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$53.7k - $72.6k
...Become a part of our caring community The Claims Process and Policy Professional 1 work assignments are often straightforward and of... ...efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service...ClaimsFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$78.4k - $107.8k
...part of our caring community The Senior Process Improvement Professional analyzes, and... ...will partner across Enrollment, Clinical, Claims, Finance, and Technology teams to design,... ...Preferred Qualifications Experience with Medicare and/or Medicaid. Experience with...ClaimsFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Sun Auto Tire & Service is seeking a detail-oriented Claims Process Coordinator to support insurance administration and claims management across our national network. The role is fully remote and exempt, reporting to the Compliance Manager, and focuses on claims intake...ClaimsRemote work
Sun Auto Tire & Service
New York, NY2 days ago - ...Insurance Claims Processor Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO's. Job Duties Monitor the progress of insurance claims from submission to payment. Identify and resolve...Claims
- ...SpecialistResponsible for monitoring billing processes and makes corrections as needed. Manages... ...the information system. Ensures all claims billed meet government mandated... ...reimbursement agencies' standards and regulations (Medicare/Medicaid).Maintains knowledge of all...ClaimsFull timeWork at office
CHRISTUS Spohn Health System
Tyler, TX2 days ago $19 per hour
...ensure accurate account balances. Review claims, monitor outstanding receivables, and... ..., ensuring timely resubmissions. Apply Medicare/CMS guidelines and commercial insurance payer requirements. Prepare and process monthly patient statements and respond to...ClaimsPermanent employmentFull timeMonday to FridayFavorite Healthcare Staffing
San Antonio, TX2 days ago- ...receives their equipment. Every authorization secured, every claim processed, and every reimbursement resolved helps ensure patients receive... ..., or prior authorizations preferred. Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly...ClaimsFull timeWork at officeMonday to FridayAfternoon shift
Blackburn'S Physicians Pharmacy
Tarentum, PA18 hours ago - ...Extended Care Pharmacy, part of the Guardian family, in Phoenix, AZ, seeks a detail-oriented pharmacy billing specialist to process bills and insurance claims with accuracy and speed. You will support daily and month-end billing, interact with patients, caregivers, providers,...Claims
$25k
...KeystoneCare, we are a mission‑driven, Medicare‑Certified and CHAP‑accredited Home Health... ...necessity Jury duty excuse letters Claim denial appeals Front Office & Daily... ...Management Manage facility contract processes: Send agreements via Adobe Sign Maintain...ClaimsContract workWork at officeKeystoneCare
Wyndmoor, PA7 days ago- ...accounts receivable/billing reports; bill file creation process; processing of payments and denials; processing... ...as to the correct insurance and processes all claims accordingly. Researches claims for Medicaid, Medicare and other third party insurance. Contacts insurance...ClaimsContract workWork at officeFlexible hours
Office of the State Attorney
Daytona Beach, FL1 day ago - ...Supervisor to lead day-to-day hospital billing for Medicare, Blue Cross, Medicaid, Commercial and Self-Pay claims. You will organize workflows, oversee staff... ...accounting. Strong communication is essential, and you will mentor staff while driving process #J-18808-LjbffrClaims
Beebe Healthcare
Rehoboth Beach, DE2 days ago - ...Detail-oriented and proactive, the remote Hospice Billing Specialist will manage the billing process for hospice claims, ensuring accuracy and compliance with Medicare and other payor requirements while collaborating with clinical and operational teams. Key responsibilities...ClaimsRemote work
Virtual Vocations Inc
United States1 day ago - ...support the revenue cycle, focusing on Medicare Part B, Medicaid, and other payers. You... ...aging, follow up on unpaid or underpaid claims, and manage denials and appeals while ensuring... ...Cycle Team, and participate in month-end close processes and reporting. #J-18808-LjbffrClaims
BrightSpring Health Services
Louisville, KY2 days ago - ...seeking a Billing Specialist to ensure accurate submission of claims to private insurers, Medicare, Medicaid and self-pay patients. You will collaborate... ..., and patients to resolve paid and denied claims, process payments, and manage EOBs and statements. The role requires...Claims
White house Clinics
Richmond, KY18 hours ago - ...across 13 SSLCs and state facilities. You will develop, implement, and monitor reimbursement programs and ensure accurate claims processing for Medicare, Medicaid, and other payers. The role involves training Reimbursement Officers, interpreting state and federal rules...Claims
Health & Human Services Comm
