- DATAMAXIS (Springfield, IL)
- …working in projects like the following: CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility , provider enrollment, ... stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient/provider eligibility , and third-party liability.… more
- HCA Healthcare (Dallas, TX)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... Do you want to join an organization that invests in you as a Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has committed… more
- TEKsystems (Addison, TX)
- Description The Claims Reconciliation Specialist is responsible for comprehensive billing procedures and verification prior to coding for anesthesia services. ... Skills Customer service, medical, medical billing, medical records, intake, claims , Tricare, Medicare, Medicaid Job Type &...pay range for this position is $23.00 - $27.00/hr. Eligibility requirements apply to some benefits and may depend… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- MyFlorida (Orlando, FL)
- … Medicaid , and Refugee Assistance) as a result of pre- eligibility and eligibility investigations for Public Assistance applicants/recipients, community ... INVESTIGATION SPECIALIST I - 60060474 Date: Dec 15, 2025...to promote strong and economically self-sufficient communities by determining eligibility for food, cash and medical assistance for individuals… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6455) Job Brief Responsible for preparing Medicaid and Social Security Administration (SSA) recertifications; completing representative… more
- Masonicare (Wallingford, CT)
- … Medicaid and Commercial Primary/Secondary beneficiaries. Submits third party claims and resolves billing, payment and collection issues. Essential Duties and ... Billing Specialist Job Location: Wallingford Center, Connecticut Billing ...performs a variety of complex operations related to the eligibility , claim preparation, claim submission, suspense resolution, claim follow… more
- Teresian House (Albany, NY)
- …Teresian House in your choice for employment! The Nursing Home Billing Specialist is responsible for: + Timely insurance verification of all referrals for ... billing of all services rendered to residents in compliance with NYS Medicaid , Medicare, Mafae Care Organizations (MCO's) and private insurance. + Preparing and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Tort Specialist ** **Job Class: Human Services Program Specialist 2** **Agency: Human Services Dept** + **Job ID** : 90330 + **Location** : St. ... Insurance Integrity and Accountability Division exists to assure that Medicaid is the payor of last resort in those...that have a responsibility pay their share. The Tort Specialist position exists to investigate and file interventions in… more
- Molina Healthcare (Tampa, FL)
- …of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to… more
- State of Montana (Helena, MT)
- …experience. /**/ *Qualifications for this Career Opportunity ** * Knowledge of Medicaid rules, medical claims processing, medical terminology and coding ... the Office of Inspector General, Program Compliance Bureau.* The Compliance Specialist 2 is responsible for identifying and investigating potential fraud, waste,… more
- HCA Healthcare (Ocala, FL)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for… more
- Truecare Homecare Agency (Brooklyn, NY)
- …insurance eligibility on contract websites and portals + Routinely verify Medicaid eligibility on ePACES + Follow processes and notify appropriate teams ... and caregivers experience the most excellent care. Position Title: Authorizations Specialist Location: Full-time Monday-Friday 9 am-5 pm onsite in Brooklyn, NY… more
- Elevance Health (Hanover, MD)
- …provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Claims support experience strongly preferred. + Maryland Medicaid or ... **Reimbursement Implementation Specialist II** **Location:** _Hybrid1:_ This role requires associates...you will make an impact:** + Synchronizes data on claims and provider databases and provides expertise on business… more
- HCA Healthcare (Richmond, VA)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... We care like family! Jump-start your career as a EDI Reconciliation Specialist today with Parallon. **Benefits** Parallon offers a total rewards package that… more
- Fairview Health Services (Minneapolis, MN)
- …Ensure accurate and timely billing, collections, appeal of home infusion claims . Perform collection tasks to obtain payments. Analyze accounts for documentation, ... according to established procedures to support day-to-day operations Process home infusion claims accurately and timely. + Review accounts for all needed information… more
- HCA Healthcare (Las Vegas, NV)
- …you want to join an organization that invests in you as a Medical Collections Specialist ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** You contribute… more
- HCA Healthcare (San Antonio, TX)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... to join an organization that invests in you as a Coding Account Resolution Specialist -Inpatient? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- HCA Healthcare (Nashville, TN)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total rewards package that… more
- Henry Ford Health System (Jackson, MI)
- …obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new practices, and conducting audits ... maintaining up-to-date payor information, and providing patient support for Medicaid redetermination and enrollment. PRINCIPLE DUTIES AND RESPONSIBILITIES: * Ensures… more
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