- The Wesley Community (Saratoga Springs, NY)
- …per hour | Full Time Day | Robust and comprehensive benefits package! A/R Billing Specialist Full Time | Days | 8am - 4:30pm We are seeking an experienced Billing ... Specialist professional who loves what they do! Everything we...members to resolve billing-related concerns. + Ensure compliance with Medicare /Medicaid billing requirements, regulatory standards, and facility specific protocols.… more
- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... Presbyterian Health Plan with Medicaid, Medicare , and Commercial lines of business. This role includes...updates, Letters of Direction, and other required modifications. The specialist will also ensure all contract updates are compliant… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct 10, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management...portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …journey. We invite you to apply today. SUMMARY OF JOB The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, ... UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and it's publication,… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 System Support-Facility Coding **Scheduled ... be eligible for a sign-on bonus!**_** **JOB SUMMARY** The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation, ... Seamless Care Models Group (SCMG). As a Supervisory Health Insurance Specialist , GS-0107-15, you will provide leadership and guidance to staff responsible for… more
- Robert Half Office Team (Richmond, VA)
- Description We are looking for a dedicated Credentialing Specialist to support healthcare operations in Richmond, Virginia. This long-term contract position offers ... and re-credentialing applications for healthcare providers, ensuring compliance with Medicare , Medicare Advantage, and managed care organization standards.… more
- Medical Mutual of Ohio (Oklahoma City, OK)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Job Summary:** ... and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates concurrent, prospective and retrospective medical and ... clinical care plans to Risk Adjustment Data Validation (RADV) Timelines. Medicare and Medicaid regulations and billing guidelines and AMA's publication CPT… more
- Louisiana Department of State Civil Service (LA)
- Medical Certification Specialist 1 - 2 (Field Office 3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5060748) Apply Medical Certification ... Specialist 1 - 2 (Field Office 3) Salary $6,337.07...to determine compliance with state and federal regulations, including Medicare and Medicaid standards. + Review facility records, policies,… more