• Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Covina, CA)
    …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers + Research,… more
    Polaris Pharmacy Services, LLC (11/19/25)
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  • Clinical Government Audit Analyst and Appeal…

    Stanford Health Care (Palo Alto, CA)
    …after a detailed review of medical records. Ensure compliance with Medicare , Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National ... management. Evaluate internal controls related to documentation, coding, charging, and billing practices to ensure compliance. + Government Audit and Appeals Program… more
    Stanford Health Care (11/14/25)
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  • Patient Financial Counselor - Department…

    Wayne State University (Detroit, MI)
    …services or resources with local and state agencies. Maintain current knowledge of Medicaid / Medicare and other Health Insurance Plans. Performs data entry into ... Collaborate with clinic leadership and program finance representatives regarding billing concerns related to clinical services. Supports check-in and check-out… more
    Wayne State University (10/18/25)
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  • Revenue Cycle Coordinator IV - Remote/Hybrid…

    University of Rochester (Rochester, NY)
    …and cross-training staff. + Assists leadership with payer audits, including quarterly Medicare and Medicaid Credit Balance reports and additional credit balance ... feedback to supervisors and managers. Supports some aspects of billing office operations, including basic principles of staff management/supervision. **LOCATION**… more
    University of Rochester (10/15/25)
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  • RN MDS Supervisor- Clinical Reimbursement…

    Catholic Health Services (Smithtown, NY)
    …Compliance: Stay up-to-date on current reimbursement regulations and guidelines (eg, Medicare , Medicaid ) and ensure compliance. + Data Analysis: Analyze ... (MDS) assessments and other relevant documentation. + Coding and Billing : Assist in the accurate coding and billing... Billing : Assist in the accurate coding and billing of resident care services to maximize reimbursement. +… more
    Catholic Health Services (09/24/25)
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  • Outpatient Coder

    HCA Healthcare (Nashville, TN)
    …aged accounts first, and reports to leadership + Works with team members in billing , revenue integrity and/or the Medicare Service Center to resolve alerts/edits ... research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit,… more
    HCA Healthcare (09/06/25)
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  • Home Health Branch Manager

    Aveanna Healthcare (Lakewood, WA)
    …at any time with or without notice. Vaccination RequirementsAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... exemptions for medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related… more
    Aveanna Healthcare (11/25/25)
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  • Home Health Branch Manager

    Aveanna Healthcare (Yakima, WA)
    …any time with or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... exemptions for medical or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related… more
    Aveanna Healthcare (11/22/25)
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  • Associate Specialist, Appeals & Grievances

    Molina Healthcare (Rio Rancho, NM)
    …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare , Marketplace and/or other government-sponsored program), or… more
    Molina Healthcare (11/21/25)
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  • Clinical Dietitian

    University of Utah Health (Salt Lake City, UT)
    …analysis. + Knowledge of federal requirements set forth under the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoP) and/or ... Conditions of Coverage (CoC) in order to receive Medicare / Medicaid payment. **Qualifications** **Qualifications** **Licenses Required** + Registered Dietitian… more
    University of Utah Health (11/21/25)
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