- Koniag Government Services (Chantilly, VA)
- …**Arlluk Technology Solutions,** a Koniag Government Services company, is seeking an Oracle Database Specialist to support **ATS** and our government customer in ... Technology Solutions, a Koniag Government Services company, is seeking an experienced Oracle Database Specialist to support our team working with the Defense… more
- Samsung SDS America (Plano, TX)
- …in 2012 and has now grown into a global top-level third-party logistics company. Logistics Claims Specialist (" Claims Operator") will be a part of Operation ... Settlement subpart as well as the company's Management/Finance Group. Claims Specialist will work on a resolution...Microsoft Office products including Excel, and with web-based applications, claims database software and the ability to… more
- CenterLight Health System (Flushing, NY)
- …Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight activities ... with all applicable State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing claims … more
- ManpowerGroup (Livingston, NJ)
- …NJ **Pay : $** 75,000 - $80,000 **What's the Job?** The Claim Specialist will be responsible for managing the claims process for clients from start ... Our client is seeking a Claims Specialist to join their team....communicate with all internal/external customers. + Manage and oversee claims data in database including claims… more
- Select Medical (Camp Hill, PA)
- …information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide our employees with a solid ... **Overview** ** Claims Resolution Specialist ** **Starting at $17.50...outgoing calls to patients, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables.… more
- Medical Mutual of Ohio (OH)
- …position has the option to work remote; Ohio residents preferred._** **Responsibilities** ** Provider Credentialing & Data Specialist I** + Categorizes returned ... projects as needed. + Performs other duties as assigned. ** Provider Credentialing & Data Specialist II** +...for networks and updates appropriately affecting the accuracy of claim payments and the provider directory. +… more
- Allied Universal (Beckley, WV)
- …and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for ... programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- Medical Mutual of Ohio (OH)
- …Identifies eligibility for networks and updates appropriately affecting the accuracy of claim payments and the provider directory. + Electronically contacts ... and experience. + 1 year of experience as a Provider Credentialing & Data Specialist or equivalent...management system), and internet navigation skills. + Knowledge of provider credentialing and/or database management procedures. +… more
- LifePoint Health (Brentwood, TN)
- * Provider Enrollment Specialist * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you ... employees find purpose and fulfillment. *What you'll do:* The Provider Enrollment Specialist is responsible for requesting...for effective dates, status updates, and identification numbers for provider payment and claims to be released.… more
- Molina Healthcare (Grand Rapids, MI)
- …state and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. ... Minimal ongoing engagement after contract. Synchronizes data among multiple claims systems when applicable, and the application of business...application of business rules as they apply to each database . Validate data to be housed on provider… more
- Priority Health Care (Marrero, LA)
- …of accounts according to documented procedures. Responsibilities include following up on claim status, billing and re-billing of claims , credit balance ... inquiries. + Communicates with insurance companies for status on outstanding claims . Credentialing: Provide backup support for Revenue Cycle: + Credential… more
- Centene Corporation (Little Rock, AR)
- …liaison between providers, the health plan and Corporate to investigate and resolve provider claims + Conduct on-site provider orientations, including ... provider related issues and initiate change of provider related database information + Serve as...provider relations activities and as a mentor for Provider Relations Specialist I staff + Ability… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Provider Enrollment Specialist ensures that initial and re-credentialing applications for ... help resolve payer issues and verify participating status. + Updates & maintains database to show enrollment tracking, effective dates, provider numbers and… more
- VNS Health (Manhattan, NY)
- OverviewProvides data reporting and analysis projects for Provider Operations. Monitors, analyzes and presents summary analyses regarding the Plan's provider ... loading to consolidated data systems. Completes end to end process for all Provider Directories, including vendor files. Serves at the Provider Relations… more
- Centene Corporation (Lenexa, KS)
- …with State requirements + Create and maintain multiple databases, including, contract provider network, prior authorization, third party liability, provider set ... ups and related corrections + Oversee the provider termination process including adding and changing new or...and ad hoc basis and ensure state compliance + Provide appropriate reports and statistical data to other department… more
- Commonwealth of Pennsylvania (PA)
- Traffic Control Specialist Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4733151) Apply Traffic Control Specialist Salary $58,035.00 - ... District 2-0 is looking to hire a Traffic Control Specialist for its maintenance unit. This role is essential...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Adams County Government (Westminster, CO)
- … Specialist is responsible for generating and processing medical claims within the Electronic Health Record (EHR) system, implementing payment arrangements, ... to ensure all information is accurate and logins are available. + Update each provider 's CAQH database file timely according to the schedule published by CMS.… more
- Montana State University (Bozeman, MT)
- …vehicles, and annual RMTDD risk exposure reporting, OSHA reporting, and provide claim investigations, documentation and root cause analysis (investigate ... ### Classification Title Occup Safety/Health Spec II Working Title Insurance Specialist Brief Position Overview This position assists in managing multi-line… more
- Tufts Medicine (Lowell, MA)
- …resolution, including but not limited to, registration and eligibility verification, claim edits, payer follow-up, correspondence review, corrected claims , ... of claims . 16. Interacts with other departments of the provider organization using electronic system tools to resolve accounts, including Patient Access,… more
- ManpowerGroup (Rancho Cucamonga, CA)
- …7. Reconciles claim refunds daily by utilizing Oracle Fusion, CART Database and MediTrac 8. Maintain accounts receivable customer files and records 9. ... **Title: Accounting Specialist II** **Location: Rancho Cucamonga CA (Hybrid)** **Duration:...adhering to current approval policy. 3. Respond to all Provider inquiries on assigned Providers 4. Respond to all… more
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