• Claims Setup Specialist

    Raphael and Associates (Rutherford, NJ)
    We are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial ... position located at our Rutherford, NJ, headquarters. Key Responsibilities: + Initial Claims Setup : + Review FNOL (First Notice of Loss) and ensure all necessary… more
    Raphael and Associates (08/07/25)
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  • Client Setup Specialist

    Raphael and Associates (Rutherford, NJ)
    …We are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial ... assigning claims to the appropriate adjusters. Key Responsibilities: + Initial Claims Setup : + Review FNOL (First Notice of Loss) and ensure all necessary… more
    Raphael and Associates (08/07/25)
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  • Claims Investigator

    Allied Solutions (Plano, TX)
    Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. ... will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim...insurance/recovery claim experience as a Claim Processor or Claim Specialist with a minimum of 9 months to 2… more
    Allied Solutions (07/13/25)
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  • Claims Assistant

    Aston Carter (Portland, OR)
    …resolution/settlement and payment process. This role provides administrative support to the Claims Manager and Claims Specialist , and involves interaction ... Job Title: Claims AssistantJob Description The Claims Assistant...a 100% fully remote work environment after the initial setup day in the Portland office to receive laptop… more
    Aston Carter (10/04/25)
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  • Adjudication Specialist

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    …for career advancement to all our team members. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing ... Adjudication Specialist Job Details Job Location Polaris Pharmacy Services...and enhance our services. DUTIES/RESPONSIBILITIES: + Manage and Identify Claims Portfolio: + Review and evaluate insurance claims more
    Polaris Pharmacy Services, LLC (09/10/25)
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  • Medicare Billing Specialist - Onsite

    Community Health Systems (La Follette, TN)
    **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... revenue cycle teams, clinical departments, and external payers to ensure claims are submitted in accordance with regulatory guidelines and organizational policies.… more
    Community Health Systems (09/09/25)
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  • User Support Specialist

    State of Arkansas (Little Rock, AR)
    USER SUPPORT SPECIALIST Date: Oct 2, 2025 Req ID: 53310 Location: Little Rock, AR, US, 72201 Category: AR PUBLIC DEFENDER COMMISSION Anticipated Starting Salary: ... Position Information Job Series:User Support - Career-path Classification:User Support Specialist Class Code:IUS04P Pay Grade:IST02 Salary Range:$45,392 - $74,060… more
    State of Arkansas (10/03/25)
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  • Business Optimization Specialist -Pricing

    Nestle (Solon, OH)
    …**PRIMARY RESPONSIBILITIES:** + Perform review of new customer sold-to pricing for proper setup , as well as, pricing for customers extended to new sales areas and ... Trade Assets + Receive, analyze, and validate new price setup requests from price owners, ensuring compliance with market...pricing components in order to reduce pricing errors and claims , as well as improve invoice accuracy in the… more
    Nestle (09/30/25)
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  • Benefits Solutions Specialist

    ADP (Norfolk, VA)
    ADP is hiring a **Benefit Solutions Specialist - I.** **POSITION SUMMARY:** Ensures platform configuration and readiness to support a client through their annual ... tasks are accomplished on time and as required. The Specialist is responsible for all hands-on configuration and related...Primary point of contact for Comprehensive Benefits clients + Setup and management of benefit plans and annual enrollment… more
    ADP (10/01/25)
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  • Retirement Services Specialist Senior…

    State of Minnesota (St. Paul, MN)
    **Working Title: Divorce & PRO Specialist Senior** **Job Class: Retirement Services Specialist Senior** **Agency: Public Employees Retire Assoc** + **Job ID:** ... / Pub Employ Retire Assoc-MAPE + **Division/Unit:** Pension Services / Benefit Services Claims + **Work Shift/Work Hours:** Day Shift + **Days of Work:** Monday -… more
    State of Minnesota (09/30/25)
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  • Human Resources Specialist job in

    Prolink (Cincinnati, OH)
    Human Resources Specialist (2025-3168) job in Cincinnati, OH **Location:** Cincinnati, OH **Role Type:** Human Resources **JOB SUMMARY** We're looking for an ... experienced Human Resources Specialist to join our team and provide both hands-on...exciting opportunity to make an impact. **RESPONSIBILITIES** Manage unemployment claims , workers' compensation cases, subpoenas, and employee records requests,… more
    Prolink (09/18/25)
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  • Authorization Specialist

    Option Care Health (Tallahassee, FL)
    …accounts, obtaining necessary clinical documentation, and verifying medical necessity. The specialist must have a solid understanding of basic medical coding, ... and timely authorization requests to insurance companies and payers + Ensure proper setup and maintenance of patient accounts in the system + Obtain and review… more
    Option Care Health (10/04/25)
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  • Lead Event Specialist Part Time

    Acosta Group (Laurel, MD)
    …on the same day as Event execution. * Takes digital photos of Perfect Table Setup to document success stories for clients. _This role is not expected to exceed more ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
    Acosta Group (10/04/25)
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  • Lead Event Specialist Part Time

    Acosta Group (Elmsford, NY)
    …on the same day as Event execution. * Takes digital photos of Perfect Table Setup to document success stories for clients. _This role is not expected to exceed more ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
    Acosta Group (10/04/25)
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  • Clinical Service Desk Specialist

    NTT DATA North America (Savannah, GA)
    …healthcare cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management and policy administration, ... time, if required + Lift up to 25 lbs. if needed for equipment setup + Have a working cell phone for manager communication and Two-Factor Authentication Preferred… more
    NTT DATA North America (09/18/25)
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  • Lead Event Specialist Part Time

    Acosta Group (Rosedale, MD)
    …on the same day as Event execution. * Takes digital photos of Perfect Table Setup to document success stories for clients. _This role is not expected to exceed more ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
    Acosta Group (08/27/25)
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  • Fabricator

    Morley (Saginaw, MI)
    …Saginaw, Michigan. Tasks include exhibit design, construction, inspection, packing, shipping, setup and tear-down. **_Work Location_** + Corporate office in Saginaw ... is used constructively + Exhibit design, construction, inspection, packing, shipping, setup and tear-down + Help with design specifications for exhibit components… more
    Morley (10/03/25)
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  • Work at Home Customer Service Advisor (Michigan…

    Morley (Lansing, MI)
    …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist : careers.morleycompanies.com | chat hours: 8 am - 5 pm Eastern time ... time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health...Should a longer cord be required for your work-from-home setup , you will be asked to supply a longer… more
    Morley (09/23/25)
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  • EDI Production Support Analyst

    CVS Health (OR)
    …heart, each and every day. **Position Summary** As an EDI Production Support Specialist , you'll serve as a key resource for both internal and external customers, ... education as needed. + Assist clients with regression testing and EDI connection setup for member rosters and provider files. + Review detailed technical designs for… more
    CVS Health (10/03/25)
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  • Manager of Delegated Credentialing & Enrollment

    Bassett Healthcare (Cooperstown, NY)
    …staff performance, and collaborates with internal departments to support clean claims and regulatory compliance. + Decision Maker + Credentialing & Enrollment ... across provider databases and interfaced applications + Oversee EPIC provider setup processes and ensure timely ticket submissions for system updates +… more
    Bassett Healthcare (10/02/25)
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