- MultiPlan (Naperville, IL)
- …where bright people come to shine! JOB SUMMARY: The position requires the Operation Support Specialist to assist the recovery team performing various duties when ... 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 ... and caregivers. Services could include but not limited: Billing and coding support . Claims assistance, tracking and submission. Prior authorization assistance… more
- MultiPlan (Atlanta, GA)
- …MultiPlan and we are where bright people come to shine! The Senior Medical Coding Specialist provides analysis of the highest dollar and most complex claims by ... the payment integrity and/or negotiation process. Assist management in the daily operations and processes within the department. Design and participate in the… more
- Prestige Staffing (Fort Worth, TX)
- Patient Services Specialist for Baylor Scott & White Health in Fort Worth, TX 76104 Pay Range: $17 - $22/hr. W2 O nsite at : 1101 6th Ave, Fort Worth, TX 75063 * ... arranging patient transport, answering incoming telephone calls, and providing clerical support Prepares required forms orders and maintains inventory of supplies as… more
- Civista Bank (Sandusky, OH)
- …data.Conduct tax reporting and verification tasks relating to accounts payable.Provide support to the Financial Operations team, as needed.Communicate regularly ... Civista BankDescription:Position Purpose:The Accounting Specialist role is responsible for various accounting duties such as general bookkeeping, accounts payable,… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely mannerThis position applies prior knowledge of denials to… 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 ... 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)
- …problem-solver to join our team and ensure our customers receive the highest level of support . As a Product Services Specialist , you'll be at the forefront of ... and internal departments to ensure prompt and satisfactory resolution of field claims . Essential Functions: Negotiate and resolve product complaints from shipment to… more
- Rose International (Alhambra, CA)
- …and processing adjustments, transfers and refunds as needed. Helps in billing operations by providing support and research of misapplied payments.Works as ... based upon a client's business needs and requirements.**The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims… more
- ProKatchers (Alhambra, CA)
- …balances and processing adjustments, transfers and refunds as needed. Helps in billing operations by providing support and research of misapplied payments. Works ... Job Description: The Collector Appeal Specialist is responsible for accurately processing inpatient and... is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following… more
- Blanchard Valley Hospital (Findlay, OH)
- …response to investigational or potential compliance risks. Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether coding ... of the Professional Coding Integrity Supervisor is to maintain the daily operations of the Professional Coding Integrity Specialists (PCIS), provide education to… more
- The Hartford (Hartford, CT)
- Operations Support Specialist , Claims - CH10KN We're determined to make a difference and are proud to be an insurance company that goes well beyond ... for tuition and registration fees for degree programs that support your career development (subject to additional requirements) +...do. We believe that with the right encouragement and support , people are capable of achieving amazing things. We… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date:...draws assigned. + Assist with Quarterly Audits of the Claims Processing Secured Cage. + Provide support ... . Requisition No: 822431 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000116 Pay Plan: Lottery Exempt Serv Position Number:… more
- Entergy (Reserve, LA)
- Customer Service Specialist - Claims **Date:** Jun 25, 2024 **Location:** Reserve, Louisiana, United States **Company:** Entergy **Work Place Flexibility:** ... available databases and math skills to retrieve and calculate the values of claims for recovery/subrogation. Support paperless claims handling philosophy,… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist ... Claims Specialists. **Responsibilities** + Leverage strong understanding of claims processing to provide research support for...member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to… more
- Magellan Health Services (Maryland Heights, MO)
- Provides support to Claims Operations ... claims processing experience. General Job Information Title Claims Systems Specialist I Grade 20 Work ... by investigating and resolving systemic issues relative to claims processing system files and interfaces for membership, authorizations, providers, pricing,… more
- Robert Half Accountemps (Marshall, MI)
- …experience with Medicaid billing, medical insurance billing, healthcare billing, and medical claims in daily operations * Foster internal communications to ... We are in search of a meticulous Medical Billing Specialist to join our team in MARSHALL, Michigan. In...you will be accountable for the daily billing of claims to third-party payers, ensuring timely and appropriate processing… more
- Trinity Health (Farmington Hills, MI)
- …expertise and clinical judgment within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center. Serves as ... draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment Resolution Specialists… more
- Subaru of America (Camden, NJ)
- …and annual reviews for Retailer Claims Specialists, in consultation with Retailer Claims Support Manager. + Assesses direct report Retailer Claims ... checks through phone observations and claim reviews. Works together with Retailer Claims management on department operations and solutions. Serves as liaison… more
- Lowe's (Commerce City, CO)
- …* High School Diploma or GED *4 years' as a data analyst, operations support , or clerical experience Preferred Qualifications * Bachelor's Degree *3 ... Specialist is responsible for assisting with the support of a third-party logistics operated Bulk Distribution Center....damage RA pick-ups with vendors. *Create and email Store Claims Report to 3PL BDC Operations Team,… more
