- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and respond to carrier and/or arbitrator inquires + Submit claims through state arbitration portals Qualifications : To perform… more
- WelbeHealth (Los Angeles, CA)
- **Plan Operation Audit Specialist ** WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an ... the healthcare and social services needed to thrive. The Plan Operations Audit Specialist will be accountable for validating various system configurations… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by timely ... accurate processing of claims appeals and performing claims audit , ensuring payment integrity and compliance...Medicaid and Medicare benefits, enrollment and billing, and provider contracting is strongly preferred. + Knowledge of CPTs, ICD… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: Facilities Contract Specialist (Level I/II) Non-Competitive Progression Location: United States-Virginia-Virginia Beach Job Number: 2500008Z Are you ready to ... advance your career in facilities design and construction contracting ? NEXCOM is seeking driven professionals to join our team as Contract Specialist I and II… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: SENIOR FACILITIES CONTRACT SPECIALIST Location: United States-Virginia-Virginia Beach Job Number: 2500008Y Navy Exchange Service Command (NEXCOM) offers ... Grade: NF05, Salary Code 5A. Acts as the Senior Facilities Contracts Specialist performing all duties related to the planning, development, advertisement, award,… more
- Naval Supply Systems Command (Virginia Beach, VA)
- …Exchange Service Command (NEXCOM) as the Senior Facilities Contract Specialist , providing cradle-to-grave contracting expertise for construction, facilities, ... multi-phase projects. Responsibilities Acts as the Senior Facilities Contracts Specialist performing all duties related to the planning, development, advertisement,… more
- Walgreens (Deerfield, IL)
- …events etc). + Acts as a liaison and partners with Provider Enrollment, Accounting, Contracting , Medicare B Operations, and Third Party Audit teams for store ... and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers.… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- Summary The incumbent serves as a Supervisory Mobility Transportation Specialist - Mobility Manager and manages all Veterans Transportation System (VTS) and ... including patient transport, Special Mode Travel (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility transfers,… more
- Manulife (Boston, MA)
- **Compliance and Retiree Benefits Specialist ** The Compliance and Retiree Benefits Specialist is a member of the Global Health and Wellbeing Team, focused on ... Responsibilities:** Compliance Management: + Complete deliverables to support the annual ERISA audit . Partner with vendors to facilitate and validate data due to… more
- Trinity Health (Livonia, MI)
- …in the program, services & applications. Trinity Health Senior Coding Compliance Specialist Assists management in conducting annual, periodic and project level risk ... of revenue cycle, coding & billing, physician financial relationships, payer contracting , conflicts of interest and/or clinical research. Must possess detailed… more