• Medicare / Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible ... research, as necessary on all new and revised coding logic, related Medicare / Medicaid policies for review/approval through the Payment Integrity governance… more
    Commonwealth Care Alliance (08/26/25)
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  • Senior Medicare Medicaid Biller…

    Prime Healthcare (Ontario, CA)
    …seeking new members to join our corporate team! Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing and collections, ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
    Prime Healthcare (08/26/25)
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  • Sr Medicare Medicaid Biller…

    Prime Healthcare (Redding, CA)
    …family. For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing and ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
    Prime Healthcare (07/25/25)
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  • Medicare & Medicaid Analyst

    State of Indiana (Indianapolis, IN)
    Medicare & Medicaid Analyst Date Posted: Aug 25, 2025 Requisition ID: 464467 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... About The Family and Social Services Administration : The Office of Medicaid Policy and Planning efficiently and effectively administers Medicaid programs… more
    State of Indiana (08/26/25)
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  • Sr. Reimbursement Specialists - Medicare

    Insight Global (Orlando, FL)
    …* 5+ years Backend Reimbursement experience * Cost reporting experience for Medicare / Medicaid Appeals * Experience filing state surveys + external reviews ... * 5+ years Backend Reimbursement experience * Cost reporting experience for Medicare / Medicaid Appeals * Experience filing state surveys + external reviews… more
    Insight Global (08/08/25)
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  • Manager Patient Accounting-Patient Financial…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Manager Patient Accounting-Patient Financial Services ( Medicare / Medicaid ) Corporate-Full-Time Days** The Manager is responsible for ... overseeing staff, operations and resources within a department or division to ensure optimal result and high employee engagement. The Manager ensures that the department is run according to institutional policies and any applicable regulatory requirements.… more
    Mount Sinai Health System (09/03/25)
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  • Clinical Program Coordinator RN, Medicare

    Providence (OR)
    …empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide care coordination, case ... management and care management services to Providence Health Plans(PHP) members + Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease + Case management services… more
    Providence (08/23/25)
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  • Patient Account Representative - Medicare

    Guidehouse (Lewisville, TX)
    …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... CMS 1500 + Complete all business-related requests and correspondence from patients and insurance companies. + Responsible for working on 40-70 Accounts Per Day + Complete all assigned projects in a timely manner. + Assist client and patients in all requested… more
    Guidehouse (08/18/25)
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  • Medicaid / Medicare Coordination…

    State of Indiana (Indianapolis, IN)
    Medicaid / Medicare Coordination Manager Date Posted: Sep 5, 2025 Requisition ID: 464717 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... is fully engaged with this mission. Role Overview: In this role, Medicaid / Medicare Coordination Manager, you will establish priorities, targets, and deadlines… more
    State of Indiana (09/06/25)
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  • Supervisor IV-Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    **Job Description** Supervisor IV-Patient Financial Services ( Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision ... and coordination of administrative and general office activities, consistent with departmental objectives, administrative policies and practices. Provides direct supervision for administrative and office support staff such as secretarial/administrative… more
    Mount Sinai Health System (07/27/25)
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