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Keywords: Payer Operations Specialist, Location: USA

Page: 16

Paycom Payroll Processor

Required) About the Opportunity Our client, a respected ABA therapy organization, is seeking a skilled Paycom Payroll Specialist... to oversee payroll operations and support HR compliance functions. The ideal candidate has experience working with hourly billing...

Company: Noble Hearts
Location: California
Posted Date: 30 Jan 2026
Salary: $30 - 45 per hour

District Business Manager- Texas

and compliance. This individual will work closely with cross-functional team members in Commercial Operations & Analytics, Marketing... Responsibilities: Provide direct management, coaching, and leadership to a District of Therapeutic Sales Specialist (sales...

Location: Texas
Posted Date: 30 Jan 2026

Clinician Coding Liaison - Wound Care/Hyperbaric

Department: 13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical..., scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements...

Location: Milwaukee, WI
Posted Date: 29 Jan 2026

Clinician Coding Liaison - Emergency

Department: 13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical...), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions. Lead onboarding and compliance training...

Location: Milwaukee, WI
Posted Date: 29 Jan 2026

Revenue Integrity Chargemaster Analyst

adherence to the workplan. Maintains an understanding of current Medicare, Medicaid, and commercial payer billing regulations... (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified...

Posted Date: 29 Jan 2026
Salary: $65520 - 107120 per year

Pre-Access Coordinator

, required scripting, and appropriate follow up with payer/providers, correct procedure codes, and payer loaded. Follows up with team... trends. Functions as the primary day to day resource for Preaccess Specialist staff. Acts as the department resources...

Location: Omaha, NE
Posted Date: 28 Jan 2026

Principal Business Development Lead, Healthcare & Life Sciences, AI Solutions

on our GTM strategy for global HCLS customers and partners. As a business development specialist, you will be at the forefront... Amazon's unique experience and expertise, that are used by millions of companies worldwide to manage day-to-day operations...

Company: Amazon
Location: New York City, NY
Posted Date: 28 Jan 2026

Product Manager – Reimbursement

Reimbursement Specialist (RSS) capability and integrate eBV/ePA capabilities across Consumer Services platforms. This role...) to insource the Development and operations of this platform. Collaborate with cross-functional teams to define requirements...

Company: Eli Lilly
Location: Indianapolis, IN
Posted Date: 27 Jan 2026
Salary: $124500 - 182600 per year

Coding Quality Analyst - Inpatient - Remote

: Maintain and demonstrate expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global... potential impact of compliance issues and risks on our business, operations, and consumers to applicable stakeholders, including...

Company: CPS Solutions
Location: Minnetonka, MN
Posted Date: 25 Jan 2026
Salary: $60200 - 107400 per year

Coding Quality Analyst - Inpatient - Remote

: Maintain and demonstrate expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global... potential impact of compliance issues and risks on our business, operations, and consumers to applicable stakeholders, including...

Location: Minnetonka, MN
Posted Date: 25 Jan 2026
Salary: $60200 - 107400 per year

Clinical Revenue Supervisor

on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations... revenue capture. This role oversees the day-to-day operations of charge posting, coding accuracy, and workflow efficiency...

Location: Chicago, IL
Posted Date: 24 Jan 2026
Salary: $70000 - 95000 per year

Vascular (CVTS) Specialized Coder

meetings/calls necessary to provide information relating to coding and compliance. Remains abreast of changes to current payer... with the addition of CCVTC and/or CIRCC): CPC (Certified Professional Coder) CCS (Certified Coding Specialist) RHIA (Registered...

Location: Tulsa, OK
Posted Date: 24 Jan 2026
Salary: $29.75 - 32.7 per hour

Referral Authorization Coordinator

Referral Authorization Coordinator General Job Summary: The Referral Coordinator provides support to the Operations... Job Responsibilities: Coordinates the work of and provides hands-on supervision of Referral Authorization Specialist to manage referral...

Posted Date: 24 Jan 2026

Manager, Coding (Professional)

. Job Description Summary: This position is responsible for managing all coding personnel, education and operations, department metrics, data... Responsibilities And Duties: 30% Manage department operations aligning daily function with desired outcomes to meet KPIs. Major goals...

Company: OhioHealth
Location: Ohio
Posted Date: 23 Jan 2026

Senior Clinical Appeals RN - Remote

regulations and payer protocols and / or medical policy to recommend appropriate actions Research and prepare written appeals... operations, body parts, approaches, devices, and qualifiers Preferred Qualifications: Managed care experience Healthcare...

Location: Eden Prairie, MN
Posted Date: 23 Jan 2026
Salary: $35 - 62.5 per hour

Remote Fees Analyst

-functionally with revenue cycle, operations, and payer relations teams ¨ Communicate with carriers and network administrators... supporting multi-location and enterprise dental operations, including plan configuration, fee schedule management, and payer...

Location: Sarasota, FL
Posted Date: 22 Jan 2026

Coder Lead Facility - Day Surgery/Observation

Department: 10347 Enterprise Revenue Cycle - Coding Production Operations: Outpatient Coding Operations Status: Full... payer audit reviews and acts as a resource for coding-related audits. Participates in various department projects...

Location: Illinois
Posted Date: 21 Jan 2026

Associate Director, Credentialing Department

: The Associate Director provides strategic and operational leadership over all aspects of provider credentialing, payer... enrollment, licensing, and privileging. This role ensures compliance with federal, state, and payer regulations while supporting...

Location: The Bronx, NY
Posted Date: 18 Jan 2026
Salary: $75000 per year

Chief Medical Officer

unit, geriatric psych unit and wound clinic. There is 24/7 specialist coverage in cardiology, OB/GYN, orthopedics, general... with all applicable federal, state, and accreditation standards related to medical staff operations, quality, and patient safety. Promote...

Company: Heywood Hospital
Location: Gardner, MA
Posted Date: 18 Jan 2026

Credentialing Supervisor

: The Credentialing Supervisor is responsible for overseeing the day-to-day operations of the payor enrollment function... in day-to-day operations, providing guidance, training, and performance feedback. Manage offshore credentialing teams...

Location: The Bronx, NY
Posted Date: 18 Jan 2026