• Community Resource Center Specialist III

    LA Care Health Plan (Panorama City, CA)
    Community Resource Center Specialist III Job Category: Customer Service Department: Community Resource Center-Panorama Location: Panorama City, CA, US, 91402 ... to achieve that purpose. Job Summary The Community Resource Center (CRC) Specialist III builds and maintains meaningful relationships with members of the community,… more
    LA Care Health Plan (11/05/25)
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  • Billing Specialist I, II or III

    Sea Mar Community Health Centers (Federal Way, WA)
    …social, and educational services. We are recruiting for the following position(s): Billing Specialist I, II or III - Posting #26048 Hourly Rate: $20.00 - $21.75 ... Position Summary: Full-time Billing Specialist available immediately for our Federal Way Billing Department....and timely processing of all third party insurance, Medicaid, Medicare , Private Pay, and special programs. This position will… more
    Sea Mar Community Health Centers (10/28/25)
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  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Neptune City, NJ)
    …and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of ... Knowledge of Pathophysiology and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare ...Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or certification within two (2) years of… more
    Hackensack Meridian Health (10/18/25)
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  • LTSS Program Specialist , Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...and databases that CCA implements. * Working knowledge of Medicare and Medicaid (MassHealth) * Familiarity with and full… more
    Commonwealth Care Alliance (10/18/25)
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  • Growth & Community Engagement Sr Specialist

    Molina Healthcare (East Moline, IL)
    …Healthcare of Illinois** is seeking a dynamic **Community Engagement & Growth Sr Specialist ** in/near the Rockford or East Moline area **.** This role will help ... community-based organizations and providers to promote Molina's services. The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, … more
    Molina Healthcare (10/16/25)
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  • Utilization Review Specialist

    CaroMont Health (Gastonia, NC)
    …physicians regarding utilization issues. Collaborates with discharge planning specialist and other disciplines. Retrospectively reviews discharged medical record ... detailed summary of care and sends appeals to MCO, Medicare , or RAC for reversal of original determination. May...clinical reviews/appeals as part of denial process. The UR Specialist will be cross trained to work for the… more
    CaroMont Health (10/11/25)
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  • Patient Care Orders Specialist

    Elara Caring (Dallas, TX)
    …at the Right Time, in the Right Place. **Job Description:** **Patient Care Orders Specialist ** At Elara Caring, we care where you are and believe the best place ... to make a difference as the Patient Care Orders Specialist . Being a part of something this great, starts...Excellent verbal and written communication skills. + Experience with Medicare /Medicaid home health care benefits, policies and procedures is… more
    Elara Caring (11/27/25)
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  • Patient Access Specialist

    Marshfield Clinic (Marshfield, WI)
    …exciting missions in the world!** **Job Title:** Patient Access Specialist **Cost Center:** 301351028 Central District-Appointments **Scheduled Weekly Hours:** 4 ... (United States of America) **Job Description:** **JOB SUMMARY** The Patient Access Specialist serves as an initial contact for patients and customers, in-person and… more
    Marshfield Clinic (11/27/25)
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  • Clinical Denial Coding Review Specialist

    HCA Healthcare (Plano, TX)
    …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
    HCA Healthcare (11/26/25)
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  • Admission Registration Specialist 1

    Rush University Medical Center (Chicago, IL)
    …depending on the circumstances of each case. **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of ... is complete and current with each patient visit. The Admissions Registration Specialist I will assist patients with understanding their insurance options and… more
    Rush University Medical Center (11/26/25)
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