• Compliance Specialist

    University of Utah (Salt Lake City, UT)
    …Basic knowledge of clinical documentation requirements related to regulatory and reimbursement rules, the Medicare system and proficiency with computer ... Details **Open Date** 07/28/2025 **Requisition Number** PRN42631B **Job Title** Compliance Specialist **Working Title** Compliance Specialist **Job Grade** E… more
    University of Utah (08/07/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management and oversight activities associated… more
    LA Care Health Plan (07/16/25)
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  • Pharmacy Systems Support Specialist Senior

    Marshfield Clinic (Marshfield, WI)
    …exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary Region-340b Admin **Scheduled ... of America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the design, development, implementation… more
    Marshfield Clinic (07/09/25)
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  • Accounts Receivable Specialist

    Glens Falls Hospital (Glens Falls, NY)
    …Come join our team of medical billing experts as the Accounts Receivable Specialist ! This is an exciting opportunity that can further develop your skills in ... data recording * Utilize all available tools to pursue accurate and timely reimbursement including internal tools, as well as payer meetings, payer websites, and… more
    Glens Falls Hospital (07/02/25)
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  • Program Specialist

    TEKsystems (Raleigh, NC)
    Job Posting: Program Specialist Location: Remote Contract Duration: 4 months Start Date: October 20, 2025 End Date: February 2, 2026 Pay Rate: $21/hour Experience ... point of contact for patients and providers, offering operational and reimbursement support across complex healthcare programs. This includes marketing support, … more
    TEKsystems (09/11/25)
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  • Clinical Documentation Specialist Trainee

    Prime Healthcare (Harlingen, TX)
    …traits to facilitate ongoing physician communication. 12. Working knowledge of Medicare reimbursement system and coding structures preferred. Employment Status ... Overview We are seeking a Clinical Documentation Specialist Trainee , sometimes referred to as a...other leave options + Employer 401K options + Tuition reimbursement options + Life, disability, and other insurance options… more
    Prime Healthcare (09/10/25)
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  • Clinical Documentation Specialist - Health…

    Hawaii Pacific Health (Lihue, HI)
    …compliance with Medicare and Medicaid (CMS) guidelines and to expedite reimbursement . You will use both clinical and coding knowledge to obtain documentation ... also generates the coding procedures for data collection, research, and reimbursement . With the widespread computerization of health records and other information… more
    Hawaii Pacific Health (09/05/25)
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  • Billing Specialist I

    US Tech Solutions (Monroeville, PA)
    **Position Summary:** + Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. ... require outbound calling. ) * Minimum 1 year experience performing healthcare reimbursement , medical insurance/billing or related work. * Minimum 1 year experience… more
    US Tech Solutions (07/18/25)
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  • Specialist 3rd Party Rx Ops Pharmacy Tech…

    Walgreens (Deerfield, IL)
    …standard and conducts on-line tests to ensure appropriate claims processing and reimbursement . Identifies and implements corrective actions for test results that are ... and recommends corrective actions to system discrepancies, prescription and reimbursement data, vendor changes, claims processors, etc. Experience with query… more
    Walgreens (06/17/25)
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  • Provider Enrollment Specialist

    Intermountain Health (Phoenix, AZ)
    …+ Coordinates all aspects of provider enrollment with commercial and government ( Medicare and Medicaid) professional fee payer contracts for an entire market. ... and individual government enrollments for technical and professional fee claim reimbursement . 2. Coordinates all aspects of provider enrollment with Intermountain… more
    Intermountain Health (09/11/25)
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