- Scripps Health (San Diego, CA)
- …of our employees have been with Scripps Health for over 10 years. The Senior Provider Relations / Contract Specialist is the liaison between the medical ... ** **Job:** **Regulatory* **Organization:** **Scripps Health Corp* **Title:** *Senior Provider Relations /Contract Specialist * **Location:** *Central San… more
- Centene Corporation (East Syracuse, NY)
- …expert for provider relations activities and as a mentor for Provider Relations Specialist I staff + Ability to travel **Education/Experience:** High ... degree in healthcare related field preferred. 5+ years of sales, provider relations , or contracting experience. Claims processing and/or managed care… more
- State of Colorado (Greeley, CO)
- Employee Relations Specialist (Administrator II) - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4488772) Apply Employee ... Relations Specialist (Administrator II) - Greeley Salary...and State Civil Rights Laws, Rules, and Regulations. The Specialist will provide guidance and advice to… more
- State of Colorado (Denver, CO)
- Employee & Labor Relations Human Resources Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4475856) Apply Employee & Labor ... Relations Human Resources Specialist Salary $56,028.00 - $70,032.00 Annually Location Denver, CO...Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard… more
- TE Connectivity (PA)
- Employee Relations Specialist **At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, sustainable ... connected world.** **Job Overview** ****5 years' experience in Employee Relations and/or workplace issue related investigations, Labor/Employment relations ,… more
- Drug Enforcement Administration (Arlington County, VA)
- …States who share our commitment to public service. As a Human Resources Specialist (Employee Relations ) your typical work assignments may include: Providing ... This position's primary purpose is to support the Employee Relations Unit, responsible for providing advice and guidance to...met by the closing date of this announcement. Qualification claims will be subject to verification. You may qualify… more
- AIG (Jeffersonville, IN)
- Job Description/Requirements Senior Consumer Relations Specialist reviews the underlying facts of the complaint, determines an appropriate solution, and delivers ... customers. This role will assist other team members to provide accurate claim resolutions. To do well in this...a positive and professional attitude when dealing with escalated claims . + Ability to negotiate with customers and vendors.… more
- Robert Half Finance & Accounting (Syracuse, NY)
- …in supporting the organization in strategic decisions related to Labor and employment Relations . RESPONSIBILITIES: * Provide advice and guidance to Management as ... with one of his clients to hire a Labor Relations Manager. This organization has awesome benefits and a...as needed by investigating circumstances of incident, validity of claims , adherence to contract policies and completion of resolution… more
- Henry Ford Health System (Detroit, MI)
- …current standards and regulations and must maintain stringent compliance with payers. The Provider Enrollment Specialist maintains excellent relations and is ... entry, data collection, analysis of information collected for appropriate enrollment. The Provider Enrollment Specialist must be knowledgeable to work in all… more
- Centene Corporation (Phoenix, AZ)
- …between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for ... Bachelor's degree in healthcare related field preferred. 3+ years of sales, provider relations , or contracting experience. Knowledge of health care, managed… more
- Providence (Santa Rosa, CA)
- **Description** Under the direction of the CAO, this position will provide professional support to the physician practice functions. The position requires ... and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon...to identify potential losses, protect records and evidence, monitor claims , manage the acceptance of legal service and to… more
- Crystal Cruises (Downers Grove, IL)
- …serious or urgent nature in a timely fashion + Continuously monitor the Guest Relations email box, assign files, highlight problem areas, and note trends + Monitor ... all compensation financial figures for accurate reporting purposes + Research and provide necessary information to insurance companies for processing guest claims… more
- Fallon Health (Worcester, MA)
- …timeframes, PUNKS, QNXT case inventory/assignments, etc.) + Assist and support the Provider Relations Representative on Provider enrollment initiatives. + ... health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program… more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. The Provider Service Specialist responds in a timely and accurate manner to ... provider inquiries made by phone, in person and in...documentation policies + Review, investigate and advise providers regarding claims status and payment determinations + Maintain a comprehensive… more
- CareFirst (Baltimore, MD)
- …to the required work experience. **Experience** : 4 years experience in contracting, provider recruitment and/or provider relations 1 year Experience as ... for: 1) ensuring accurate and timely credentialing and subsequent submission of provider information to support claims submission, 2) ensuring submission of… more
- Highmark Health (Dover, DE)
- …collaborative work with the other members of the value-based reimbursement team, provider relations , senior markets, analytics, actuary and key internal/external ... requiring 3 days a week in office or at provider sites. This role supports the Southeastern PA market...stake holders to provide the most appropriate support for providers with gain/risk… more
- Access Dubuque (Dubuque, IA)
- Claims Representative - Auto **Sedgwick** 1 Positions ID: R49815 Posted On 04/26/2024 **Job Overview** Taking care of people is at the heart of everything we do, and ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process low… more
- Conduent (Los Angeles, CA)
- … Specialist ** **Pay $17-22hr (Based on Experience)** The Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking ... timely, maximum call time is achieved, and ensures quality results. Insurance-Collections Specialist will handle the collection/recovery of medical claims with… more
- City of Lakeland (Lakeland, FL)
- …Provides support with ADA and accommodations in partnership with the Labor and Employee Relations Specialist . + Works with departments to assess needs and ... of some pay related policies. + Oversees unemployment compensation claims processing and represents the City of Lakeland in...provide solutions in partnership with Employee Relations … more
- TEKsystems (Honolulu, HI)
- …help resolve service issues, gather market intelligence and contract-related concerns, and provide education to ensure and strengthen relations with providers. ... TEKsystems in Hawaii is looking for a Healthcare Specialist to support one of the local healthcare...(in writing, telephonic, or face-to-face) timely and accurately to provider inquiries regarding claims , benefits, and complex… more
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