- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Morley (Madison, WI)
- **About the Role** **_Role: Full time | Remote - Wisconsin residents_** Looking for a work-from-home opportunity that will help you make the move from a job to a ... managers and clients + Initiate status reports or service recovery letters to the inquirer + Route inquiries when...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 7 am… more
- Molina Healthcare (St. Petersburg, FL)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
- The Hertz Corporation (Oklahoma City, OK)
- **A Day in the Life:** The Recovery Specialist is responsible for managing claims including billing, collections, and adjustments. This role partners with ... and works with customers and insurance carriers to resolve claims over the phone and through email. We expect...for incentives. The department currently rotates being onsite and remote on a weekly basis. **What You'll Do:** +… more
- Henry Ford Health System (Troy, MI)
- …completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently ... The CBO Insurance Sr. Specialist is responsible for effectively and efficiently resolving...Information + Organization: Corporate Services + Department: CBO Insurance Recovery - HB + Shift: Day Job + Union… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...Information + Organization: Corporate Services + Department: CBO Insurance Recovery - HB + Shift: Day Job + Union… more
- ENFRA (Houston, TX)
- …**Job Locations** _US-TX-Houston_ **ID** _2025-8519_ **Category** _Engineering/Designers_ **Position Type** _Full-Time_ ** Remote ... the pillars of our continued success. **Overview** The Senior Project Controls Specialist is responsible for providing oversight of project Planning & Scheduling,… more
- Western Digital (Boise, ID)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Sulzer Pumps US Inc. (Easley, SC)
- …society.** **Your main tasks and responsibilities:** **Position Summary:** The IT Support Specialist is responsible for providing Tier 1 and Tier 2 technical support ... and Group Policy.- Manage virtualization platforms (Hyper-V), backups, and disaster recovery procedures.- Monitor and apply security updates, antivirus, and system… more
- Molina Healthcare (Sterling Heights, MI)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses… more
- Molina Healthcare (Milwaukee, WI)
- …review to facilitate a referral to law enforcement or for payment recovery . **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical ... records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines,...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- General Dynamics Information Technology (Las Cruces, NM)
- …customer service? Is helping callers resolve their questions regarding insurance claims and how their Medicare benefits coordinate with other insurance coverage ... questions from customers regarding Coordination of Benefits, Medicare Secondary Payer claims , and billing questions within a fast-paced call center environment. This… more
- Molina Healthcare (Detroit, MI)
- …(specialty and ancillary) contracts highly desirable. **STATE SPECIFIC REQUIREMENTS** : Certified Recovery Peer Specialist certification required in the state of ... **_ Remote and must live in Michigan _** **Job...and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple … more
