- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I (Full-time/Billings) PATIENT ... about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for... claims from government and third-party payers. The Claims Specialist is responsible for preparing and… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the...payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4… more
- Social Security Administration (Queens, NY)
- …position is located in the Social Security Administration, Office of the Regional Commissioner, Office of the Assistant Regional Commissioner-Payment Center ... II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring other… more
- Social Security Administration (Bronx, NY)
- …This position is located in the Social Security Administration, Office of the Regional Commissioner, Office of the Area Director, Area I, Laconia Field Office, 3247 ... II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring other… more
- NANA Regional Corporation (Kotzebue, AK)
- …including NANA specific information, in managing lands obtained through the Alaska Native Claims Settlement Act. + Provide support to the Lands Specialist to ... **Qualifications** + Must be a NANA shareholder. NANA shareholders own stock in NANA Regional Corporation, Inc. + Must be 18 years or older. + Must be currently… more
- Allied Universal (Pittsburgh, PA)
- …Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation ... to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies...policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for… more
- Ephraim McDowell Regional Medical Center (Danville, KY)
- …and work directly with Westlake Benefits Group to ensure proper claims processing when questions arise regarding non-network providers/facilities; responsible for ... resources. + Licenses, Certifications, and/or Registrations + Certified Provider Credentialing Specialist (CPSC) preferred but not required. + Key benefits include:… more
- National General Insurance Company (NC)
- …are looking for someone with experience in handling high exposure, litigated BI Claims of $100K minimum. The ideal candidate will have insurance carrier experience, ... years of experience handling high exposure, commercial, or litigated claims . ** Job Summary: The Lead Consultant is responsible...valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go… more
- Montrose Memorial Hospital (Montrose, CO)
- About Montrose Regional Health: + As the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the ... and the employer of choice in our communities. Montrose Regional Health is a not for-profit accredited by the...to maximize clean accounts. About The Career: + The Claims Analyst III must know the essential functions of… more
- El Paso County (Colorado Springs, CO)
- Medical Billing Specialist - Part Time Print (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4519558) Apply Medical Billing Specialist - ... Summary Join the Public Health Agency as a part-time Medical Billing Specialist , where we're seeking a candidate who embodies initiative, independence, and… more
- Aerotek (Tempe, AZ)
- …the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and ... has an immediate opening for a Junior Workers Compensation Specialist at the corporate office in Tempe, AZ.** **Job...all open claims + Participates in communicating claims trends to Regional Safety Manager +… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims… more
- Trinity Health (Albany, NY)
- … Specialist **DEPARTMENT:** Quality and Risk Management **REPORTS TO:** Regional Director Colleague Safety **MISSION STATEMENT:** We, Trinity Health, serve ... Poor, Safety, Justice, Stewardship, Integrity. **POSITION SUMMARY** The Colleague Safety Specialist (CSS) is responsible for the implementation of the Trinity Health… more
- Veterans Benefits Administration (Montgomery, AL)
- Summary This position is located in a Department of Veterans Affairs, Regional Office (VARO), Veterans Service Center and BEST. The Authorization Quality Review ... Specialist is an integral part of the VSC and...adviser to the Veterans Service Representatives (VSRs), in the Regional Office. Responsibilities The purpose of this position is… more
- Trinity Health (Syracuse, NY)
- …home. Power BI experience is desirable **POSITION SUMMARY** **The Colleague Safety Specialist (CSS) is responsible for the implementation of the Trinity Health ... settings for the TH NY Region (SJH and SPHP). The Colleague Safety Specialist is responsible for data management and supporting the education components of the… more
- New York State Civil Service (Syracuse, NY)
- …position will be discussed in detail during the interview process; however, a Real Estate Specialist 1 works in the Regional Office of Right of Way Office under ... NY HELP Yes Agency Transportation, Department of Title Real Estate Specialist 1/Trainee 1/Trainee 2 (NY HELPS), Region 3 Occupational Category Other Professional… more
- Veterans Benefits Administration (IN)
- …(PCRs), in the National Call Center/National IRIS Response Center in the Regional Office. Responsibilities The Phone/IRIS Quality Review Specialist is ... This remote position is located in a Department of Veterans Affairs, Regional Office (VARO), National Call Center (NCC)/National IRIS Response Center (NIRC). The… more
- CVS Health (Hartford, CT)
- …and Training Hours: + Training 8:00am-4:30pm + Shift: 8am-4:30pm Claim Benefit Specialist Reviews and adjudicates claims in accordance with claim processing ... make health care more personal, convenient and affordable. This Claims Benefits position is Onsite at our Hartford, CT...Assist team members in support of achieving team, office, regional , and national goals Required qualifications Experience in a… more
- Veterans Benefits Administration (Boston, MA)
- Summary This position is in the Veterans Benefits Administration, Boston Regional Office, Veterans Readiness and Employment division. The incumbent is responsible ... and aiding veteran clients. Responsibilities Major Duties: Serves as the Program Specialist responsible for the overall management, control, and execution of the… more
- State of Montana (Helena, MT)
- …The Specialist works primarily with the adjudication programs in the Helena Regional Office. The Specialist analyzes statements of claim filed in the ... Water Court in collecting, checking, processing, recording, and maintaining water right claims , evidence, records, and case documents. The Specialist provides… more