• Network/Provider Rep.

    ChenMed (Clearwater, FL)
    …may require travel within the market + Prior experience working in a Medicare Managed Care environment preferred We're ChenMed and we're transforming healthcare ... CPL. + Responsible for meeting with high volume community specialist at least monthly to give them feedback on...related field is required + Healthcare experience within the Medicare HMO population is a plus + A valid,… more
    ChenMed (09/25/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …**Education** ? Bachelors in an applicable healthcare-related profession; Masters is preferred **Experience** ? 3-5 years of clinical experience is required. Key ... of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid, etc.), managed care contracts and coordination of benefits is… more
    Mount Sinai Health System (09/24/25)
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  • Case Management Associate

    Ellis Medicine (Schenectady, NY)
    …LPN Program, with current NYS licensure. Prior human services experience preferred . Organized, knowledge of Excel, Word, and other window's based software, ... in the chart. Assists Case Manager with medication prior authorizations. Provides Medicare Important Message to Medicare beneficiaries per CMS Conditions of… more
    Ellis Medicine (09/11/25)
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  • Community Events Coordinator, Bureau of Equitable…

    City of New York (New York, NY)
    …in applying for other government sponsored programs such as SNAP benefits; SSI or Medicaid, Medicare , and the Medicare Savings Program (MSP) for the aged 65 or ... Intervention Program, Neighborhood Health Corps., Asylum Seekers and NYC Care). PREFERRED SKILLS: - Excellent communication and presentation skills (oral and… more
    City of New York (09/10/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Helena, MT)
    …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... (5) years' experience in the practice of Cardiology is preferred + Not under current exclusion or sanction by...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (08/29/25)
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  • Profee Coder Urology

    Banner Health (NV)
    …least 1 year of Urology coding experience** to join our talented team. ** Preferred experience in Urology and Gynecology Oncology surgeries and coding, knowledge and ... in your attached resume);** + **Urology and Gynecology Urology Surgery experience preferred ;** + **Must be currently certified through AAPC or Ahima, as defined… more
    Banner Health (10/02/25)
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  • Profee Oncology Senior Complex Coder

    Banner Health (VA)
    …coding (clearly reflected in your attached resume);** + **Surgical Oncology experience preferred ;** + **Must be currently certified through AAPC or Ahima, as defined ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
    Banner Health (09/05/25)
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  • Associate Manager Profee Coder Surgical Trauma

    Banner Health (AZ)
    …improvements by monitoring of the coding scorecard which includes: unbilled A/R; Medicare second reviews; RAC denials; first time submission acceptance for the ... and physiology, or the equivalent training and education. Requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding … more
    Banner Health (10/15/25)
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  • Medical Coding Auditor

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …ensuring compliance with any relevant rules or regulations (including HIPAA,Medicaid, Medicare , and specific 3rd Party Payors) + Collaborate with appropriate teams ... of the individual selected **Pay Basis:** Monthly **Work Location:** El Paso ** Preferred Qualifications:** + Bachelor's degree preferred + 5 years of… more
    Texas Tech University Health Sciences Center - El Paso (10/07/25)
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  • Senior Coding and Reimbursement Auditor

    Avera (Sioux Falls, SD)
    …including support for outside agencies such as Recovery Audit Contractors (RAC), Medicare Administrative Contractors (MAC), and other payers, on an as-needed or ... from an American Health Information Management Association (AHIMA) accredited school preferred or an equivalent health care field accepted and/or equivalent… more
    Avera (09/23/25)
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