Healthcare Revenue
831 open positions
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Business Office Assistant↗ Metropolis Rehabilitation and Health Care CenterMetropolis, IL, US 5d Support the Business Office Manager and oversee business office activities including insurance payments, refunds, and financial reporting for a senior living facility.
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Payment Integrity Prepay Fraud Supervisor - Cigna Healthcare CignaRemote 5d Lead a regional prepayment team to identify and prevent fraudulent, wasteful, and abusive expenses in Cigna's International Business Market, ensuring claims are not paid as received.
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Sr. Mgr., Business Communications (IC) CvshealthRemote $75k–$75k5d Writing strategic, compliant, and compelling responses to RFPs/RFIs for Aetna Medicaid products and services.
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Full Time • Hybrid↗ Plum BenefitsTS, IN 5d On-ground manager resolving complex, long-pending, and escalated health insurance claims that cannot be closed through remote coordination.
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Customer Service Representative I - Medicaid Enrollment, Geisinger Health Plan (resident in Eastern Standard Time Zone) GeisingerRemote 5d Resolves enrollment eligibility issues, processes member terminations, and reviews claims for coverage under Medicaid and health plan policies.
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Director of Business Operations↗ Gmp NetworkClinton Township, MI, US $100k–$100k5d Directs business and contracting activities, manages financial/analytic operations, and supports program growth and medical cost targets for a healthcare organization.
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Facets Product & Benefits Senior Analyst (Remote - US)↗ CognizantRemote $93k–$93k5d Design, configure, and optimize healthcare products and benefit plans within the Facets platform to support efficient benefit administration and claims adjudication.
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Claims Technician, Springfield IL HcscIL - Springfield, US $0k–$0k5d Process complex healthcare claims requiring investigation, adjudication, and coordination of benefits to ensure timely resolution for members and providers.
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Payment Integrity Letter Implementation Professional HumanaRemote $65k–$65k5d Draft and implement outbound communication templates for Payment Integrity Operations teams to ensure compliance with state contractual requirements and brand standards.
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Data Analyst, Data Operations TPA↗ Personify HealthTempe, AZ, US $60k–$60k5d Monitor and manage data file exchanges with clients, vendors, and internal systems; troubleshoot operational issues in insurance claims and eligibility data workflows.
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Claims Benefit Configuration Senior Associate DevotedRemote $58k–$58k5d Oversees claims benefit setup, analysis, mapping, testing, and implementation to ensure accurate member cost share, benefit limitations, and provider payment information.
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HCI Projects Rep (SCAN Temp) ScanhealthplanLong Beach Office 3800, US $0k–$0k5d Liaison and data analyst supporting Encounter Data and Risk Adjustment teams by monitoring trends, coordinating data submissions, and resolving provider issues.
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Manager, IT Testing (Claims domain)↗ ConduentRemote, US $98k–$98k5d Drive test strategy and process for MMIS health care projects, ensuring quality from claim intake to payment and reporting.
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Senior Analyst, Provider Compensation↗ Mary Washington HealthcareRemote $0k–$0k5d Design specialty compensation models, analyze provider productivity, and administer incentive programs to ensure competitive and legally compliant pay practices.
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Direct Bill Analyst BbinsuranceDaytona Beach, FL, USA 5d Process direct bill reconciliations for insurance carrier commissions and payments within the Retail division.
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Insurance Executive↗ Preethi Multispecialty HospitalsTN, IN $180k–$300k5d Oversee insurance claims management, verification, and denial resolution for hospital procedures and admissions.
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Back Office Team Leader – Patient & Revenue Services Sydney Adventist HospitalSydney, New South Wales 5d Lead a team of ~40 staff in patient billing, debt management, and administrative support services to support the patient journey and hospital operations.
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RCM Project Support DistroMetro Manila 5d Drive targeted revenue cycle initiatives from identification through resolution, focusing on coding backlogs and accounts receivable (AR) resolution.
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Specjalista (k/m) w Dziale Zarządzania Procesem Kontroli w Terenowym Wydziale Kontroli XV w Departamencie Kontroli Centrala NFZPoznań, wielkopolskie 5d Legal specialist supporting the Regional Control Department of the National Health Fund (NFZ) in Poland with administrative decisions, appeals, and compliance documentation.
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EDI Enrollment Analyst HhaexchangeMiami-Dade County, Florida 5d Manage electronic transaction enrollment activities for healthcare payers, clearinghouses, and trading partners, ensuring timely processing of claims, remittance, and eligibility transactions.
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Member Customer Service Representative JobgetherRemote $39k–$39k6d Provide inbound and outbound customer service support to members and healthcare providers, resolving inquiries and claims status issues via phone and email.
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Insurance Billing Specialist BabylistWashington DC $66k–$66k6d End-to-end insurance billing for durable medical equipment (DME) claims, ensuring families receive essential equipment without delays or surprise bills.
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Immediate Hiring || AR Callers Medical Billing || Chennai Location HCLTechChennai, Tamil Nadu 6d Drive revenue cycle quality improvements by owning complex AR calling and denial management analysis for US healthcare clients.
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Insurance Billing Coordinator FauBoca Raton, US $47k–$47k6d Manage health service applications, revenue cycle, claims processing, and investigation for a university student health clinic.
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Regulatory Analyst CenteneRemote $70k–$70k6d Research and analyze Medicaid regulations, manage regulatory deliverables, and serve as a liaison with state regulators to ensure compliance for health plan operations.
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Customer Operations Specialist, Payments HarperSan Francisco 6d Resolve complex customer issues spanning payments, disputes, cancellations, audits, and insurance operations by establishing the real state across multiple systems and delivering documented resolutions.
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Revenue Specialist II (ROPS) DaVitaRemote $0k–$0k6d Revenue Specialist supporting billing systems setup, contract management, and revenue cycle operations for dialysis services.
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Provider Compensation Coordinator - USC Care MSO Finance - Full Time 8 Hour Days (Non-Exempt) (Non-Union) UscTWP The Walnut Plaza, US $0k–$0k6d Process payroll for clinical providers and independent contractors, resolve payment issues, and ensure accurate compensation calculations per contractual terms.
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Pharmacy Benefit Manager Pricing Strategy Analyst Senior ElevancehealthCT-WALLINGFORD, 108 LEIGUS RD, 1ST FL, US $89k–$89k6d Senior analyst supporting Administrative Services Only (ASO) functions for Pharmacy Benefit Managers, focusing on pricing strategy, revenue maximization, and margin monitoring.
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Financial Counseling Specialist EnsemblehpAthens, TX, US $39k–$39k6d Inpatient Financial Counseling Specialist performing benefit education, liability assessment, and collection for hospital patients.
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COBRA Carrier Operations Specialist-2 WexincUS - Remote $0k–$0k6d Resolve account discrepancies and troubleshoot COBRA and Direct Bill issues for carriers, employers, and third-party vendors.
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Compensation Program Analyst, Physician and Faculty - Full Time UmiamiCoral Gables, FL, US 6d Provides financial, technical, and administrative support for physician, faculty, and advanced practice provider compensation programs, including plan design, costing, and payment execution.
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Managing Consultant - Revenue Cycle - Healthcare↗ Berkeley Research Group, LLCRemote, US $120k–$120k6d Mid-to-senior level consultant driving operational and financial performance improvements in healthcare revenue cycle operations.
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