- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/ II /Sr.) . This is a full-time position and offers a hybrid schedule after training with a ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting...and WC regulations for PA, CT, MD and/or DE claims . + Level II - 3-5 years'… more
- Insight Global (Nashville, TN)
- …Description . Specialist performs pre- and post-payment audits of external claims ; ensures that the company rigorously manages claims for external services; ... internal teams via Microsoft Teams, phone, and email. - Maintain documentation and reporting for claims activities and quality metrics. Communicate to Claims … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... policies and procedures and related health plan functions such as member services, claims , and the referral process. As well as functions related to legislative and… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary...direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Methodist Health System (Dallas, TX)
- …resolve no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by ... Description :** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...follow up for family and multi-specialty claims , able to identify, address, and… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1240253) Apply ENVIRONMENTAL HEALTH SPECIALIST ... is to be completed by all applicants for the Environmental Health Specialist II examination. This Supplemental Questionnaire requires you to document… more
- MyFlorida (Orlando, FL)
- REGULATORY SPECIALIST II - 79010811 1 1 1...by the closing date, by applying online. All required documentation must be received by the closing date of the ... 861427 Agency: Business and Professional Regulations Working Title: REGULATORY SPECIALIST II - 79010811 1 1 1...also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The… more
- Elevance Health (AL)
- …and prevent unnecessary medical-expense spending. **Title** : Financial Operations Recovery Specialist II **Location:** This role enables associates to work ... granted as required by law. The **Financial Operations Recovery Specialist II ** is responsible for the discovery,...responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the… more
- MyFlorida (Tallahassee, FL)
- INSURANCE SPECIALIST II - 43000984 Date: Sep 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 861348 Agency: Financial Services Working Title: INSURANCE SPECIALIST II - 43000984 Pay Plan: Career Service Position… more
- MyFlorida (Tallahassee, FL)
- INVESTIGATION SPECIALIST II - 79001468 Date: Sep 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 861442 Agency: Business and Professional Regulations Working Title: INVESTIGATION SPECIALIST II - 79001468 Pay Plan: Career...by the closing date, by applying online. All required documentation must be received by the closing date of… more
- Penn Medicine (Philadelphia, PA)
- …day. Are you living your life's work? **Job Title:** Practice Coding Specialist II **Department:** Surgery Outpatient Chair Billing **Location:** Fully Remote ... administrative tasks. The main focus of the Practice Coding Specialist II is to oversee coding processes...breakdowns. + May also review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the… more
- Beth Israel Lahey Health (Burlington, MA)
- …and initiate corrected claims and appeals. Duties include hands on coding, documentation review and other coding needs for ICD-9, ICD-10. Works directly with the ... annually or as introduced or required. 3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding… 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
- Trinity Health (Columbus, OH)
- …ensure optimal reimbursement and regulatory adherence. **Position Purpose:** + Physician Coding Specialist II will assign the appropriate surgical and office ... codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). This position utilizes… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… 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
- Boardwalk Pipeline Partners (Houston, TX)
- …found online at www.bwpipelines.com . We are currently looking for a Sourcing Specialist I/ II /III/Sr for our Houston, TX office. POSITION DESCRIPTION: + Procure ... expedite or coordinate deliveries. + Facilitate the resolution of disputes and claims . + Address all Sarbanes-Oxley documentation requirements for qualifying… more
- Carrington (Anaheim, CA)
- …experience is required to be considered for this position!** The Bankruptcy Specialist ll, will be responsible for monitoring residential mortgage loans in the ... completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition… more
- Cardinal Health (Charleston, WV)
- …Rep is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... getting the right things done. **_Responsibilities_** + Submitting medical documentation /billing data to insurance providers + Researching and appealing denied… 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 as, resolution action plans based upon the applicable law, coverage… more