• Bus Off Medicaid Specialist

    PruittHealth (Charlotte Hall, MD)
    **JOB PURPOSE:** The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing ... on Medicaid and compliance. This position is responsible for assisting...in the management of resident private pay accounts, including billing , collections, and financial reporting. 5. Ensure compliance with… more
    PruittHealth (11/25/25)
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  • Billing Specialist

    Helio Health Inc. (Syracuse, NY)
    Overview To support the mission of Helio Health, Inc., the Billing Specialist generates medical invoices, posts cash receipts, follows up on accounts receivable ... accomplish medical billing for Helio Health. The Billing Specialist will work Full-Timeto support our...assigned duties. + Prepares weekly and monthly reports of Medicaid billing for the Director of … more
    Helio Health Inc. (10/04/25)
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  • Patient Account Specialist - PFS…

    Scripps Health (San Diego, CA)
    …Account Specialist - PFS Billing Services* **Location:** *Central San Diego County-SAN DIEGO-SCRIPPS CORPORATE OFFICES* **Requisition ID:** *252005765* ... one of the most respected healthcare organizations nationwide. As a Patient Account Specialist , you will be supporting the Billing Services department at our… more
    Scripps Health (11/12/25)
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  • Revenue Integrity Coding Billing

    Guidehouse (Minneapolis, MN)
    …various types of authoritative information. + Maintains current knowledge of Medicare, Medicaid , and other third-party payer billing compliance guidelines and ... provider/clinical documentation. + Knowledge, understanding and proper application of Medicare, Medicaid , and third-party payer UB-04 billing and reporting… more
    Guidehouse (12/04/25)
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  • Billing Specialist

    Masonicare (Wallingford, CT)
    Billing Specialist Job Location: Wallingford Center, Connecticut Billing Specialist Masonicare Corporate Services - Wallingford, CT Day Shift / ... POSITION IS ON-SITE** Under general supervision from Patient Accounts Management, The Billing Specialist performs a variety of complex operations related to… more
    Masonicare (12/09/25)
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  • Financial Specialist Assistant

    NHS Management, LLC (Athens, AL)
    …and directed by Administrator, Financial Specialist , or facility corporate management. Qualifications + Healthcare billing and collection experience ... office related tasks, including but not limited to: + Medicaid , Medicare and/or secondary billing + Assist...directed by Administrator, Financial Specialist , or facility corporate management. Qualifications + Healthcare billing and… more
    NHS Management, LLC (12/09/25)
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  • *Revenue Integrity Specialist (Clinical…

    Henry Ford Health System (Troy, MI)
    …resolve issues at a high level. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third- party billing rules/coverage, preferred. + ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle… more
    Henry Ford Health System (10/23/25)
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  • Sr Revenue Integrity Clinical Charge…

    HCA Healthcare (Richmond, VA)
    …an organization that invests in you as a Senior Revenue Integrity Clinical Charge Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... looking for a dedicated Sr Revenue Integrity Clinical Charge Specialist like you to be a part of our...educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, EHR Specialists, and CDM… more
    HCA Healthcare (12/23/25)
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  • Compliance and Quality Improvement…

    CCSI INC (Norwich, NY)
    Compliance and Quality Improvement Specialist - On Site Norwich, NY, NY (http://maps.google.com/maps?q=5+Court+St+#42+Norwich,+NY+NY+USA+13815) * Chenango County ... Hygiene Services Job Type Full-time Description Compliance and Quality Improvement Specialist Chenango County Community Mental Hygiene Services Norwich, NY - On… more
    CCSI INC (12/16/25)
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  • Eligibility Specialist

    Constructive Partnerships Unlimited (Manhattan, NY)
    …in the Billing /Entitlements shared drive. + Complete NYC & NYS Medicaid recertification packets for all service recipients within congregate care level II and ... Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now… more
    Constructive Partnerships Unlimited (11/06/25)
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  • Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    …we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims ... to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their...risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing our… more
    Polaris Pharmacy Services, LLC (12/23/25)
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  • Network Payor Relations & Compliance…

    Henry Ford Health System (Jackson, MI)
    …maintaining up-to-date payor information, and providing patient support for Medicaid redetermination and enrollment. PRINCIPLE DUTIES AND RESPONSIBILITIES: * Ensures ... purposes of their quality rewards program. o Maintains accurate record of specialist referral information, provider panel status by product line, and Network's… more
    Henry Ford Health System (11/04/25)
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  • Clinical Revenue Auditor-CDM Patient Financial…

    Mount Sinai Health System (New York, NY)
    …with Epic. + Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid , etc.), managed care contracts and ... **Job Description** **Clinical Revenue Auditor-CDM Patient Financial Services- Corporate -Full-Time-Days- Hybrid.** The Clinical Revenue Auditor for the Mount Sinai… more
    Mount Sinai Health System (12/24/25)
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  • Medical Claims Specialist

    TEKsystems (Addison, TX)
    Description The Claims Reconciliation Specialist is responsible for comprehensive billing procedures and verification prior to coding for anesthesia services. ... presence during regular business hours. Skills Customer service, medical, medical billing , medical records, intake, claims, Tricare, Medicare, Medicaid Job… more
    TEKsystems (12/17/25)
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  • Physician Practice Compliance Specialist

    Hackensack Meridian Health (Hackensack, NJ)
    …serve as a leader of positive change. The **Physician Practice Compliance Specialist ** is responsible for assuring on-going compliance by actively participating in ... physician practice regulatory environment in consultation with the Director of Corporate Compliance. This position proactively assesses changes in the regulatory… more
    Hackensack Meridian Health (10/01/25)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio...pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their… more
    Polaris Pharmacy Services, LLC (12/23/25)
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  • Credentialing Spec

    Covenant Health Inc. (Knoxville, TN)
    …prioritizing and managing tasks in the Knoxville Business Office Services (KBOS), Billing Department regarding Out of State Medicaid Payer Enrollment, Hospital ... Overview Credentialing Specialist , Business Office Full Time, 80 Hours Per...new Facility and Physician Providers with Out of State Medicaid Payers: sends out and processes initial hospital applications;… more
    Covenant Health Inc. (10/14/25)
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  • Senior Revenue Integrity Charge Analyst

    HCA Healthcare (Richmond, VA)
    …over 156,000 hours volunteering in our communities. As a Senior Revenue Integrity Charge Specialist with Revenue Integrity you can be a part of an organization that ... our organization. We are looking for an enthusiastic Senior Revenue Integrity Charge Specialist to help us reach our goals. Unlock your potential! **Job Summary and… more
    HCA Healthcare (12/19/25)
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