Austin, TX3 days ago - ...North Sunflower is seeking a DME billing specialist to maintain accurate accounts, process claims, post payments, and monitor AR in line with payer rules and organizational policies. You will verify eligibility, review orders, prepare claims with HCPCS codes, manage...Claims
North Sunflower
Ruleville, MS3 days ago - ...professional coding guidelines, centers for Medicare and Medicaid (CMS) guidelines, and... .... Meets deadlines to expedite the billing process and to facilitate data availability for providers to ensure the timeliness of claim submissions. Reviews outpatient medical records...ClaimsWork at office
Aya Healthcare
Fort Lauderdale, FL18 hours ago - ...a part of a centralized Revenue Cycle team to process accurate code assignments for paper and /or electronic claims and required billing data elements prior to charges... ...is carries out in compliance with applicable Medicare, Medicaid and third-party payer guidelines....ClaimsFull timeWork at officeRemote work
- ...Reviewer, Coder to perform automated and complex reviews of Medicare Fee-for-Service claims from a remote setting. The role focuses on ensuring... ...accuracy, assisting in dispute resolution, and collaborating with stakeholders to improve review processes. #J-18808-LjbffrClaimsPart timeRemote work
Virtual Vocations Inc
United States2 days ago - ...company, seeks a Government Programs Operations Analyst (EGWP) to support Medicare Part D implementation and ongoing compliance with CMS regulations. The role focuses on enrollment, claims processing, member services, and reporting. The ideal candidate brings 3+ years of...ClaimsLocal area
Capital Rx
Denver, CO2 hours agonew - ...is hiring a Medical Billing Specialist – Medicare & Managed Care for its Buffalo hub. You’ll handle Medicare and managed care claims end‑to‑end, reviewing denials and ensuring... ...and a focus on accurate, efficient claim processing. The ideal candidate will bring Medicare...Claims
Elderwood
Buffalo, NY4 days ago - ...seeking an Appeals Nurse (RN) to review medical records and claims for first-level Medicare appeal cases, assessing medical necessity and adherence... ...to ensure timely redeterminations and compliant processing. The ideal candidate holds an ASN or BSN and an active...ClaimsRemote work
WPS Health Solutions
United States3 days ago $70k - $85k
...from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and... ...identify, assess, monitor, and document claims and encounter coding information as it pertains... ...recommendations to management related to process improvements, root-cause analysis, and/or...ClaimsWork at officeRemote workWork from homeHome officeProspect Health
Orange, CA2 days ago- ...Pharmacy in a leadership role focused on overseeing pharmacy claims processing, third‑party billing, and reimbursement optimization. You... ...submissions, minimize write-offs, and maintain compliance with Medicare Part D, Medicaid, and PBM standards. The ideal candidate...Claims
Marquis Companies
Portland, OR2 days ago - ...and obtaining alternate health care resources, including Medicare, Medicaid, VA, Tribal, and other third-party programs.... ...referrals.Follows up on pending applications, enrollments, and claims to support timely processing.Assists in resolving eligibility, coverage, and...Claims
Department of Health and Human Services
Ogema, MN4 days ago - ...team seeks a PBS Billing Specialist to support government billing, claims processing, and denials management. You will work remotely within Texas, ensuring compliant and timely submission for Medicare, TRICARE, CHAMPVA, and other payers. Ideal candidates have an Associate...ClaimsRemote work
University of Texas MD Anderson Cancer Center
New York, NY2 days ago - ...hMetrix is a healthcare data analytics company that processes large volumes of claims data from insurers and state governments to support some of... ...resources for that — but you must speak the language of Medicare claims fluently enough to direct analytic work credibly...ClaimsFor contractorsWork at officeRemote workFlexible hours1 day per week
hMetrix
New York, NY2 days ago - ...Kentucky or Indiana and offers leadership of the hospital billing process across Medicare, commercial, and Medicaid lines. The manager will direct... ..., and ensure timely, accurate handling of patient accounts and claims within a centralized office. #J-18808-Ljbffr...ClaimsWork at officeRemote work
BHS
New York, NY3 days ago $140k - $165k
...accommodation or an alternative application process. VP of Compliance Operations Full... ...offering life insurance, annuity, Medicare Supplement, and supplemental health products... ...plans, and escalate material concerns. Claims, rescissions, and contestability matters....ClaimsFull timeRelocation packageLiberty Bankers Insurance Group
Dallas, TX1 day ago- ...Health Solutions is a BPO serving several Medicare Healthcare companies. At Convey Health... ...large-scale end-to-end health insurance processes for our business clients – from eligibility... ...Service Platform System, Client Rx Claims System, ADP-Payroll System, in addition...Claims
Convey Health Solutions
Tallahassee, FL3 days ago
