- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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