• Litigated Claims Specialist

    Zurich NA (Indianapolis, IN)
    …124155 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated Claims Specialist II to join our high-performing team. This ... Litigated Claims Specialist , Workers Comp (IN or...within the coverage. + Work to have a timely resolution to claims by developing case strategy;… more
    Zurich NA (05/31/25)
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  • Paralegal Specialist I / II /III

    Navy Exchange Services (NEX) (Virginia Beach, VA)
    …Paralegal Specialist I, may progress non-competitively to a Paralegal Specialist II position, NF-04B, upon the completion of qualification requirements ... with less than 2 years in the current position. Incumbents selected at the Paralegal Specialist II m ay progress non-competitively to PD#0120 NF-04 (SC 4C) upon… more
    Navy Exchange Services (NEX) (06/25/25)
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  • Specialist -Denial II RN

    Baptist Memorial (Memphis, TN)
    …Summary * Position may be filled in Memphis, TN; Jackson , MS The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to...in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received… more
    Baptist Memorial (07/11/25)
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  • Facilities Contract Specialist (Level I/…

    Navy Exchange Services (NEX) (Virginia Beach, VA)
    …experience demonstrated by NF-04/4C Contact Specialist I or NF-04/4D Contract Specialist II . Incumbent selected at the lower level may progress ... non-competitively to a Facility Contract Specialist II position, NF-04/4D, upon the completion of qualification requirements and training within a 2-year… more
    Navy Exchange Services (NEX) (06/20/25)
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  • FMLA/ADA & Worker's Compensation Specialist

    Nebraska Public Power District (Columbus, NE)
    …when employee restrictions exist. Incumbent will assist FMLA/ADA & Worker's Compensation Specialist II with ongoing program development needs, the Employee ... **FMLA/ADA & Worker's Compensation Specialist I or II ** Columbus, NE,...ensures timely processing of the District's Self-Insured Workers' Compensation claims . The incumbent processes leave requests and accommodations, particularly… more
    Nebraska Public Power District (07/18/25)
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  • Regulatory Specialist II

    MyFlorida (Tallahassee, FL)
    REGULATORY SPECIALIST II - 79011071 Date: Jul 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 856047 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST II - 79011071 Pay Plan: Career Service Position Number:… more
    MyFlorida (07/09/25)
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  • Customer Solution Center Appeals and Grievances…

    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 (07/08/25)
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  • Utilization Management Nurse Specialist RN…

    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
    LA Care Health Plan (07/08/25)
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  • Environmental Health & Safety (EHS)…

    Hyster-Yale Materials Handling (Greenville, NC)
    **Job Title** Environmental Health & Safety (EHS) Specialist II **Job Category** Environmental Health and Safety **Job Description** What starts with **YOU** , ... by working closely with the Third-Party Administrator to ensure timely and accurate resolution of claims . + Maintain facility/ legal compliance of postings,… more
    Hyster-Yale Materials Handling (07/08/25)
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  • Service Desk Specialist Tier II

    UIC Government Services and the Bowhead Family of Companies (Quantico, VA)
    **Overview** SERVICE DESK SPECIALIST | TIER II (MIELS): Bowhead is seeking Service Desk Specialists to support a customer in Stafford, VA. Support for the ... 24/7 support, including nights, weekends, and holidays, with timely issue resolution . + Assist in maintaining and administering Windows servers, workstations,… more
    UIC Government Services and the Bowhead Family of Companies (06/05/25)
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  • PBO Revenue Cycle AR Specialist II

    Texas Health Resources (Arlington, TX)
    **PBO Revenue Cycle AR Specialist II ** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified_ ... **PBO Revenue Cycle AR Specialist II ** _like you to join our...What You Will Do: Expedite and maximize payment and resolution of insurance medical claims by resolving… more
    Texas Health Resources (07/22/25)
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  • Casualty Specialist II

    AIG (Atlanta, GA)
    …investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned ... cases to a timely, proper resolution . This requires accurate and thorough documentation, as well...upon the applicable law, coverage and supporting evidence. Assigned claims typically consists of medium to moderate complex litigated… more
    AIG (06/14/25)
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  • Insurance Receivable Specialist II

    University of Utah Health (Salt Lake City, UT)
    …and overall patient outcomes. **Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims . + Performs contract compliance on ... This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. Account portfolio may include accounts… more
    University of Utah Health (07/18/25)
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  • Revenue Cycle Specialist II

    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 (05/24/25)
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  • Insurance Specialist I - Corporate Patient…

    Guthrie (Towanda, 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
    Guthrie (07/17/25)
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  • Government Contracting Analyst I/ II

    Grifols Shared Services North America, Inc (Research Triangle Park, NC)
    …upgrades, enhancements, and patches and assists with system updates. The Government Contracting Specialist II is able to perform these tasks with minimal ... Responsible for working with large amounts of data; evaluates claims level detail to ensure product dispensing aligns with...required. This knowledge is required for a Government Contracting Specialist II . + Experience with government rebates… more
    Grifols Shared Services North America, Inc (06/30/25)
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  • Procurement Specialist

    Entergy (Russellville, AR)
    …the RFx processes, supporting supplier negotiations, and providing supplier management support for claims , invoice resolution , etc. The specialist will have ... the Summer 2025 term) will be considered for this posting.** + **Site Procurement Specialist II ** : + Bachelor's degree in supply chain, Business, Accounting,… more
    Entergy (07/18/25)
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  • Medical Coder II

    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 ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more
    Ellis Medicine (06/26/25)
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  • HIM Coder I or II

    Billings Clinic (Billings, MT)
    …to learn more! HIM Coder I or II FINANCE (Billings Clinic Main Campus) req9695 Shift: ... and certification, may qualify for a Level I or II HIM Coder Responsible for coding and abstracting diagnoses...* Ensures data accuracy prior to billing interface and claims submission. (ie, discharge disposition, appropriate use of modifiers,… more
    Billings Clinic (07/16/25)
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  • MassHealth Regulatory Compliance & Audits…

    Commonwealth Care Alliance (Boston, MA)
    Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist II is responsible for ensuring CCA's operational compliance with ... 011250 CCA- Claims **_This position is available to remote employees...or non-compliance. * Track internal audit findings and facilitate resolution through Corrective Action Plans (CAPs). Audit Readiness &… more
    Commonwealth Care Alliance (06/02/25)
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