- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Shift Daytime Job Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment Integrity ... of contact for claim related research. Serves as a claims subject matter expert (SME) and handles incoming inquiries...units to ensure timely resolution of open issues. The Specialist assumes ownership and accountability for the timely and… more
- Aequor (Golden Valley, MN)
- …Certifications Specialist is responsible for assuring compliance of third-party claims and certifications. This Certifications Specialist position is a ... globally to support business needs. Key Accountabilities: Provide global claims and certification expertise and collaborate cross-functionally to leverage… more
- Hallmark Financial (Dallas, TX)
- Job Description: Job Summary The Compliance Specialist : Accurately processes monthly compliance review ensuring regulatory compliance. Essential Functions include ... the following. Other duties may be assigned. Process monthly and quarterly SOX compliance control testing. Assist with internal and external compliance audits. Maintain compliance records. Complete additional compliance related tasks as they arise… more
- Eisai, Inc (Pittsburgh, PA)
- …profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic ... territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
- Gentle Dental (Corbett, OR)
- …experts of billing, account and insurance information. You will successfully manage claims and have extensive experience in working with DentiCal insurance. From the ... first appointment to the last, our Insurance Billing Specialist lead patients to a happy and healthy smile! Full benefits including medical, dental, vision, life… more
- Greenfield Rehabilitation Agency/Rehab Resources (Brookfield, WI)
- …Description Join Our Growing Team at Greenfield Rehabilitation Agency as a Billing Specialist ! Are you ready to make an impact? Greenfield Rehabilitation Agency is ... detail-oriented individuals to become part of our dynamic team! As a Billing Specialist at our corporate headquarters, you'll play a pivotal role in supporting… more
- Premier Auto Credit (Glendale, CA)
- Insurance Verification Specialist Our Collections team is currently seeking an insurance verification specialist to help service our large, and growing ... pay. Hours of operation: Monday- Friday, 8am-5pm. Job Summary: The insurance verification specialist will verify insurance in a timely manner on all damaged autos.… more
- Accessia Health (Midlothian, VA)
- POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS MANAGED : None STATUS : Non-Exempt SUMMARY: The Case Management ... Specialist is responsible for acting as a bridge between...priorities, meet deadlines, and ensure accuracy in documentation and claims processing. Compassion for patients with chronic conditions and… more
- PharmaCord (Louisville, KY)
- …to our Talent Acquisition team immediately at ###@pharmacord.com The Pharmacy Quality Specialist is responsible for performing various types of audits, acting as a ... documentation, and reporting for operational quality. Responsibilities: The Quality Specialist responsibilities include, but are not limited to the following:… more
- PharmaCord (Jeffersonville, IN)
- The Quality Specialist is responsible for performing various types of audits, acting as a subject matter expert, creating documentation, and reporting for ... operational quality. Responsibilities: The Quality Specialist responsibilities include, but are not limited to the following: Conduct call and case audits for… more
- KOBAYASHI HEALTHCARE INTERNATIONAL INC (Dalton, GA)
- Job Details Job Location KHI - Dalton, GA Accounts Receivable Clerk Specialist The significant responsibilities of the position are listed below. To perform the job ... for invalid deductions Works closely with Credit & Collections team on customer claims related to non-payment of open invoices Work closely with sales reps regarding… more
- GAP SOLUTIONS INC (Herndon, VA)
- …Category Human Resources Description Position Objective: As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers ... Assisting with drafting SOP's. Processing personal liability insurance reimbursement claims . Initiating tentative selection notifications, notice of results or… more
- ELECTRICAL COMPONENTS INTERNATIONALHOLDINGS COMPANY (Southfield, MI)
- …Location Southfield Michigan - Southfield, MI Job Category Finance B2B Collections Specialist Electrical Components International (ECI) is seeking a B2B Collections ... Specialist to join our team. Who We Are Founded...consignment inventory issues, delivery schedules, technical specifications, or warranty claims affecting payments. Support Continuous Improvement: Participate in process… more
- Plante Moran (Southfield, MI)
- …help you achieve your professional goals. Join us. As an Estate Settlement Specialist , you'll dive in with hands-on experience and substantial depth to administer ... as of date of death Settlement of all debts and payment of all valid claims and costs of administration Distribution of assets pursuant to the terms of the Trust… more
- Monster (Wendell, NC)
- Accentuate Staffing is currently seeking an AR/Rebates Specialist for our client in Wendell, NC 27591. The ideal candidate will have some experience in one or more ... and statement request. Review and process marketing co-op advertising claims . Review and process sales program and sales bonus.... Review and process sales program and sales bonus claims . Send out notices to customers and track and… more
- Aftermath Billing (Port Saint Lucie, FL)
- …Collector is responsible for managing accounts receivable for behavioral health claims , including follow-up with insurance payers and patients. This role plays ... applicable regulations. Key Responsibilities: Monitor and manage outstanding behavioral health claims . Follow up with insurance companies to ensure timely payment.… more
- unifyCX (San Antonio, TX)
- …with Microsoft Office Suite and a knack for learning new tools quickly. Claims experience in the insurance industry (preferred but not required). What Will You ... Do? Take ownership of appeals and claims , investigating and analyzing each case to determine the best path forward. Communicate policy guidelines and decisions to… more
- Defense Media Activity (Fort George G Meade, MD)
- …and remote location television productions. Duties Help As a AUDIOVISUAL PRODUCTION SPECIALIST at the GS-1071-11 some of your typical work assignments may include: ... QUALIFY? You MUST provide transcripts or other documentation to support your educational claims . All materials must be submitted by the closing date of the… more
- PharmaCord (Jeffersonville, IN)
- …A typical day in the life of a Medical Billing and Coding Specialist will include the following: The responsibilities include, but are not limited to ... and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes Educate offices about the medical necessity requirements… more
- PharmaCord (Lexington, KY)
- …PharmaCord Lynk system, maintaining detailed records of reimbursement activities, including claims status, payments, and appeals. Generate reports and analysis as ... in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist ), CHES (Certified Health Education Specialist ) or CCM in… more
