Remote Manager, Medicare Claims - California

Description · Play a vital role on our Claims leadership team, you will manage a team of claim examiners, auditors, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will: · Implement and maintain efficient and streamlined claims a ...

We are seeking a hands-on Medicare Claims Operations professional with deep expertise in Medicare Advantage claims adjudication and managed care environments. · Oversee and manage Medicare Advantage claims adjudication and processing workflows · Configure and maintain claims syst ...

We are seeking a Program Manager Claims to lead and coordinate operational initiatives across a delegated MSO / IPA environment. · ...

We are seeking a Program Manager – MSO Operations to lead and coordinate operational initiatives across a delegated MSO / IPA environment, · Manage and drive operational programs across MSO / IPA operations, including claims and related workflows · Lead initiatives involving EZ-C ...

About Ease DME · Ease DME is a U.S.-based Durable Medical Equipment provider specializing in urology supplies. We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist. · Position Summary · This role focuses exclusively on ...

The Medicare Audit Risk Management is responsible for managing Medicare accounts receivable, · The Auditor works closely with billing, coding, clinical, and compliance teams to protect revenue while maintaining compliance with CMS and MAC requirements. · ...

The Medicare Audit Manager is responsible for managing Medicare accounts receivable with a primary focus on payment takebacks recoupments and demand letters issued by Medicare. This role ensures timely response to Medicare payment adjustments appeal determinations and recoupment ...

The Medicare Audit Specialist is responsible for managing Medicare accounts receivable with a primary focus on payment takebacks recoupments and demand letters issued by Medicare. · ...

The Claims Examiner is responsible for performing activities related to benefit analysis and system design, managing special projects, claim denials, and auto-adjudication applications as it pertains to auditing and claims compliance. This includes oversight of all workflow resea ...

The Medicare Audit Risk Management is responsible for managing Medicare accounts receivable, · with a primary focus on payment takebacks, recoupments, and demand letters issued by Medicare. · This role ensures timely response to Medicare payment adjustments, appeal determinations ...

The BI Developer will support the launch and reporting needs of a new Medicare Advantage health plan by designing developing and maintaining advanced business intelligence analytics solutions. · The ideal candidate will have strong expertise in CMS claims submission processes HCC ...

This is an execution-heavy, accountability-driven role—not a passive billing position. · Own the end-to-end medical billing lifecycle for a multi-specialty healthcare clinic. · Drive clean claims, fast reimbursements, and zero leakage.Manage full-cycle billing: charge entry, clai ...

The objective of the Professional Medical Collector is to assist the Reimbursement Supervisor with the billing and collection process for all MIDC branches. This is a full-time, in-person position at the office located in Burr Ridge, IL. · Schedule: Monday- Friday (in-person) · ...

We are a skilled nursing facility looking for dynamic associates to join our team and provide our guests with a care experience that will change their lives. · ...

The Billing and Collections Specialist is responsible for managing complex billing and collections processes, · including third-party insurance claims, patient account reviews, eligibility verification, · and reprocessing of outstanding claims. This role also handles cash transac ...

+Job summary · The Medical Claims Examiner will process delegated claims according to regulatory and contractual guidelines. · +ResponsibilitiesAccurate and timely processing of delegated claims per regulatory and contractual guidelines. · Determine eligibility, medical necessity ...

The BI Developer will support the launch and reporting needs of a new Medicare Advantage health plan by designing, developing, and maintaining advanced business intelligence and analytics solutions. · ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

Law Offices of Steers & Associates is personal injury law firm dedicated to providing high-quality legal representation and exceptional client service. We are seeking an experienced Personal Injury Case Manager to join our growing team. · This role is ideal for someone who alread ...

The Medical Biller I is a full-time position responsible for the coding and billing of Medical claims.This position reports to the Billing Manager, · ResponsibilitiesPerforms a combination of duties including medical coding, charge entry, claims submissions, payment posting and r ...