- CareOregon (Portland, OR)
- …Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary exceptions, appeals , ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title Pharmacy… 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
- State of Colorado (Greeley, CO)
- …with Disabilities Act (ADA). + Act as the Region 4 representative for unemployment claims , appeals and litigation for employment related matters. + Will collect ... Employee Relations Specialist (Administrator II) - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4488772) Apply Employee Relations … more
- CEENTA (Huntersville, NC)
- Primary Objective The Insurance Specialist creates and sends medical claims for the insurance companies and the patients. The Insurance Specialist is ... correct amount. Other responsibilities include following up on unpaid claims , clarifying discrepancies, reviewing bills, and confirming eligibility. Essential… more
- The New Jewish Home (Bronx, NY)
- …Care, Medicaid (NY) billing and reimbursement + Prior experience working with managed care claims and appeals processes for skilled nursing home is required + ... Bronx is seeking a full time Managed Care Billing Specialist to join our team. The Managed Care ...is responsible for resolving managed care denied and underpaid claims timely. Responsibilities + Must be able to understand… more
- US Courts (Washington, DC)
- Summary The United States Court of Appeals for the Federal Circuit (CAFC) is unique among the thirteen Circuit Courts of Appeal. It has nationwide jurisdiction in a ... including international trade, government contracts, patents, trademarks, certain money claims against the United States government, federal personnel, veterans'… more
- Mindful Support Services (Mountlake Terrace, WA)
- …succeed, both personally and professionally. About the role: The Insurance Follow-Up Specialist is responsible for reviewing rejected claims , posting insurance ... via insurance calls and portal navigation + Claims reprocessing requests, corrected claims , and appeals + Navigating many commercial insurances such as Blue… more
- State of Colorado (Denver, CO)
- Life Safety and Environmental Risk Specialist - Colorado Mental Health Hospital in Fort Logan Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4482356) Apply Life Safety and Environmental Risk Specialist - Colorado Mental Health Hospital in Fort Logan… more
- HCA Healthcare (Brentwood, TN)
- …to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has committed up to ... auto and home insurance, identity theft protection, legal counseling, long -term care coverage, moving assistance, pet insurance and more....are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our… more
- HCA Healthcare (Brentwood, TN)
- …want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... auto and home insurance, identity theft protection, legal counseling, long -term care coverage, moving assistance, pet insurance, and more....We are looking for a dedicated Denial Coding Review Specialist like you to be a part of our… more
- Sharp HealthCare (San Diego, CA)
- …with Medical Group Appeals on members with SNF services under appeals process.Reviews SNF claims for medical necessity and appropriateness when any ... necessary for activities related to Medical Groups' Quality and Appeals processes. + Demonstrates knowledge of department policies and...information on the claim is disputed and claims department is requesting verification. + Plan of care… more
- El Paso County (Colorado Springs, CO)
- …Services Benefits & Eligibility (Associate & Specialist ) Print (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4474311) Apply Human Services ... Benefits & Eligibility (Associate & Specialist ) Salary See Position Description Location Colorado Springs, CO...Program [formerly Food Stamps], Colorado Works, Adult Financial and Long Term Care. This position is part of the… more
- MaineGeneral Health (Waterville, ME)
- …with us. Job Description: Join Our Team as an Accounts Receivable Resolution Specialist The Opportunity: This role presents an exciting opportunity to become an ... and electronic formats as per departmental and payer guidelines. Review and edit claims for accuracy before submission to payers, ensuring the correct diagnosis and… more
- US Army Corps of Engineers (Fort Worth, TX)
- …and bond reviews. Assists with the preparation of agency responses and case files for claims , appeals and bid protests, and is the primary point of contact for ... Summary About the Position: This is a Paralegal Specialist , GS-0950-07/09/11 position with the US Army Corps...for the District. Serves as assistant to the District Claims Officer and is responsible for the investigation of… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medical Certification Specialist 1 -2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4489156) Apply Medical Certification Specialist 1 ... be filled from this recruitment as a Medical Certification Specialist 1 or 2 depending on the level of...services provided to individuals by providers, facilities, waivers, and/or long term care programs are in compliance with federal… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill… more
- CVS Health (St. Paul, MN)
- …to complex issues. May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist adjudication authority ... affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Albany, NY)
- …handle customer service inquiries and problems. Required Qualifications - Reviews pre-specified claims or claims that exceed specialist adjudication ... and affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines . Acts as a… more
- Great River Health (West Burlington, IA)
- …Coordinates and assists in reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carrier. ... filing system. Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and… more
- Garnet Health (Middletown, NY)
- …to make your career home with us as a Physician Practice Billing Specialist on our Patient Financial Services team at/in Garnet Health Medical Doctors. ... Billing's medical claim billing software, Epic, the Physician Practice Billing Specialist is primarily responsible for communicating with all insurance carriers.… more