- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Regional Claims Specialist will be responsible for contacting...WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II -… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Location:** Hospital of ... office hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Penn Medicine (Philadelphia, PA)
- …Center for Advanced Medicine-3400 Civic Center Blvd Hours: Full-Time JOB SUMMARY: The Accounts Resolution Specialist II reports to the Supervisor of Billing; ... this individual specializes in the resolution of patient accounts transferred from the PBO. This...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- AIG (Charleston, WV)
- …which provides services the State of WV account. How you will create an impact The Claims Specialist II will handle auto and general liability claims ... customers to manage risk. Join us as a Casualty Claims Specialist III to play your part...claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.… more
- Priority Health Care (Marrero, LA)
- JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of Ethical Conduct and foster positive relationships within the company, across departments, ... Responsibilities include following up on claim status, billing and re-billing of claims , credit balance resolution , denial management, following up on aging… more
- Methodist Health System (Dallas, TX)
- …resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...the ability to identify patterns, trends, and discrepancies in claims and financial data. - Effective communication and interpersonal… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- Humera (Minnetonka, MN)
- Document Production Specialist II | Minnetonka, MN Document Production Specialist II Minnetonka, MN The Document Production Specialist is responsible ... compliant with current business, state, and federal requirements. The Document Production Specialist is expected to resolve production issues and is required to… more
- Cedars-Sinai (Torrance, CA)
- …Professional and courteous demeanor. **Req ID** : 1640 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC PB - Group **Business Entity** : ... performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating… more
- Johns Hopkins University (Middle River, MD)
- …or similar medical specialty environment. Classified Title: AR Revenue Cycle Specialist II Role/Level/Range: ATO 40/E/02/OD Starting Salary Range: $16.00 ... II_** responsible for the collection of unpaid third-party claims and resolution of non-standard appeals, using... submission process, either electronically or by paper. The Specialist will use a comprehensive knowledge of claims… more
- Guthrie (Sayre, PA)
- …and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...2. Works closely with a Denial Resolution Specialist or Billing Specialist II … more
- Ellis Medicine (Schenectady, NY)
- The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited ... (EBEW) and related worklists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more
- University of Rochester (Rochester, NY)
- …and location. Correctly identifies diagnosis codes and charges are appropriate for claims to be effectively released and submitted to the assigned insurance ... carrier(s). 4. Troubleshoots any problems within billing system that prevents claims from being released for acceptance by insurance carrier(s). Identifies cause of… more
- Entergy (St. Francisville, LA)
- …the RFx processes, supporting supplier negotiations, and providing supplier management support for claims , invoice resolution , etc. The specialist will have ... contracting, vendor management, or other related supply chain experience **Site Procurement Specialist II ** : Bachelor's degree in Supply Chain, Business,… more
- Billings Clinic (Billings, MT)
- …to learn more! HIM Specialty Coder II FINANCE (Billings Clinic Main Campus) req8604 ... bonus, relocation assistance, and tuition loan repayment The HIM Specialty Coder II is responsible for accurately reviewing, coding, and abstracting patient medical… more
- VHC Health (Alexandria, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... billing functionality and processes. Serves as the "go-to" analyst for review and resolution of complex build issues within the application team along with being the… more
- Montana State University (Bozeman, MT)
- …programs, including processing workers' compensation claims , reporting, participating in claims meetings and associated claims resolution strategies, SAW ... contact: Cheryl McDonald ###@montana.edu ### Classification Title Occup Safety/Health Spec II Working Title Insurance Specialist Brief Position Overview This… more
- Trinity Health (Albany, NY)
- …Type:** Full time **Shift:** Day Shift **Description:** **TITLE** Risk Analyst/ Specialist **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Risk Manager ... and oral communication skills, strong interpersonal, motivational and conflict resolution skills. Strong management and administrative skills. Broad-based knowledge… more
- Sierra Nevada Corporation (Sparks, NV)
- …guidance and support to employees regarding benefits options, enrollment processes, and claims resolution + Develop and deliver educational programs to promote ... We are searching for an experienced Benefits Manager II . The ideal candidate will have a deep...mentor & develop team **Preferred:** + Certified Employee Benefits Specialist (CEBS), Certification or alike (CBP, etc.) + Experience… more
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