• Medicare Billing Specialist

    Robert Half Accountemps (Fort Wayne, IN)
    Description We are looking for a detail-oriented and organized Medicare Billing Specialist to join our team in Fort Wayne, Indiana. This role involves managing ... Medicare , Medicaid, and commercial insurance claims with precision and...contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. (C)… more
    Robert Half Accountemps (01/09/26)
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  • Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... as necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance process.… more
    Commonwealth Care Alliance (11/25/25)
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  • Social Media Specialist

    MetroLink (Los Angeles, CA)
    Social Media Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5183448) Apply  Social Media Specialist Salary $63,277.00 - $98,080.00 ... Description + Benefits + Questions SUMMARY The Social Media Specialist supports and enhances positive exposure and corporate image...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
    MetroLink (01/03/26)
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  • Managed Care Compliance Specialist

    Cedars-Sinai (CA)
    **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for...as the need arises. + Educates CSHS employees on company policies and procedures regarding access to care, the… more
    Cedars-Sinai (12/11/25)
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  • Enterprise Authorization Specialist

    Home Care Providers of Texas (Springfield, MO)
    Job Title: Enterprise Authorization Specialist Department: Revenue Cycle Reports To: Authorization Supervisor Employment Type: [Full-Time / Part-Time / Remote / ... Onsite] Position Summary The Home Health Authorization Specialist is responsible solely for obtaining, managing, and maintaining prior authorizations for home health… more
    Home Care Providers of Texas (01/10/26)
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  • Sr Sourcing Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing...and Compensation: + Employee bonus program. + 401(k) with company match up to 4% and an additional … more
    Medical Mutual of Ohio (10/21/25)
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  • Multi-Specialty Portfolio Specialist

    Sumitomo Pharma (Kansas City, KS)
    Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the US (Sumitomo Pharma America, Inc.), focused on addressing patient ... dynamic, highly motivated individual for the position of **Multi-Specialty Portfolio Specialist /Associate Portfolio Specialist .** This position is being posted… more
    Sumitomo Pharma (12/10/25)
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  • Healthcare Administrative Specialist

    Aveanna Healthcare (Mount Pleasant, TX)
    …- $15.00 per hour Position Details Position: Operations Specialist (Medical Records Specialist ) Join a Company That Puts People First! Aveanna Healthcare is ... Healthcare Administrative Specialist ApplyRefer a FriendBack Job Details Requisition #:...Wellbeing Top 100 Companies of 2024 + Named Best Company for Work-Life Balance, Happiest Employees, Best Culture, and… more
    Aveanna Healthcare (01/08/26)
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  • Verification Specialist - PMPH

    Penn Medicine (Plainsboro, NJ)
    …Are you living your life's work? **Looking for a FT Verification Specialist ** **Schedule: M-F Day** **Department: Multi Specialty** **Location: 5 Plainsboro Rd** ... provide insurance verification and coordination for all commercial, Medicaid and Medicare cases across programs to facilitate patient access to clinical services… more
    Penn Medicine (12/03/25)
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  • Prior Authorization Specialist

    US Tech Solutions (RI)
    **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided through multiple… more
    US Tech Solutions (11/07/25)
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  • HCC Coding Specialist - Exempt - Full Time…

    Emanate Health (Covina, CA)
    …named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The HCC Coding Specialist is responsible for ... documentation, coding compliance, and optimal risk adjustment outcomes. The HCC Coding Specialist ensures the IPA's Risk Adjustment Factor (RAF) maintains or exceeds… more
    Emanate Health (10/17/25)
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  • Senior Charge Description Master Specialist

    Providence (MT)
    …the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding ... and billing regulations and accurately represents services provided. The Senior CDM Specialist acts as the liaison between the Hospital ministry and the PSJH System… more
    Providence (12/22/25)
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  • Member Engagement Specialist Hourly

    Elara Caring (Springfield, MO)
    …services based on client needs. + Stay current on industry trends, Medicare /Medicaid regulations, and company service offerings. + Maintain compliance with ... the Right Time, in the Right Place. **Job Description:** Member Engagement Specialist **Monday-Friday, 8am-5pm** **Remote Opportunity** BSW or CCHW required + May… more
    Elara Caring (01/08/26)
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  • Operations Specialist

    Aveanna Healthcare (Albuquerque, NM)
    Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 209110 Location: Albuquerque, NM 87109 Category: Business Operations Salary: $18.00 - $20.00 ... per hour Position Details Position Overview As an Operations Specialist , you will be an integral part of the...with Employer Matching + Employee Stock Purchase Plan + Company -Paid Life Insurance + Paid Holidays, Paid Vacation Days,… more
    Aveanna Healthcare (01/06/26)
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  • Operations Specialist

    Aveanna Healthcare (Phoenix, AZ)
    Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 209527 Location: Phoenix, AZ 85014 Category: Business Operations Salary: $21.00 per hour ... Position Details Position Overview As an Operations Specialist , you will be an integral part of the...with Employer Matching + Employee Stock Purchase Plan + Company -Paid Life Insurance + Paid Holidays, Paid Vacation Days,… more
    Aveanna Healthcare (01/02/26)
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  • Verification of Benefits Specialist

    ManpowerGroup (Plano, TX)
    Our client, a leading healthcare organization, is seeking a Verification of Benefits Specialist to join their team. As a Verification of Benefits Specialist , you ... will align successfully in the organization. **Job Title:** Verification of Benefits Specialist **Location:** Plano, TX **Pay Range: $22/hr on w2** **What's the… more
    ManpowerGroup (12/09/25)
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  • Operations Specialist

    Aveanna Healthcare (Hamilton, NJ)
    Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 212428 Location: Hamilton, NJ 08691 Category: Business Operations Salary: $21.00 - $23.00 ... per hour Position Details Position Overview As an Operations Specialist , you will be an integral part of the...skills Other Skills / Abilities - Must always maintain company and employee confidentiality. - Must maintain professional boundaries… more
    Aveanna Healthcare (01/07/26)
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  • Coding Account Resolution Specialist

    HCA Healthcare (Richmond, VA)
    …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 ... We are looking for a dedicated Coding Account Resolution Specialist -Inpatient like you to be a part of our...with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assigns interim… more
    HCA Healthcare (01/10/26)
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  • Coding Account Resolution Specialist

    HCA Healthcare (Nashville, TN)
    …Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total rewards package that ... benefits may vary by location._** We are seeking a Coding Account Resolution Specialist -Outpatient for our team to ensure that we continue to provide all patients… more
    HCA Healthcare (10/30/25)
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  • Transition of Care Specialist

    Rush University Medical Center (Chicago, IL)
    …depending on the circumstances of each case. **Summary:** The Transition of Care Specialist serves as an expert consultant to hospital staff, and a clinical educator ... Rush Home Infusion Pharmacy or the HDM portfolio of pharmacies. The Specialist will educate patients, physicians, case managers and all customers regarding disease… more
    Rush University Medical Center (01/01/26)
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