Medicaid Specialist jobs in Pittsburgh, PA

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Intake Specialist
Community LIFE - 19 reviews - Pittsburgh, PA
He or she will work closely with the Medicaid Coordinator, conducting an initial financial screening and gathering all supporting documentation....
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Registered Nurse / Clinical Implementation Specialist
Vatica Health - Pittsburgh, PA
Jump Start Nurses/ Clinical Implementation Specialists*. Understanding of Medicare, Medicaid and Health Plan benefit structures....
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Clinical Document Improvement Supervisor -Amazing Company Cu...
CyberCoders - 16 reviews - Butler, PA
CCDS - Certified Clinical Documentation Specialist- CDIP- RN License Pennsylvania- CCC-Certified Coding Specialist- ICD-9| CPC | CCS | CPMA | CCDS | RHIT | RHIA...
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Enrollment Specialist I - Medicare

UPMC - 385 reviews - Pittsburgh, PA 15219 (Middle Hill area)
If so, an opportunity as an Enrollment Specialist with UPMC Health Plan's Medicare Enrollment team may be the perfect fit for you....

Third Party Collections Specialist

Physicians Immediate Care - Greentree, PA
Experience working with all payer types to include Medicare, Medicaid, and third party commercial insurance companies....

Accredo - Billing & Reimbursement Specialist III

Express Scripts - 1,744 reviews - Warrendale, PA
Schedule: Full-time Job ID: REQ20003687 POSITION SUMMARY Using knowledge on CMS regulations and Accredo’s line of Specialty Pharmacy business, this position

Coding Quality Auditor

Aetna - 1,664 reviews - Pittsburgh, PA 15201 (Central Lawrenceville area)
Medical management/Certified Coding Specialist is required. Medicare and Medicaid Services (CMS) for the Risk Adjustment Payment System (RAPS) are appropriate,...

Intake Specialist

Community LIFE - 19 reviews - Pittsburgh, PA
He or she will work closely with the Medicaid Coordinator, conducting an initial financial screening and gathering all supporting documentation....

Intake Specialist

Tobii Dynavox - 2 reviews - Pittsburgh, PA
The intake specialist works directly with the insurance companies to verify client eligibility and prepare prior authorization documents for submittal and...

Clinic Nurse

Pittsburgh AIDS Task Force - Pittsburgh, PA
Coordination of care with specialists and agencies. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private...
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Staff Nurse

Aureus Health Services - Pittsburgh, PA
Review prior authorizations generated by the Benefits Investigation Specialist or Insurance Verification Specialists....
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Clinical Care Manager - Maternity/OB

UPMC - 385 reviews - Pittsburgh, PA 15219 (Middle Hill area)
UPMC Health Plan is hiring a full-time Clinical Care Manager to support our Medicaid Medical Management group's Maternity team....

Medical Provider - CRNP or PA

Pittsburgh AIDS Task Force - Pittsburgh, PA
Coordination of care with specialists and agencies. Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or...
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Medical Auditor, Compliance (Part-time)
UPMC - 385 reviews - Pittsburgh, PA
Must have knowledge of Medicare, Medicaid and local third party carrier regulations. Certified Coding Specialist OR Certified Professional Coder OR Registered...
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