- University of Maryland Medical System (Pumphrey, MD)
- …as an RN or LPN, in conjunction with direct experience in hospital auditing , joint commission, patient criteria knowledge, and hospital coding Being among the top ... of Maryland Medical System (UMMS) Member Organizations. Reviews and analyzes claims data, medical records, and billing and payment information to determine… more
- Axis (Princeton, NJ)
- …upon request for candidates taking part in the selection process. AXIS is seeking a ** Claims Specialist ** to join our North America Claims team reporting to ... Manager of Property Claims . This position requires claims management and handling expertise for both the oversight...a hybrid work environment 3 days a week. + Auditing of Third-Party Administrators to ensure reserve adequacy. +… more
- AIG (Atlanta, GA)
- Claims , QA Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and experience. Make your ... to succeed + Fluent English with additional language skills, desirable. + Proven claims experience handling and auditing Workers Compensation claims . Similar… more
- Limitless Male (Omaha, NE)
- JOB TITLE: Insurance Claims Specialist EMPLOYER: Limitless Male Medical DEPARTMENT: Revenue Cycle REPORTS TO: Revenue Cycle Manager EFFECTIVE DATE: 7 /1/24 WHY ... many other ancillary products to help men feel their best! SUMMARY: The Insurance Claims Specialist is responsible for successfully submitting all claims to… more
- Providence (Mission Hills, CA)
- …+ Bachelor's Degree or equivalent education/experience. + 10 or more years HMO claims processing and/or auditing experience in a managed care environment, ... **Description** Manage the claims internal audit functions, which includes audit process...line within Providence serving patients across seven states with quality , compassionate, coordinated care. Collectively, our medical groups and… more
- New York State Civil Service (Albany, NY)
- … Specialist Trainee, Central Office; Occupational Category Financial, Accounting, Auditing Salary Grade 18 Bargaining Unit PS&T - Professional, Scientific, and ... NY Zip Code 12229 Minimum Qualifications Non-Competitive Opportunity: Contract Management Specialist Trainee 1: Candidates must possess a Bachelor's degree or… more
- Panasonic North America (De Soto, KS)
- …manufacturing process. + Customer Support: Provide support to customers in resolving claims related to cell production quality issues. + Continuous Improvement: ... of manufacturing/laboratory experience. **Preferred Qualifications:** + Experience using ISO 9001 quality management system auditing . + A laboratory background… more
- Novant Health (NC)
- …but may require travel at the discretion of leadership. The Coding Education Specialist position supports the facility coding education program to ensure that Novant ... patient types of hospital coding activities. The Coding Education Specialist position should be a subject matter expert in...in areas of corporate coding, including production coding and auditing as needed. Come join a remarkable team where… more
- CVS Health (Franklin, TN)
- …members to resolve any issues **Preferred Qualifications** + Experience in a healthcare claims auditing **Education** + HS Diploma **Pay Range** The typical pay ... affordable. **Position Summary** Supports the business by measuring and monitoring the quality and effectiveness of work processes in claim processing, medical cost… more
- US Tech Solutions (Newtown Square, PA)
- **Job Description:** + The Contract Specialist is responsible for building, and maintaining positive working relationships between their team, Plan and other ... stakeholders. The Contract Specialist ensures contract data and documents are represented correctly...current with all updates and revisions. + Responsible for auditing contract documents and provider records for completeness and… more
- CareFirst (Baltimore, MD)
- …are adhered to. Provides expert knowledge to support effective guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in ... claims submissions. Utilizes coding expertise, combined with medical policy,...expected methodologies for billing and code submissions to maximize quality outcomes while not compromising payment integrity. May interface… more
- Family of Kidz (Islandia, NY)
- Apply NowService Coordinator/ Administrative Specialist - Islandia at Family of Kidz (View all jobs) Islandia, NY Family of Kidz is hiring and has immediate ... place! Details about this opportunity: + Full Time Coordinator/Administrative Specialist + Islandia, NY + Monday-Friday 8:30am-3:30pm + Compensation: $20-$24/Hour… more
- Novant Health (NC)
- **Overview** Novant Health is seeking a Coding Audit Response Specialist . The Coding Audit Response Specialist will support Coding Audit Response Lead by ... escalation paths) significant issues in coding. Coding Audit Response Specialist will work closely with other members of the...documentation improvement operations. Come join a remarkable team where quality care meets quality service, in every… more
- Walgreens (Liberty, MO)
- …for executing and maintaining pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... where applicable for pharmacy items. Verifies posting of allpharmacy/prescription claims , maintains accurate inventory counts and accuracy of on-handquantities in… more
- Hawaii Pacific Health (Honolulu, HI)
- …with the managed care services department including referral management, patient steerage, and claims auditing . As the Specialist , you will be responsible ... and other caregivers serving Hawai'i and the Pacific Region with high quality , compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub… more
- Air National Guard Units (Fort Meade, MD)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a IT CYBERSECURITY SPECIALIST (INFOSEC), Position Description Number NGT5894000 and is part of the MD ... National Guard. Responsibilities POSITION DUTIES: 1. Serves as an Information Technology Specialist providing Cybersecurity for an Air National Guard Wing's SAP or… more
- Wabtec Corporation (Barstow, CA)
- …for global customers by speaking the language of industry. **Locomotive Materials Specialist - Barstow, CA** **Don't have experience with locomotives? That's ok! We ... provide in-depth training to give our materials specialist the knowledge and expertise needed to be successful.**...required, including having a flexible work schedule to perform auditing and training on various shifts. **What will your… more
- National Express (Naperville, IL)
- …strong commitment to provide the highest level of transportation safety, quality transportation, outstanding customer service and positive employee relations. Our ... for any missing or incorrect information that would prevent warrantable claims from being paid such as: missing Complaint/Cause/Correction comments, missing parts,… more
- Veterans Benefits Administration (Houston, TX)
- …must also include one of the following: Twenty-four semester hours in accounting or auditing courses of appropriate type and quality . This can include up to ... under the administrative and technical direction of the Supervisory Financial Administrative Specialist or the Chief, Support Services Division with the latitude to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …ensuring coding accuracy, coding consistency and efficiency in filing of inpatient claims . Collaborates with the Clinical Documentation Quality Liaison to assist ... processing and data management responsibilities. + Knowledge in Patient Safety/ Quality Management. + Auditing experience. **Licenses and Certifications… more
