• BH Care Manager

    WellSense (Boston, MA)
    …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ago as ... in the community or at facilities when required and approved by the supervisor or manager, in alignment with WellSense policies and procedures** + **Develop,… more
    WellSense (08/30/25)
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  • Claims Examiner WC

    Adecco US, Inc. (San Diego, CA)
    …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests ... and claims coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** Performs other duties as… more
    Adecco US, Inc. (08/29/25)
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  • Outpatient Coding Auditor

    Nuvance Health (Danbury, CT)
    …audits, reporting, complaint coding issues etc. 5.Research CMS and NGS Medicare regulations, guidelines, bulletins, and other publications for impact to professional ... services.Monitor listservs such as CMS, Medicare , NGS, AAPC etc. and third-party payers for coding...and variations in coding or documentation. Provides recommendations to Supervisor , Manager or Director to improve coding and documentation… more
    Nuvance Health (08/28/25)
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  • PT Registration Spec - ED

    Covenant Health Inc. (Knoxville, TN)
    …to the patient/family member, such as: consent for treatment, advance directives, Medicare forms. + Understands and follows the facility de-escalation process when ... arise, contacting appropriate resources as necessary (ie Security, House Supervisor ). + Utilizes bedside registration process efficiently and effectively. +… more
    Covenant Health Inc. (08/28/25)
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  • Operations Specialist / Administrative Assistant

    Aveanna Healthcare (Clark, NJ)
    …backup to payroll processes during the absence of the Client Service - Supervisor or Executive Director, as needed, ensuring continuity and accuracy in payroll ... or without notice. Vaccine Requirement As an employer accepting Medicare and Medicaid funds, employees must comply with all...or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/26/25)
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  • Biller 1

    Aveanna Healthcare (Atlanta, GA)
    …guarantors for services provided. This is inclusive of claims to commercial, Medicare , Medicaid and private pay accounts. Essential Job Functions Maintains current ... Achieves cash goal on a quarterly basis. Keeps manager, supervisor , and branch location personnel informed of any significant...a signed agreement with Aveanna. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/23/25)
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  • Manager, Sales I

    Centene Corporation (East Syracuse, NY)
    …and Salesforce are strongly encouraged to apply.** **Position Purpose:** Manages either the Medicare Sales or the Broker Field Sales teams to drive and achieve ... field or equivalent experience. 4+ years of experience in Sales, Healthcare, Medicare , CMS Regulations and/or Management. Experience in working with or managing… more
    Centene Corporation (08/22/25)
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  • OP Patient Access Representative (Part Time,…

    St. Luke's University Health Network (Orwigsburg, PA)
    …resolve minor patient/visitor issues and inform department leadership, or Nursing Supervisor of any significant patient and visitor complaints. + Responsible for ... all department work queues. + Responsible for completing Important Message from Medicare , and Medicare Outpatient Observation Notice signature processes. +… more
    St. Luke's University Health Network (08/21/25)
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  • Assistant Nurse Manager - Nurse III - Colorado…

    State of Colorado (Denver, CO)
    …facility; experience with staff development. + Experience as a supervisor + Experience working with individuals with Intellectual/Developmental Disabilities; + ... name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure… more
    State of Colorado (08/21/25)
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  • Director, Managed Care Contracting - Large…

    Bon Secours Mercy Health (Cincinnati, OH)
    …opportunities, regulations, standards and directives regarding governmental/third party agencies ( Medicare & Medicaid) and/or third paLeads assigned negotiations of ... opportunities, regulations, standards and directives regarding governmental/third party agencies ( Medicare & Medicaid) and/or third-party payers. + Adheres to the… more
    Bon Secours Mercy Health (08/19/25)
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