• iCare Health Solutions Enterprise (Miami, FL)
    …and reconciliation logs Stay current on industry trends in managed care contracting and reimbursement methodologies Requirements Job Specifications Typically ... NextGen Contract Utility, supporting both traditional fee-for-service (FFS) reimbursement and managed care models, including capitated, global payment, and… more
    Upward (07/21/25)
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  • Pennsylvania Medicine (Woodbury Heights, NJ)
    …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
    Upward (07/16/25)
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  • Pennsylvania Medicine (Monroe Township, NJ)
    …is updated on EMR and checked in on a timely manner. Maintain knowledge of managed care and third party billing requirements relative to front desk processes, ... insurance cards. Update/ enter e-MDs demographic information. Collect appropriate co-payments for managed care members, post payment and issue receipt. Collect… more
    Upward (07/18/25)
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  • Pennsylvania Medicine (Cranbury, NJ)
    …insurance cards. Update/ enter e-MDs demographic information. Collect appropriate co-payments for managed care members, post payment and issue receipt. Collect ... from patient. Scan medical records and correspondence as needed. Maintain knowledge of managed care and third-party billing requirements relative to front desk… more
    Upward (07/28/25)
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  • Aspen Dental (New York, NY)
    …across the organization. This role will play a key part in supporting our managed care operations and strategic payor initiatives. The Director will ensure data ... Google BigQuery for data extraction, transformation, and analysis. Deep understanding of managed care operations, including provider and facility data structures… more
    Upward (07/25/25)
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  • Sound Physicians (Bridgeton, MO)
    …of healthcare payment models, physician practice management, revenue cycle, payer contracting, managed care models, and Accountable Care Organization ... and with specialties in emergency and hospital medicine, critical care , anesthesia, and telemedicine, Sound has a reputation for...(PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with… more
    Upward (07/24/25)
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  • Physician Contract Administration Hybrid

    AdventHealth (Maitland, FL)
    …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... strong working relationship with AdventHealth Florida and Multi-state Division leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership,… more
    AdventHealth (06/06/25)
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  • Full Time Medical Receptionist - Penn Medicine…

    Penn Medicine (West Windsor, NJ)
    …cards. Update/ enter e-MDs demographic information. + Collect appropriate co-payments for managed care members, post payment and issue receipt. + Collect ... or requests. Obtain necessary signed release from patient. + Maintain knowledge of managed care and third party billing requirements relative to front desk… more
    Penn Medicine (06/05/25)
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  • Remote Medical Staff Services Health Care

    Mount Sinai Health System (New York, NY)
    …and/or Health Plan auditing setting, or within a hospital?s Delegated Enrollment or Managed Care Enrollment Department + Knowledge of NCQA standards (Joint ... **Job Description** **Remote Medical Staff Services Health Care Specialist (Delegation/Enrollment)** The Medical Staff Services Health Care Specialist is… more
    Mount Sinai Health System (07/17/25)
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  • Business Office Manager

    National Health Care Associates (Utica, NY)
    …responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple ... at Utica is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work,...compliance of the resident fund ledgers + Perform month-end reconciliation of census, revenue and accounts receivable If you… more
    National Health Care Associates (07/09/25)
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  • Practice Manager - Primary Care

    Virtua Health (Moorestown, NJ)
    …in billing and health insurance guidelines and practices, including commercial, Medicare and managed care payers. Solid knowledge of and ability to use, ... the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing … more
    Virtua Health (07/02/25)
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  • Patient Services Coordinator

    Penn Medicine (Cherry Hill, NJ)
    …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
    Penn Medicine (07/29/25)
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  • Full Time Certified Medical Assistant/Receptionist…

    Penn Medicine (Monroe, NJ)
    …updated on EMR and checked in on a timely manner. + Maintain knowledge of managed care and third party billing requirements relative to front desk processes, ... cards. Update/ enter e-MDs demographic information. + Collect appropriate co-payments for managed care members, post payment and issue receipt. + Collect… more
    Penn Medicine (05/15/25)
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  • Senior Contract Manager Analyst - Mount Sinai…

    Mount Sinai Health System (New York, NY)
    …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
    Mount Sinai Health System (07/30/25)
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  • Patient Services Associate

    Penn Medicine (Cherry Hill, NJ)
    …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
    Penn Medicine (07/25/25)
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  • Patient Services Associate

    Penn Medicine (Cherry Hill, NJ)
    …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
    Penn Medicine (07/30/25)
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  • Full Time Medical Receptionist - Princeton…

    Penn Medicine (Cranbury, NJ)
    …cards. Update/ enter e-MDs demographic information. + Collect appropriate co-payments for managed care members, post payment and issue receipt. + Collect ... + Scan medical records and correspondence as needed. + Maintain knowledge of managed care and third-party billing requirements relative to front desk processes,… more
    Penn Medicine (07/25/25)
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  • Ancillary Support Assoc

    Northwell Health (Staten Island, NY)
    …questionnaire. + * Completes, reviews, updates and replenishes Medicaid and Medicaid Managed Care transportation fund. Disperses Medicaid and Medicaid Managed ... information on the admitting board. + * Completes daily reconciliation of all patients. Reviews and updates daily census...required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential… more
    Northwell Health (07/29/25)
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  • Director, Data Management

    Aspen Dental (Albany, NY)
    …across the organization. This role will play a key part in supporting our managed care operations and strategic payor initiatives. The Director will ensure data ... BigQuery for data extraction, transformation, and analysis. + Deep understanding of managed care operations, including provider and facility data structures and… more
    Aspen Dental (07/18/25)
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  • Senior Director of Grants & Contracts

    Morehouse School Of Medicine (Atlanta, GA)
    …of the health professional and scientific workforce; * Address primary health care through programs in education, research and service; With emphasis on people ... Monitors expenses, tracks balance, conducts variance analysis, and projects burn rate and future utilization. + Oversees all grants management activities, such… more
    Morehouse School Of Medicine (07/23/25)
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