- Centene Corporation (Austin, TX)
- …Serve as the claims payment expert for the Plan and as a liaison between the plan, claims , and various departments to effectively identify and resolve ... claims issues. Act as the subject matter expert for other Claims Liaisons. + Analyze trends in claims processing issues and identify work process solutions +… more
- Martin's Point Health Care (Portland, ME)
- …Position Summary: Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the following job functions: + Audit ... will range from basic to complex. + Interdepartmental Liaison : The Auditor II will be responsible...verbally or through written communications, regarding questions related to claims , claims audits or other matters directed… more
- AIG (Lenexa, KS)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner II , Accident & Health to play your part in that transformation. It's ... the team. Make your mark in Accident and Health Claims Our Claims teams are the proven...to read and interpret insurance policies and act as liaison with Underwriting as needed. + Ability to coach… more
- USAA (San Antonio, TX)
- …part of what makes us so special! **The Opportunity** As a dedicated Claims Litigation Manager, you will be responsible for managing moderately complex litigation ... liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as … more
- USAA (San Antonio, TX)
- …part of what makes us so special! **The Opportunity** As a dedicated Claims Litigation Manager Senior, you will be responsible for managing complex litigation ... a resource for colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison … more
- State of Colorado (CO)
- Contract Administrator II - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4743640) Apply Contract Administrator II - Pueblo Salary ... in Pueblo and Ft. Logan. This position is the liaison between Medicare and the Hospitals for billing issues...provides training, assists the Medicare billing team in processing claims to Medicare, and reviews and processes payee accounts… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services ... to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio of strategic and… more
- MyFlorida (Tallahassee, FL)
- 841862-ADMINISTRATIVE ASSISTANT II - 40034458 Date: Nov 22, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 841862 Agency: Commerce Working Title: 841862-ADMINISTRATIVE ASSISTANT II - 40034458 Pay Plan: Career Service Position Number: 40034458 Salary:… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH FACILITIES EVALUATOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2815654) Apply HEALTH FACILITIES EVALUATOR II Salary ... in fact gathering and analysis of death investigations, maintaining liaison with other investigating agencies.Initiates requests for coroner's inquests and… more
- Ventura County (Ventura, CA)
- Ambulatory Care Clerical Supervisor I/ II /III - Bilingual Required Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4675514) Apply Ambulatory ... Care Clerical Supervisor I/ II /III - Bilingual Required Salary $46,409.61 - $78,726.63 Annually Location various locations throughout Ventura County, CA Job Type… more
- HUB International (Sacramento, CA)
- …etc.; Coordinating the value-added services being provided by our Risk Services and Claims Management Divisions. * Acts as liaison between clients and insurance ... **Job Summary** The Account Manager II manages a book of insurance business, and...to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management),… more
- Covenant Health Inc. (Knoxville, TN)
- …department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment. Employees use phones, internal ... and accurate manner. The Patient Account Representative (PAR) Level II position serves as a resource to PAR Level...no supervision resulting in the correct outcome. Reviews billed claims for timely and accurate payment. Timely research and… more
- WellSpan Health (York, PA)
- Patient Financial Services Representative II - Govt Billing - Days Location: WellSpan Health, York, PA Schedule: Full Time General Summary Completes assigned revenue ... Cycle functions including, submitting electronic and / or manual insurance claims , resolves claim edits, performs insurance account follow-up, researches claim… more
- Centene Corporation (Oklahoma City, OK)
- …seeking candidates who live in Oklahoma for this role **Position Purpose:** Acts as a liaison between Tier II providers (large PCP groups not on risk contracts ... as primary contact for providers and act as a liaison between the providers and the health plan +...providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related… more
- Elevance Health (Mason, OH)
- …and appropriate resolution. + Must work with Claims Operations to remediate impacted claims . + The Analyst II will be responsible to manage Claim Payment ... a Pulse Point location. The **Provider Payment Appeal Analyst II ** is responsible for supporting the Payment Dispute process...Appeal escalations and may serve as a liaison between grievances & appeals and /or medical management,… more
- General Dynamics Information Technology (Menands, NY)
- …is knowledge to be learned to understand and help the providers with their Medicaid claims . **HOW A CUSTOMER SERVICE SPECIALIST II WILL MAKE AN IMPACT** + Takes ... experience **Job Description:** **JOB TITLE - CUSTOMER SERVICE SPECIALIST II ** Seize your opportunity to make a personal impact...and prepares and maintains status reports + Acts as liaison for customers + Maintains knowledge of company products… more
- Dignity Health (San Luis Obispo, CA)
- …services. **Responsibilities** In keeping with the PHC philosophy the Financial Services Associate II serves as the liaison for patients and provides education ... to patients regarding insurance coverage and guidelines. The Financial Services Associate II will evaluate insurance options and clinical services to meet the needs… more
- Point32Health (Canton, MA)
- …Summary** Reporting to the Manager, Provider Relations, the Provider Account Manager (PAM) II plays a critical role in the strategic management and engagement of ... overall Point32Health business strategy. The individual will act as a liaison promoting mutually positive relationships through coordination and collaboration the… more
- The County of Los Angeles (Los Angeles, CA)
- AUDIOLOGIST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3361115) Apply AUDIOLOGIST II Salary $106,866.72 - $144,011.04 Annually ... individual patient's communication and vestibular disorder(s). Provides consultative or liaison services to other audiology personnel, allied health disciplines,… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT ANALYST II - 79011102 Date: Nov 26, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Business and Professional Regulations Working Title: GOVERNMENT ANALYST II - 79011102 Pay Plan: Career Service Position Number:...absence of the Executive Director. + Acts as a liaison for Board members. + Responsible for updating laws… more