Remote Manager, Medicare Claims - California

The Senior Health Plan Auditor is responsible for planning, executing, and reporting on financial and claims audits to ensure compliance with regulatory requirements and contractual obligations across all lines of business. · Bachelor's Degree in Accounting or related field (or e ...

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 ...

We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist. This role focuses exclusively on claim submission denial management and accounts receivable follow-up for Medicare and commercial DME claims. · Submit clean Medicar ...

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 Collections & Recoupment Specialist is responsible for managing Medicare accounts receivable. · ...

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 Home Health & Hospice Biller is responsible for ensuring accurate and timely submission of claims for home health and hospice services to Medicare, Medicaid, and private insurance companies. · ...

The Medicare Collections & Recoupment Specialist is responsible for managing Medicare accounts receivable. · ...

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 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 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 ...

Practice independently with HealthSpark while accepting insurance. · Provide high-quality physical therapy care to your own patients · ...

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 ...

+ Job summary + · The Retro Claims Reviewer is responsible for auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication. · This role is ideal for a Licensed Vocational Nurse (LVN) or Registered Nurse (RN) with hands-on experience in ...

The Professional Medical Collector assists with billing and collection process for MIDC branches. · ...

+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. · ...

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 ...

The job involves managing personal injury cases and providing quality client care in a team environment. · Initial and ongoing client contact · ,Scheduling medical appointments_ · , · ,_ ,_ ,_ ,_ ,i=_) · //B/b>/H/hz_(ul li_A team environment guided by respect and care/li li_An i ...