- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Complex Claim Specialist will be responsible for contacting all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Montana State University (Bozeman, MT)
- …contact: Ryan Brickman ###@montana.edu ### Classification Title Occup Safety/Health Spec II Working Title Claims Coordinator/Insurance Specialist Brief ... Position Overview The Occupational Safety/Health Specialist II is primarily responsible for managing MSU workers' compensation, Stay-at-Work/Return-to-Work ( SAW… more
- MyFlorida (Tampa, FL)
- ELIGIBILITY SPECIALIST II - 60044506 Date: Sep 20, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 838014 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60044506 Pay Plan: Career...high stress situations. + Ability to compose documents involving technical information. + Ability to interpret and apply regulation… more
- MyFlorida (Tampa, FL)
- ELIGIBILITY SPECIALIST II - 60036254 Date: Sep 23, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 838202 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60036254 Pay Plan: Career...high stress situations. + Ability to compose documents involving technical information. + Ability to interpret and apply regulation… more
- MyFlorida (Tallahassee, FL)
- REGULATORY SPECIALIST II - 79011477 Date: Sep 27, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 835681 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST II - 79011477 Pay Plan: Career Service Position Number:… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 11823 - Specialist -Customer Care II Facility: BMH - Central Business Office ... to completion. Responsible for the daily completion of both claims edit, denial, and no response billing functions for...owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they… more
- MTA (New York, NY)
- Procurement Specialist II Job ID: 8176 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: MNR ... Posted: Sep 27, 2024 Description JOB TITLE : Procurement Specialist II - Operations Procurement (TCU) SALARY...+ Negotiates change orders and evaluates contractor and vendor claims and submits for approval. + Institute, negotiate, document… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Location:** Hospital of the University of ... **Hours:** Mon-Fri office hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to the Supervisor of Billing; this individual… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary… more
- Johns Hopkins University (Middle River, MD)
- …experience and understanding of third-party payer issues. Classified Title: Coding Specialist II Role/Level/Range: ATO 40/E/02/OF Starting Salary Range: $21.00 ... The Department of Orthopaedic Surgery is seeking a **_Coding Specialist II_** who will be responsible for understanding all aspects of coding, quality assurance and… more
- Salado Isolation Mining Contractors (Carlsbad, NM)
- Procurement Specialist II Department:BI-AS Procurement Location:Carlsbad, NM Be part of the nation-s only repository for the disposal of nuclear waste known as ... (WIPP) is currently seeking a qualified individual to serve as aProcurement Specialist IIand join our Acquisition Services team located in Carlsbad, New Mexico.… more
- Penn Medicine (Philadelphia, PA)
- …day shift Accounts Resolution Specialist . Summary: + The Accounts Resolution Specialist II reports to the Supervisor of Billing; this individual specializes ... for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine,… more
- AECOM (Austin, TX)
- …world. Join us. **Job Description** **AECOM** is seeking a **Project Planning & Scheduling Specialist II ** to be based in **Taylor, TX** client site. * ... with Excel and P6. + Knowledge of time impact analysis and schedule claims analysis + Experience with construction phase analysis **Additional Information** + This… more
- Cedars-Sinai (Los Angeles, CA)
- …our care the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : ... performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating… 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
- Tufts Medicine (Lawrence, MA)
- …duties: Facilitates the reimbursement for clinical services provided to patients. Submits claims to health insurers, follows up with health insurers about submitted ... claims , and performs appeals for non-clinical denials, etc. An...that focuses on support of daily business activities (eg, technical , clinical, non-clinical) operating in a "hands on" environment.… more
- Centene Corporation (Tampa, FL)
- …effective support to customers + In some instances, researches and identifies basic claims payment errors and make appropriate adjustments + Performs other duties as ... GED. Requires 1 - 2 years of related experience. May require vocational or technical education in addition to prior work experience. Vocation or technical … more
- Centene Corporation (Phoenix, AZ)
- …Documents and addresses customer complaints and issues (Ie, grievances, appeals, Claims Tracking Module) based on regulatory requirements. Supports and collaborates ... GED. Requires 1 - 2 years of related experience. May require vocational or technical education in addition to prior work experience. Vocation or technical … more
- ONEOK, Inc (Tulsa, OK)
- …new measurement technology through ongoing training to be able to provide technical expertise in the field of measurement. Monitors and reconciles product over/short ... guidance to upper management on measurement discrepancy resolutions and settlement claims . Provide guidance to engineering on measurement equipment selection and… more
- Federal Highway Administration (Lakewood, CO)
- …Construction Branch Claim Review Section. The ideal candidate is a technical expert in highway construction contract administration, Federal highway and bridge ... construction specifications, and Federal contract law with a strong technical background in all aspects of highway design and construction, and experience resolving… more
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