• Claims Resolution Specialist

    Prairie Ridge Health (Columbus, WI)
    Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible...18 months of hire, unless existing Certified Professional Coder ( CPC ) is held. + Experience with paper and electronic… more
    Prairie Ridge Health (04/13/25)
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  • Medicare/Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA- Claims Hiring for One Year Term **Position Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, ... Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding… more
    Commonwealth Care Alliance (05/28/25)
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  • Insurance Specialist I - Corporate Patient…

    Guthrie (Sayre, PA)
    …payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
    Guthrie (04/03/25)
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  • Senior Billing Specialist -Obstetrics…

    Mount Sinai Health System (New York, NY)
    …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** **Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250...relevant experience + CPC Preferred + Training in computerized medical billing +… more
    Mount Sinai Health System (06/04/25)
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  • AR II Specialist - Hybrid Position

    Methodist Health System (Dallas, TX)
    claims , able to identify, address, and resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial ... Description :** We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business… more
    Methodist Health System (04/30/25)
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  • Medical Billing & Coding Specialist

    Arab Community Center for Economic and Social Serv (Dearborn, MI)
    …Full-time Job Summary: Under close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services ... Billing and Coding Certificate or Degree in field, Certified Professional Coder ( CPC ), Nationally Registered Certified Coding Specialist (NRCCS) or Registered… more
    Arab Community Center for Economic and Social Serv (06/12/25)
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  • (Remote) Coding Compliance Sr. Specialist

    Trinity Health (Livonia, MI)
    …AHIMA, AAPC, or equivalent certification required, eg, Certified Professional Coder ( CPC ), Certified Coding Specialist (CCS), Registered Health Information ... in the program, services & applications. Trinity Health Senior Coding Compliance Specialist Assists management in conducting annual, periodic and project level risk… more
    Trinity Health (05/22/25)
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  • Revenue Cycle Specialist I

    Southeast Health (Dothan, AL)
    …Summary Performs daily activities involved in the reimbursement process, ie claims filing/follow-up, entry of payments/adjustments, and follow-up on non-payment or ... payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution . Job Description Essential Functions + Works as part of a… more
    Southeast Health (06/13/25)
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  • Medical Billing Specialist

    Robert Half Accountemps (Dallas, TX)
    …role is critical for ensuring accurate claim submission, timely payment posting, and resolution of billing issues, helping to maintain the financial health of the ... Responsibilities: + Insurance Claim Submission: Prepare and submit accurate claims to insurance companies electronically using eClinicalWorks (ECW) (Source: SG25… more
    Robert Half Accountemps (05/30/25)
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  • Supervisory Passport Specialist

    Department of State - Agency Wide (Charleston, SC)
    …position is located within the Bureau of Consular Affairs, Charleston Passport Center (CA/PPT/ CPC ). CA is responsible for the welfare and protection of US citizens ... of operations across all functional lines. Serves as an authority on resolution of highly complex citizenship cases and unique adjudication problems referred by… more
    Department of State - Agency Wide (06/05/25)
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