• 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 (05/28/25)
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  • Medicare / Medicaid Claims…

    Commonwealth Care Alliance (Boston, MA)
    …(CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing -related certifications **Required Experience (must have):** + 3+ years in ... disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit,… more
    Commonwealth Care Alliance (05/31/25)
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  • Medicaid Application Specialist

    The Wesley Community (Saratoga Springs, NY)
    …payer types including Medicare , HMO and Private insurance as related to billing and Medicaid coverage needs is preferred. + Experience with Healthcare ... 20-25 per hour | Part Time / Full Time Medicaid Application Specialist for Skilled Nursing Facility...payers and accounts receivable follow-up. + Ensure compliance with Medicaid regulations related to billing requirements, regulatory… more
    The Wesley Community (07/25/25)
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  • Medicare Exhaust Specialist

    Select Medical (Camp Hill, PA)
    **Overview** ** Medicare Exhaust Specialist ** **ON-SITE** **Starting Hourly Rate $20 (based on experience)** **BONUS ELIGIBLE** Are you results-oriented? Our ... account to bill and collect from all insurances involved; Medicare , Medicaid , Commercial, etc. Their goal is...benefits are exhausted. + Once patient determined to be Medicare Exhaust, specialist files Medicare more
    Select Medical (05/22/25)
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  • Financial Specialist Assistant (Medical…

    NHS Management, LLC (Luverne, AL)
    …all routine and other business office related tasks, including but not limited to: + Medicaid , Medicare and/or secondary billing + Assist with evaluation and ... balances, and initiate appropriate collection actions. + Performs assigned billing functions as directed by Financial Specialist ...office related tasks, including but not limited to: + Medicaid , Medicare and/or secondary billing more
    NHS Management, LLC (07/28/25)
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  • Nursing Home Billing Specialist

    Teresian House (Albany, NY)
    …using Availity, Epaces and other electronic systems daily. + Preparing and submitting timely billing for Medicare , MCO's, Medicaid and private insurers using ... House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely...date knowledge of Medicare , MCO and NYS Medicaid regulations and billing practices. + Working… more
    Teresian House (07/21/25)
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  • Medicare Specialist

    HCA Healthcare (Nashville, TN)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking a Medicare Specialist for our team to ensure that we continue to ... meaningful as we do. We want you to apply! **Job Summary and Qualifications** The Medicare Specialist will be responsible for all aspects of Medicare more
    HCA Healthcare (07/31/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    Senior Billing Specialist Location: Middletown, NY, United...of OMH, OASAS, Medicare , Medicaid , Medicaid Managed Care and other payers' billing ... Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in...team. + Knowledge of Medical Insurance programs such as Medicaid , Medicare and Dual eligibility benefits establishment.… more
    Access: Supports For Living (06/03/25)
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  • Billing Specialist

    HCA Healthcare (Mckinney, TX)
    …Do you want to join an organization that invests in you as a(an) Billing Specialist ? At MSO - Comprehensive OB/GYN, you come first. HCA Healthcare ... make a difference. We are looking for a dedicated Billing Specialist like you to be a...unbilled alert and comp census reports daily. Work the Medicare 72 hour and Medicaid 24 hour… more
    HCA Healthcare (07/30/25)
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  • Medicaid Member Specialist

    TEKsystems (Menasha, WI)
    …benefits + Claims and billing + Authorizations and prior approvals + Medicare , Medicaid , and Marketplace plans You'll handle calls and emails with empathy ... 2+ years of healthcare customer service or call center experience + Experience with Medicare , Medicaid , or insurance verification + Ability to multitask in a… more
    TEKsystems (07/22/25)
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