• National Health Care Associates (Stafford Springs, CT)
    …you to join our team! **-** **What You'll Do:** As an Accounts Receivable Specialist , you will generate and process invoices accurately and in a timely fashion. Your ... you to join our team as an Account Receivable Specialist **-** **What We Offer** As an affiliate of...**-** **What You'll Bring:** **Qualifications of an Accounts Receivable Specialist include:** + Previous A/R experience in a Long-Term… more
    DirectEmployers Association (11/22/25)
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  • Element Care (Beverly, MA)
    …of the participant from community to long-term care. Works collaboratively with Medicaid Specialist , skilled nursing facility, and participant's caregiver to ... complete conversion. * Arranges and facilitates family meetings, as needed. * Refers participants and families to appropriate community services and acts as liaison and/or advocate with community organizations for participants. * Maintains professional,… more
    Get It 2025 (11/25/25)
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  • US Physical Therapy (Bend, OR)
    **Company Description** **Job Description** The Insurance Verification & Authorization Specialist plays a vital role in ensuring that patient services are accurately ... basic insurance issues and escalate complex cases to the Senior Insurance Specialist or Manager. + Communicate authorization and insurance status clearly and… more
    DirectEmployers Association (11/19/25)
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  • Stanford Health Care (Palo Alto, CA)
    …Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical ... HCPCS and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding,… more
    DirectEmployers Association (10/23/25)
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  • Stanford Health Care (Palo Alto, CA)
    …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
    DirectEmployers Association (11/14/25)
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  • Stony Brook University (East Setauket, NY)
    Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... payment variances and denials. + Expert knowledge of Medicare and NY Medicaid Inpatient and Outpatient reimbursement methodologies. + Expert knowledge of third party… more
    DirectEmployers Association (11/22/25)
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  • Stony Brook University (East Setauket, NY)
    Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... appeals, follow-up, financial assistance and customer service. **Duties of a Revenue Specialist may include the following, but are not limited to:** + Prepare… more
    DirectEmployers Association (11/21/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …Network Strategic Initiatives & Data Management, the Provider Data Outreach Specialist is responsible for executing outbound call campaigns to healthcare providers ... Familiarity with medical terminology, preferred. - Previous experience Medicare and Medicaid strongly preferred Required Knowledge, Skills & Abilities (must have): -… more
    DirectEmployers Association (11/21/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full support of… more
    DirectEmployers Association (10/17/25)
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  • Tidelands Health (Myrtle Beach, SC)
    …people live better lives through better health!** **Supervisor Provider Coding Specialist ** Are you passionate about quality and committed to excellence? Consider ... mission to life each day. **A Brief Overview** The Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager, is responsible for… more
    DirectEmployers Association (10/01/25)
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  • Stony Brook University (Stony Brook, NY)
    Specimen Receiving/Reference Laboratory Specialist **Position Summary** At Stony Brook Medicine, a **Specimen Receiving/Reference Laboratory Specialist ** in the ... the safety of all lab personnel. **Duties of a** **Specimen Receiving/Reference Laboratory Specialist ** **may include the following but are not limited to:** + As… more
    DirectEmployers Association (10/03/25)
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  • Seattle Children's (Seattle, WA)
    ECMO Specialist , Registered Nurse (0.75FTE, Nights) We're hiring an ECMO Specialist (Registered Nurse), to support ECMO needs and work in our ICU. * $15,000 sign ... premium when assigned to a pump as an ECMO specialist * In this role you will: Operate, monitor and...American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses performing moderately complex point… more
    DirectEmployers Association (09/20/25)
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  • COOLSOFT (Raleigh, NC)
    …Excellent Communication Skills HIPPA Speciali Requirement id 156023 Job title Specialist Job location in Raleigh, NC Skills required Microsoft Word, Excel, ... Status requirement Job interview type Email Recruiter:coolsoft Job Description Specialist : Microsoft Word, Excel, Powerpoint, Business Analysis Product Management… more
    DirectEmployers Association (11/20/25)
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  • Lyric (Newtown Square, PA)
    …CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid , MUEs, Lyric edits and payer medical policies) + Provide consultative support ... or American Health Information Management Association (AHIMA) Certified Coding Specialist -Physician (CCS-P) + Working knowledge of pre-payment editing and payment… more
    DirectEmployers Association (11/05/25)
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  • National Health Care Associates (Wethersfield, CT)
    …Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state ... federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of… more
    DirectEmployers Association (11/11/25)
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  • Cordis (Trenton, NJ)
    …the people behind the people who keep saving lives.** The **Clinical Closure Sales Specialist ** is focused on the support of the Cordis closure business within a ... that are inclusive, equitable and welcoming. Cordis customers that receive Medicare/ Medicaid funding may be subject to federal COVID-19 workforce vaccination… more
    DirectEmployers Association (11/06/25)
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  • Caris Life Sciences (Irving, TX)
    …follow up on requests, and apply acquired knowledge of Medicare, Medicaid , and other Third-Party Payer requirements **Job Responsibilities** + Proficient in ... and exceeding job responsibilities of Verification/ Authorization Personnel - Specialist either through Caris or with a former employer in a similar industry. +… more
    DirectEmployers Association (11/01/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... + Experience in health plan provider relations. **Experience (Desired)** + Medicare/ Medicaid experience preferred. + Experience with CPT coding and authorization… more
    DirectEmployers Association (10/18/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience with… more
    DirectEmployers Association (10/17/25)
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  • 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...the business office, ensuring accurate and timely processing of Medicaid applications, managing resident accounts, and maintaining compliance with… more
    PruittHealth (11/25/25)
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