• Social Service Specialist - Behavior…

    Seattle Children's (Seattle, WA)
    …group settings. Working knowledge of entitlement programs, including Medicaid, Medicare Social Security Disability, WA State DSHS benefits/programs, etc. ... medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement , and more. Additional details on our benefits can be found on our… more
    Seattle Children's (09/13/25)
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  • Provider Engagement Network Specialist

    Centene Corporation (Frankfort, KY)
    …a healthcare organization, and medical claims. Knowledge of health care, managed care, Medicare or Medicaid.Pay Range: $22.79 - $38.84 per hour Centene offers a ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
    Centene Corporation (09/13/25)
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  • Billing Specialist

    ConvaTec (Oklahoma City, OK)
    …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy and ... to resolve claim and payer issues in an effort to recover proper reimbursement . + Provides customer service relating to all billing inquiries and complaints. Able… more
    ConvaTec (09/12/25)
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  • Medical Equipment and Supply Specialist

    SSM Health (Madison, WI)
    …Reviews, obtains, and logs appropriate medical documentation that supports the reimbursement of equipment/supplies. + Performs accurate data entry into operating ... and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare , Medicaid and Accreditation Standards. + Works in a constant state… more
    SSM Health (09/10/25)
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  • Payment Recovery Specialist - QHS Payment…

    Queen's Health System (Honolulu, HI)
    …I. JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims, including conducting payment audits, creating reports and implementing ... in an acute care facility, demonstrating good working knowledge of Medicare , Medicaid, Third Party payor requirements. SNF/ICF, ICD-9/ICD-10 and DRG. *… more
    Queen's Health System (09/09/25)
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  • Data Entry Specialist

    UCHealth (Denver, CO)
    …audit process. + Maintains knowledge to interpret, understand, and apply complex Medicare guidelines regarding claims denials and appeals as well as third-party ... qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year Loan Repayment: + UCHealth is a qualifying employer for the… more
    UCHealth (09/09/25)
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  • Performance Monitor Specialist , Clinic

    Centene Corporation (New York, NY)
    …of experience in Managed Care (UM, BH, CM) preferred. Familiarity with Medicare and Medicaid programs preferred. **Licenses and Certifications:** A license in one ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
    Centene Corporation (09/09/25)
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  • Performance Monitor Specialist

    Centene Corporation (New York, NY)
    …setting with a demonstration of medical administration duties required. Familiarity with Medicare and Medicaid programs preferred. Pay Range: $19.04 - $32.35 per ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
    Centene Corporation (09/07/25)
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  • Remote Revenue Integrity Charge Specialist

    Trinity Health (Livonia, MI)
    …data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, ... Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits… more
    Trinity Health (09/06/25)
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  • Nutrition System Specialist

    UNC Health Care (Hillsborough, NC)
    …via Business Objects and EPIC for RD productivity, admission screening, malnutrition reimbursement , and other reports to support the clinical nutrition and food ... standards, including state, federal, and Joint Commission (JC) and Centers for Medicare and Medicaid Services (CMS) standards. Additionally, this position acts as… more
    UNC Health Care (09/04/25)
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