- Markel Corporation (Red Bank, NJ)
- …part in something special!This position will be responsible for the investigation and resolution of lower to medium complexity and lower to medium exposure medical ... malpractice or healthcare claims . These claims will consist of non-litigated...20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're… more
- Baptist Memorial Health Care Corporation (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
- Forsyth County, GA (Cumming, GA)
- …routine questions or complaints; researches problems/complaints and initiates problem resolution . Receives moneys in payment of various fees/services; records ... sheets, service requests, legal documents, case files, victim compensation claims , petitions, motions, subpoenas, warrants, indictments, accusations, orders, arraignment… more
- County of Los Angeles, CA (Los Angeles, CA)
- …direction of a Deputy Executive Officer or an Information Technology Manager II and have responsibility for leading and/or managing subordinate level staff in ... with other systems and County departments. Coordinates the identification and resolution of complex problems, and recommends improvements and modifications in line… more
- County of Los Angeles, CA (Los Angeles, CA)
- …employee performance evaluations, authorizing time-off requests, and responding to first-level resolution of employee grievances. Serves as a technical resource to ... plaster and soft casts, tractions orthotic/prosthetic modalities, and emergency splints, -OR- Option II : One (1) year of experience at the level of Senior Orthopedic… more
- 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)
- …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
- 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
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- Position Information Functional TitleStrategic Sourcing Specialist II Recruitment Category TypeStandard Functional CategoryProcurement & Supplier Diversity ... Position LocationLaurel Position Summary Information General Summary TheStrategic Sourcing Specialist IIperforms general contracting duties in a team setting that… more
- AIG (Atlanta, GA)
- Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our ... service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes… 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
- Cedars-Sinai (Los Angeles, CA)
- …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... that fuels innovation. **Req ID** : 11453 **Working Title** : Revenue Cycle Specialist II (Commercial Collections) **Department** : CSRC HB Follow Up **Business… 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
- 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
- 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
