMC (07/08/25)
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  • Regional Business Office Consultant

    Signature Healthcare (Indianapolis, IN)
    …Working knowledge of long-term care regulations, as well as knowledge of Medicare , Medicaid (including other third-party insurance companies) billing practices. ... Administrator, FAB, and requirements set forth by Medicaid and Medicare . + Evaluate accuracy of billing under Medicaid and.... + Evaluate accuracy of billing under Medicaid and Medicare guidelines set forth by state and federal government.… more
    Signature Healthcare (08/28/25)
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  • Broker Channel Manager-Must be fully…

    Molina Healthcare (Anaheim, CA)
    …Education** BA Degree or related experience **Required Experience** * 4-7 years Medicare , Medicaid, managed care or other health/ insurance related sales ... or relationship ended * Work as liaison between Molina and/or National Medicare Broker/FMO, Exchange GA, sales agents and other departments (ie Membership… more
    Molina Healthcare (07/31/25)
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  • Division Director of Ambulatory Clinical Quality

    HCA Healthcare (Charleston, SC)
    …for all government payor initiatives including, but not limited to, the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA), ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
    HCA Healthcare (09/14/25)
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