• Account Specialist

    Elevance Health (Wallingford, CT)
    **Account Specialist ** **Location: Must be within a commutable distance of the Wallingford, CT office. Position has both office and remote expectations.** ... **Compensation: Base salary + Sales incentive plan** The **Account Specialist ** is responsible for supporting strategic sales and account associates in the growth… more
    Elevance Health (09/17/24)
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  • Receivable Specialist

    Baystate Health (Springfield, MA)
    **Summary:** Under the direction of the Receivables Supervisor and Lead ; identifies medical insurance denials/appeals, makes appropriate system changes, ... through the Enterprise Task Management System (ETM). **2)** Reviews all denied claims for third party payer on "Explanation of Benefits" and remittance advises… more
    Baystate Health (09/14/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Wallingford, CT)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
    Elevance Health (09/11/24)
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  • Safety Manager

    Reyes Holdings (Enfield, CT)
    …initiating and implementing safety and prevention programs and coordinating claims management activities and developing, managing and evaluating wellness programs ... mitigate future similar injuries + Work with the TPA claims adjusters to ensure proper and efficient handling of...development and program evaluation + Experience as a project lead (ie Safety lead for acquisition, etc.)… more
    Reyes Holdings (09/10/24)
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