- MultiPlan (Naperville, IL)
- …people come to shine! JOB SUMMARY: The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The ... AND RESPONSIBILITIES:1. Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming mail (must be… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …free drug assistance. Position Summary: Under the general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...attention to detail. General knowledge of accounting principles, pharmacy operations , and medical claims . Acceptable use of… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …free drug assistance. Position Summary: Under the general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...could include but not limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …to the healthcare provider. Position Summary: Under general supervision of an Operations Manager, the Benefits Verification Specialist will contact insurance ... Title: Benefit Verification Specialist Location: Remote Duration: 3+ month's Working hours:...access. Could include documenting and initiating prior authorization process, claims appeals, etc. Completes quality review of work as… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …claims , which is dependent on either the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and ... About the Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed … more
- Liberty Mutual Insurance (Portland, OR)
- …Liberty Mutual has an excellent claims opportunity available. The Technical Claims Specialist II will be responsible for the oversight, evaluation, and ... Excess and Primary Unbundled cases of varying exposures and severity. The Technical Claims Specialist II provides highly specialized technical knowledge to TPAs… more
- MultiPlan (Atlanta, GA)
- …orientation, training and mentoring of new and existing staff. Facilitate daily claim completion meetings with coding operations team; discussing complex cases, ... bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most...to claims billed. Research and review individual claims , claim trends or detailed itemized bills,… more
- US Tech Solutions, Inc. (Atlanta, GA)
- Duration: 12+ months contract Job Description: As a Pharmacy Insurance Specialist , you will be responsible for ensuring that all required third party insurance ... appropriately within the pharmacy adjudication system. The Pharmacy Insurance Specialist will perform extensive testing and documentation to ensure accurate… more
- US Tech Solutions, Inc. (Monroeville, PA)
- Job Title: Billing Specialist I Location: Monroeville PA USA 15146 Duration: 6 months contract Shift Timing: Mon thru Fri 8-430pm Job Description: Billing ... Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work with Omnicare pharmacy … more
- A-Line Staffing Solutions (Monroeville, PA)
- Job Title: Hybrid Medical Billing Specialist Pay: $19.50 an hr | Bi-weekly Job Type: 3 days remote and 2 days onsite in Monroeville, PA Shift Options: Monday thru ... Friday 8-430pm Hybrid Medical Billing Specialist Overview: Billing Specialist I will be...I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid.… more
- A-Line Staffing Solutions (Franklin Lakes, NJ)
- …the medical device or related healthcare industry field. Understanding of chargeback operations , pricing claims management, and/or contract operations Strong ... A-Line Staffing is now hiring Commercial Contracting (Chargeback Specialist ) in Franklin Lakes, NJ 07417-1880. The Commercial...of the chargeback and sales tracing errors and direct claims for resolution with our channel partners and customers.… more
- A-Line Staffing Solutions (Monroeville, PA)
- …Healthcare Billing Rep Responsibilities Responsible for qualifying, preparing and submitting claims to Copay Assistance program. Individual must work with pharmacy ... operations staff, prescriber offices, third party payers, patients and/or...third party payers, patients and/or their responsible parties and claim processors. This position requires work within several different… more
- Rose International (Woonsocket, RI)
- …Organization: Rose International Position Number: 464531 Job Title: Pharmacy Insurance Specialist Job Location: Woonsocket, RI, USA, 02895 Work Model: Hybrid Shift: ... needs and requirements. ** Position Summary * As a Pharmacy Insurance Specialist , you will be responsible for ensuring that all required third-party insurance… more
- Careerbuilder-US (Chesapeake, VA)
- …which may include engaging appropriate parties (Merchandise, Logistics, Operations , Finance and Allocations) to assure timely resolutionFacilitate effective ... personnel to bring about final resolution Product Issue and Vendor Claim ManagementResearch product issues and facilitate communications between Import Management,… more
- A-Line Staffing Solutions (Woonsocket, RI)
- **Join Our Team: Pharmacy Insurance Specialist ** **Location:** Onsite Tuesday-Thursday, M-F 8:30-5, (Work from Home Option Available Other Days) **Education:** ... GED Required **Description:** Are you passionate about ensuring accurate prescription claims processing and maintaining compliance with pharmacy standards and payer… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …improving the health of our communities. About the Role:Job SummaryThe Patient Safety Specialist will support the NGPG Patient Safety & Risk Management programs by ... safety initiatives, risk management programs, and patient variance processes. The Specialist will monitor trends, conduct investigations and complete audits to… more
- Valmont Industries, Inc. (Valley, NE)
- …our customers receive the highest level of support. As a Product Services Specialist , you'll be at the forefront of addressing product and service complaints from ... and internal departments to ensure prompt and satisfactory resolution of field claims . Essential Functions: Negotiate and resolve product complaints from shipment to… more
- US Tech Solutions, Inc. (Cumberland, RI)
- …months contract Shift Timing: Monday - Friday 8:30 - 5 Job Description: Billing Specialist I will be responsible for qualifying, preparing and submitting claims ... to Copay assistance programs. Individual must work with Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible… more
- ProKatchers (Alhambra, CA)
- Job Description: The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- American Honda Motor Co Inc (Torrance, CA)
- …Bring the Future!Job PurposeThe purpose and function of Vehicle Service Contract (VSC) Operations department is to service all Honda Care and Acura Care related ... matters that occur after the date of contract purchase, including VSC claim adjudication and monitoring. Our goal is to influence Honda and Acura customer and dealer… more
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