• Medical Case Manager - (Remote)

    Highmark Health (Harrisburg, PA)
    …Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. ... regulatory guidelines, policies, and procedures in relation to member interventions and documentation of activities related to the member's care and progress across… more
    Highmark Health (06/26/25)
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  • Registration Specialist

    AdventHealth (Hinsdale, IL)
    …scheduled appointments and during or after care for unscheduled patients + Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services ... for who you are and the unique experiences you bring to our purpose-minded team . All while understanding that **together** we are even better. **Schedule: Days vary… more
    AdventHealth (06/11/25)
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  • Non-Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Orlando, FL)
    …and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome and Assessment Information Set (OASIS) ... documentation for quality and adherence to policies and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are… more
    BAYADA Home Health Care (07/01/25)
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  • ABH Coordinator - Full Time, M-F, 9AM-5PM,…

    Atlantic Health System (Morristown, NJ)
    …Executive). Below is a general summary, with role-specific enhancements highlighted: Team Member Benefits + Medical , Dental, Vision, Prescription Coverage ... operational supervision to the Collaborative Care Program, based in several Atlantic Medical Group Practices throughout the AHS regions of service. The position will… more
    Atlantic Health System (07/30/25)
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  • Telephonic Call Center Specialist

    Humana (Miami, FL)
    …based on business needs and hours could include weekends/holidays. + During the Medicare Annual Election Period, September to December, must be able to work Monday ... member services and a call center environment specifically but not limited to Medicare & Medicaid recipients + Previous experience with electronic case note … more
    Humana (08/01/25)
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  • Medical Biller/Collections Specialist

    Robert Half Accountemps (Girard, OH)
    Description We are looking for a skilled Medical Biller/Collections Specialist to join our team on a long-term contract basis in Girard, Ohio. In this role, you ... coding. Responsibilities: * Prepare and submit claims to insurance providers, Medicaid, and Medicare for durable medical equipment and related services. * Verify… more
    Robert Half Accountemps (07/15/25)
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  • Lead Application Architect

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    …lead the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Centers ... for Medicare & Medicaid Services (CMS) provides healthcare services to...and application security, RMF, ATO and non-functional requirements. * Documentation & Reporting: Prepare conceptual architecture designs, effort estimations,… more
    CGI Technologies and Solutions, Inc. (05/31/25)
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  • Housecall Providers Medical Director…

    CareOregon (Portland, OR)
    …comfort, improve health outcomes, reduce health care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of ... nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western...ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are… more
    CareOregon (07/19/25)
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  • Lead Medical Records Technician-Coder

    Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
    …for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. Distributes and balances the workload among employees in accordance with ... in the Health Information Management (HIM) section at the Cheyenne VA Medical Center. Responsibilities Monitors the status and progress of work and day-to-day… more
    Veterans Affairs, Veterans Health Administration (07/22/25)
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  • Medical Assistant

    CenterWell (New Albany, IN)
    …served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs. As a ** Medical Assistant** , you will be a part ... of the Clinical Care Team engaging with our patients to develop lifelong well-being... in the electronic health record (EHR) and electronic medical record (EMR) systems, including documentation of… more
    CenterWell (06/26/25)
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