- DHS Headquarters (Springfield, VA)
- …primary purpose of this position is to serve as a Law Enforcement Specialist (Compliance Manager ) responsible for overseeing all compliance, quality management, ... requirements must be met by the closing date of this announcement. Qualification claims will be subject to verification. NOTE: Experience refers to paid and unpaid… more
- Air National Guard Units (Battle Creek, MI)
- …SERVICE POSITION. This National Guard position is for a TITLE 32 SECURITY SPECIALIST (UNIT DEPLOYMENT MANAGER ) (MI 110th SFS), Position Description Number ... directs programs in support of SF deployment requirements. As the Unit Deployment Manager , serves as the primary point of contact between deployment work centers for… more
- Healthfirst (NY)
- …reporting on providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans. + ... + Provider office operations experience + Ability to understand Provider claims reimbursement + Contract negotiation experience + Bilingual fluency (reading,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …you're making a difference in people's lives.** Under oversight of the Department Manager , the Senior Specialist Patient Financial Services - Hospital Billing ... assigned accounts with the highest level of complexity within claim edit work queue(s) daily and resubmit claims...with the highest level of complexity . Communicates all claims /data problems to the Manager within one… more
- Hartford HealthCare (Farmington, CT)
- …arise *_Working Relationships:_* *This Job Reports To (Job Title):*Audit and Education Specialist Manager *Education* . Minimum: o Medical Coding License ... common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education… more
- GE Vernova (TX)
- **Job Description Summary** Reporting to the Commissioning Manager , the Commissioning Specialist is responsible for performing the tests under GE GSI scope of ... work determined by the Commissioning Manager / Coordinator for the specific project according with...with the Commissioning Lead and Commissioning Coordinator, the Commissioning Specialist will be executing the commissioning plan with the… more
- TEKsystems (Annapolis, MD)
- …review (or utilization management or healthcare management), certified case manager , certified documentation specialist , certified coder, certified professional ... in Annapolis, MD Description Position Summary The clinical denial appeals specialist is responsible for the identification, mitigation, and prevention of clinical… more
- HUB International (Midlothian, VA)
- …compliance requirements with client and provide timely legislative updates. + Obtain claim reports for monthly, quarterly and/or semi-annual claims analysis, ... about our talent. We currently have an opportunity for a **Client Relationship Manager ** to join our **Employee Benefits** team in our **Midlothian, VA** office. The… more
- UIC Government Services and the Bowhead Family of Companies (Patuxent River, MD)
- **Overview** Bowhead seeks a Program Manager for a recently awarded contract in Patuxent River, MD. The Program Manager will analyze and coordinate the schedule, ... be limited to: + Acting as the overall lead, manager and administrator for the contracted effort. + Will...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** Bowhead seeks a Project Manager for a recently awarded contract in Arlington, VA. The Project Manager will analyze and coordinate the schedule, ... other protected characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Access: Supports For Living (Middletown, NY)
- …$26.44 per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position in the ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Feb...throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim … more
- Baylor Scott & White Health (Dallas, TX)
- …(more if needed)** + Under the direct supervision of the Safe Choice Claims Manager the Safe Choice Claims Specialist II is responsible for the review, ... **JOB SUMMARY** **Texas Non-Subscriber Claims Specialist ** **Hybrid position located in...and Coordinate training with HR team + Work with Claims Manager for improvements in processes to… more
- Parkview Health (Fort Wayne, IN)
- …and review of contract issues. Responsible for verbal and written communication to Contract Specialist and Manager , as well as to the provider network. Delivers ... participates in developing pricing recommendations, including but not limited to claims processing validation for accuracy against system(s) set-up, fee schedules… more
- Naval Facilities Engineering Command (Kings Bay, GA)
- …as necessary. You will ensure effective communication and coordination between the project manager , design manager , contract specialist , the contractor, the ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
- Banner Health (Tucson, AZ)
- …Risk Manager position may be responsible for the functions in the Risk Manager and Risk Specialist job descriptions, this position most often supervises and ... offers overall program direction to the Risk Manager and Risk Specialist . Oversees budget development...Reviews to identify emerging issues in the defense of claims . 6. Responds to professional liability and facility liability… more
- Johns Hopkins University (Middle River, MD)
- …modifiers in compliance with CMS coding guidelines. + Works closely with departmental manager , supervisor and various Coding Specialist IIIs to ensure coding is ... We are seeking a **_Coding Specialist II_** who will be responsible for understanding...and verifies all information required to produce a clean claim including special billing procedures that may be defined… more
- BD (Becton, Dickinson and Company) (Durham, NC)
- …our success._ Reporting to Medication Management Systems (MMS) Pharmacy Automation (PA) Manager of Regulatory Affairs, the Specialist of Regulatory Affairs ... + Reporting to Medication Management Systems (MMS) Pharmacy Automation (PA) Manager of Regulatory Affairs (MMS-PA) the Specialist of Regulatory… more
- Axis (New York, NY)
- …Accommodation is available upon request for candidates taking part in the selection process. Claim Specialist - Salary Grade I This is your opportunity to join ... exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim...Prepare coverage positions to be reviewed and approved by Claim Manager Work closely with Insureds, Claimants,… more
- Axis (Chicago, IL)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Excess Claims_** to join our North America Claims ... team and will report to the Claims Manager . Under limited direction, the candidate should act as...claim and to make recommendation regarding settlement/disposition of claims . The candidate's key duties and responsibilities include, but… more
- Cushman & Wakefield (Chicago, IL)
- **Job Title** Sr. Liability Claims Specialist **Job Description Summary** Cushman & Wakefield is seeking a Sr. General Liability Claims Specialist who ... a portion of Cushman & Wakefield's US general liability claims portfolio. Reporting to the America's Risk Manager...with the Cushman & Wakefield business teams, third party claims administrator (TPA), insurer claim adjusters, insurance… more