- Clearway Pain Solutions (Annapolis, MD)
- …and manages claims within the work dashboard hold buckets for resolution . Creates, maintains and updates reports, as directed. Exercises confidentiality in all ... The Billing Specialist supports the complete and timely collection of...billing system. This position will track all high dollar claims from charge entry to payment and will resolve… more
- Liberty Information Technology Limited (Plano, TX)
- …Senior Technical Claims Specialist I Salary: $82,000-$157,000 Senior Technical Claims Specialist II Salary: $92,000 - $176,000 In this role, ... We are open to fill as a Senior Technical Claims Specialist I or II ,...claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation… more
- Vinfen (Cambridge, MA)
- …The Reimbursement & Billing Specialist is coordinates the analysis and effective resolution of denied claims with the purpose of reducing overall denials and ... Specialist is responsible for prioritizing and managing to resolution denied claims with government and third...for prioritizing and managing to resolution denied claims with government and third party payers. Responsibilities include:… more
- United Fire & Casualty Company (Cedar Rapids, IA)
- UFG is currently seeking a Claims Specialist II - GLPD which is a senior level advanced position primarily responsible for investigating, evaluating, ... analyzes liability, evaluates damages for reserve and settlement, and negotiates claims to resolution in accordance with claims best practices. This position… more
- Alameda Alliance For Health (Alameda, CA)
- …staffed classification and work is expected to be performed minimally at the MRS II level. However, the initial selection will be made at the entry level MSR ... be eligible to be promoted to a Member Services II or III role. Member Services Representative I staff...for members, providers and others for questions related to claims , benefits, authorizations, pharmacy, member eligibility and other questions… 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
- 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
- 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
- Community Health Systems (Birmingham, AL)
- …research to facilitate claim resolution and maximize collections. The Billing Specialist II also supports team training, assists with audits, and ensures ... loan assistance for eligible roles. **Job Summary** The Billing Specialist II is responsible for managing complex...companies, payers, and patients regarding billing inquiries and claim resolution . + Reviews and processes insurance claims ,… more
