- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and ... efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while...skill enhancement. What you'll need to succeed + Proven claims experience handling and auditing Workers Compensation… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...plus. **What will you do in this role?** + Auditing of Third-Party Administrators to ensure reserve adequacy. +… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- ORS SPECIALIST 1/2/3/4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5101147) Apply ORS SPECIALIST 1/2/3/4 Salary $2,732.00 - $4,682.00 ... + Questions About this Job Office of Unemployment Insurance Division: OUIA Quality Control Location: Baton Rouge, LA Office of Unemployment Insurance Administration… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Cannabis Management, Office of Title Program Specialist 1 (Cannabis) (NY HELPS) - VID 199546 Occupational Category Other Professional Careers ... and common roadblocks for grant recipients to be successful.* Evaluate and improve quality control and quality assurance procedures for efficient and accurate… more
- The Speech Pathology Group & Rehab Services of CT (Shelton, CT)
- Medical Billing Specialist EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without ... and is looking for a self-driven, diligent, and collaborative Medical Billing Specialist to join our team! As aMedical Billing Specialistwith SPGCT, your primary… more
- Health Care Service Corporation (Richardson, TX)
- …information technology or other related job or intern experience is preferred. + Medical claims auditing experience is a strong plus. + Knowledge of or ... internship is in Richardson, TX **What Are Your Responsibilities?** The Audit Specialist Intern responsibilities may include assisting with claim accuracy audits and… more
- New York State Civil Service (New York, NY)
- …Services Specialist 4 (Risk), SG-27 Occupational Category Financial, Accounting, Auditing Salary Grade 27 Bargaining Unit PS&T - Professional, Scientific, and ... of Financial Services is seeking candidates for the position of Financial Services Specialist 4 (Risk) within the Property Bureau. Duties include, but are not… more
- MyFlorida (Jacksonville, FL)
- INVESTIGATION SPECIALIST II - 79001409 Date: Oct 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 862324 Agency: Business and Professional Regulations Working Title: INVESTIGATION SPECIALIST II - 79001409 Pay Plan: Career Service Position Number: 79001409… more
- CareFirst (Baltimore, MD)
- …to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT, HCPCS, and ICD 10 codes ... in claims submissions. Utilizes coding expertise, combined with medical policy,...expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity.… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine auditing… more
- Wacker Chemical (Ann Arbor, MI)
- …Customs and Border Patrol practices and procedures. This role will support auditing and investigations regarding customs claims and inquiries. Candidates should ... Customs Compliance Specialist II Job Location (Short): Ann Arbor, MI,...demonstrating the ability to effectively prioritize tasks and deliver high- quality work in a timely manner are essential. +… more
- Orlando Utilities Commission (Orlando, FL)
- …distributions, loans, hardships and compliance testing. + Assist in reviewing routine claims and auditing employee contributions and related payroll deductions; ... **One** **,** is presently seeking a **Leave of Absence Specialist ** to join the Employee Experience division. At OUC,...Prepare reports and support audits related to claims , leave requests, STD/LTD processes managed by third-party vendors.… more
- C&W Services (New York, NY)
- **Job Title** HSSE Regional Specialist **Job Description Summary** POSITION SUMMARY The Environmental Health & Safety (EH&S) Manager is responsible for providing ... report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager… more
- OhioHealth (Columbus, OH)
- …in our network, managing current contracts on the physicians and the management of claims complaints and quality of care complaints. The handling of recruitment ... and demographic information is correct for directory, website distribution, and claims payment. This position is the Liaison between departments within OhioHealth… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... proficiency demonstrated by long-standing, consistent results, advanced coding knowledge and auditing skills evidenced by their ability to train others, to identify… more
- Allied Universal (Irvine, CA)
- …and eligibility. **Job Description:** Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist provides support for Health & ... support. This position will handle vendor management in order to provide high- quality , effective, and compliant benefit programs, administration, and service for all… more
- CDPHP (Latham, NY)
- …member-focused, and community-based not-for-profit health plan that offers high- quality affordable health insurance to members throughout New York. ... The company values people, quality , innovation, and community, and its corporate culture supports...a part of that experience. The Risk Adjustment Coding Specialist will be responsible for the chart review and… more
- Wabtec Corporation (Chicago, IL)
- …we want someone who is ready to move with us. **Locomotive Materials Specialist ** Don't have experience with locomotives? That's ok! We provide in-depth training to ... give our materials specialist the knowledge and expertise needed to be successful....required, including having a flexible work schedule to perform auditing and training on various shifts. **What will your… more
- Robert Half Accountemps (Nashua, NH)
- Description Nashua, NH - ON-SITE - Patient Access Specialist - 3rd Shift Position Hours 11:00am-7:00pm - Multiple Openings We are looking for a dedicated Patient ... Access Specialist to join our team in Nashua, New Hampshire....input benefit data to support billing processes and enhance claims accuracy. * Utilize software tools to identify potential… more
- Hartford HealthCare (Farmington, CT)
- …Terminology(CPT) codes and resulting DRGs/APCs to ensure consistency and efficiency in claims processing, data collection, and quality reporting for HHC * ... common practices across the system. *JOB SUMMARY and RESPONSIBILITIES:* * Auditing * * Validates International Classification of Diseases, Tenth Edition, Clinical… more