• Hybrid Field Sales Manager

    CVS Health (Harrisburg, PA)
    …for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager. This position will be a part of a specialized team who will focus ... achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the assigned market....+ Bilingual skills are preferred + Life & Health insurance license is a plus but not required to… more
    CVS Health (09/18/25)
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  • Cost Report Reimbursement Manager

    Avera (Sioux Falls, SD)
    …sign-on and relocation assistance. Seeking a candidate with 5+ years of Medicare Cost Reporting experience. Avera offers competitive salary and benefits! **You ... will be responsible for the oversight of reimbursement associated with the Medicare , Medicaid, Tricare and any other governmental cost reports and regulatory support… more
    Avera (09/16/25)
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  • Managed Care Compliance Specialist - Managed Care

    Cedars-Sinai (CA)
    …applicable rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine ... DHCS. Duties and Responsibilities: + Ensures all services provided to Commercial, Medicare and Medi-cal managed care members are in compliance with program… more
    Cedars-Sinai (09/11/25)
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  • Insurance Verifier

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Insurance Verifier position is responsible for obtaining and recording eligibility and benefit information for patients receiving services, ... effective communication skills in all interactions with patients, co-workers, insurance companies, physicians etc. **PEOPLE ESSENTIAL FUNCTIONS** + Promotes a… more
    Houston Methodist (09/16/25)
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  • Insurance Collections Specialist

    HCA Healthcare (Overland Park, KS)
    …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...and administer contracts in collection of third party accounts ( Medicare and Medicaid) + You will complete account reconciliation… more
    HCA Healthcare (09/04/25)
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  • Enhanced Scheduler PRN

    Intermountain Health (Logan, UT)
    …or two years of experience in and extensive knowledge in the health insurance industry (Commercial Insurances, Medicare , and Medicaid); health claims billing or ... call to schedule and register for services. The Enhanced Scheduler reviews insurance benefit information, estimated costs, and payment options with the patient. Also… more
    Intermountain Health (09/19/25)
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  • Patient Account Representative

    TEKsystems (Las Vegas, NV)
    …+ Must sit in either the CST time zones + In-depth knowledge of Medicare , Medicaid, Commercial, and Managed Care insurance + Familiarity with medical billing, ... resources + Follow up on claim submissions and remittance reviews for insurance collections + Initiate and pursue resolution of disputed balances with government… more
    TEKsystems (09/12/25)
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  • Cash Applications Operator

    Brockton Hospital (West Bridgewater, MA)
    …Accounts Receivable system. + Inputs cash payments, ie, responsible party commercial insurance , co-payments, Medicaid, Medicare , Blue Shield, Out of State Blue ... information, ie, encounter form charges, cash payments-both patient and insurance payments- as well as insurance rejections...Shield, Medex, and lock box payments. + Researches all insurance payments not accompanied by an EOB, to ensure… more
    Brockton Hospital (07/16/25)
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  • Workers Comp- Claims Specialist (I/II/ Sr.)

    NJM Insurance (Trenton, NJ)
    …and/or DE claims. + Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final settlements + Customer service oriented with ... Preferred: + Associate or bachelor's degree + AIC/CPCU or other applicable insurance designations + Experience using Guidewire Claim Center, OnBase and additional… more
    NJM Insurance (07/31/25)
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  • Director, Internal Audit - Insurance

    Humana (Springfield, IL)
    …off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** Humana Inc. (NYSE: HUM) is ... - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (09/10/25)
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