- Stanford Health Care (Palo Alto, CA)
- …to individual patient health information for data retrieval, analysis and claims processing. Works closely with departments to optimize reimbursement, ensure charge ... timely. + Utilizes correct coding practices to file clean claims aiding in improved cash flow. **Education Qualifications** +...Information Administrator . or + CCS - Certified Coding Specialist . **These principles apply to ALL employees:** **SHC… more
- Molina Healthcare (Cedar Rapids, IA)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... Standard Operating Procedures (SOPs). * Responds to provider correspondence related to claims recovery requests and provider remittances where recovery … more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Sedgwick (San Antonio, TX)
- …in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote **PRIMARY PURPOSE** **:** To analyze complex ... or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- NJM Insurance (NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... and agents in that area. This is a 100% remote position which includes virtual claims handling...subrogation opportunity and refer to NJM subrogation staff for recovery of third-party funds + Initiate and provide excellent… more
- The Hertz Corporation (Oklahoma City, OK)
- **A Day in the Life:** The Recovery Specialist is responsible for managing claims including billing, collections, and adjustments. This role partners with ... and works with customers and insurance carriers to resolve claims over the phone and through email. We expect...for incentives. The department currently rotates being onsite and remote on a weekly basis. **What You'll Do:** +… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...Information + Organization: Corporate Services + Department: CBO Insurance Recovery - HB + Shift: Day Job + Union… more
- LCEC (North Fort Myers, FL)
- JOB TITLE: Specialist , Credit and Collections Location: North Fort Myers, FL Work Hours: M-F 8-5:30pm with varying shifts Our benefits include: + Company-wide annual ... other civic, environmental and professional honors. Position Summary: The Credit & Collections Specialist serves as the focal point for all aspects of credit and… more
- Molina Healthcare (St. Clair Shores, MI)
- …ancillary) contracts highly desirable. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Certified Recovery Peer Specialist certification required in the state ... **_ Remote and must live in Michigan _** **Job...and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard… more
- System One (Pensacola, FL)
- Job Title: Bankruptcy Accounts Specialist Location: Pensacola, FL Hybrid: onsite 2 days a week ( remote the other days) Shift: 9:00 am - 5:30 pm CST, Mon-Fri Pay ... C2C and W2 options Position Type: Multiyear Contract Description Maximize recovery of bankrupt accounts through negotiation, reaffirmation, legal proceedings, fraud… more
- ENFRA (Houston, TX)
- …**Job Locations** _US-TX-Houston_ **ID** _2025-8519_ **Category** _Engineering/Designers_ **Position Type** _Full-Time_ ** Remote ... the pillars of our continued success. **Overview** The Senior Project Controls Specialist is responsible for providing oversight of project Planning & Scheduling,… more
- Sulzer Pumps US Inc. (Easley, SC)
- …society.** **Your main tasks and responsibilities:** **Position Summary:** The IT Support Specialist is responsible for providing Tier 1 and Tier 2 technical support ... and Group Policy.- Manage virtualization platforms (Hyper-V), backups, and disaster recovery procedures.- Monitor and apply security updates, antivirus, and system… more
- Molina Healthcare (WI)
- …ICD-10, HCPCS codes is highly preferred. Additional experience with 2 years in claims auditing, QA, or recovery auditing ideally in a DRG/Clinical Validation ... a plus. Work hours: Monday - Friday 8:00am- 5:00pm Remote position **Essential Job Duties** * Performs clinical/medical reviews...health care coding or management certification. 2+ years in claims auditing, QA, or recovery auditing ideally… more
