- PharmaCord (Louisville, KY)
- …a plus. Knowledge of the specialty drug product marketplace, health insurance claims processing , and commercialization of products and working with manufacturers ... to our Talent Acquisition team immediately at ###@pharmacord.com The Pharmacy Quality Specialist is responsible for performing various types of audits, acting as a… more
- Express Employment (Bemidji, MN)
- …Resources Professional Express Employment Professionals is hiring an Experienced Human Resources Specialist for a well-established company in Grand Rapids, MN . This ... to take ownership of HR processes and play a key role in a growing business . Starting salary ranges from $65,000 - $75,000/year, based on skills and experience. Key… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** ... + Being a Subject Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Administration Specialist performs timely and accurate data-entry and transactional processing in the claims administration system. The incumbent processes ... addition to Level I Accountabilities) * Resolves moderately complex claims processing and claims history...One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and...for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations,… more
- Dignity Health (Bakersfield, CA)
- …Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related… more
- NJM Insurance (Parsippany, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Ability to manage return to work expectations ... The Workers Compensation department is searching for a Claims Account Specialist (I). The ...goals and objectives of the WCC department and company business goals, guidelines, and programs + Recommend process improvements… more
- Pike Corporation (Mount Airy, NC)
- …and maintenance of internal knowledge base. + Handles multiple functions related to business operations, claims processing , and office workflows. + ... Position Overview: The primary purposed of Claims Specialist is to manage various...forms, video evidence, witness statements, and vendor contracts from business clients for use in the claims -handling… more
- Sedgwick (Miami, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist | Medical Malpractice | Professional Liability **PRIMARY PURPOSE** ... preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management… more
- Sedgwick (Long Beach, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze ... preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management… more
- NTT DATA North America (Decatur, IL)
- …Ability Requirements:** + High School Education required. + Minimum 3 years experience of Claims Processing + Minimum 1 year experience processing claims ... the people who work here. NTT DATA seeks a ** Claims Refund Specialist ** on a **project** basis... Manager. This position is responsible for handling the processing of voids and refunds. **Principal Duties & Responsibilities:**… more
- Mass Markets (Killeen, TX)
- …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... key role in developing software to meet the essential business needs of the agency. As a member of...not limited to: * Policy Management System Modernization * Claims Management System Modernization* Robotic Process Automation (RPA) *… more
- McLaren Health Care (Flint, MI)
- …specifications for all information systems, including benefiting and pricing requirements for claims processing . Develops and maintains reporting as needed by ... We are looking for a Claims Coding Specialist , to join us...and approval of testing results for implementation to ensure business requirements are met. Responsible for change management that… more
- Modernizing Medicine (Tampa, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... positive impact on healthcare. Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc....Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping… more
- CGI Technologies and Solutions, Inc. (Nashville, TN)
- ** Business Processing Specialist ** **Category:** Administration **Main location:** United States, Tennessee, Nashville **Position ID:** J0925-0220 ... provision of affordable housing has an opening for a Business Processing Specialist in Nashville,...determining their annual rent adjustments, reconciling monthly payment requests, processing claims for unpaid rent and damages… more
- Kelly Services (Honolulu, HI)
- **Job Posting: Temp-to-Hire Claims Specialist - Dental Agency (Honolulu, HI)** **Now Hiring: Claims Specialist ** **Location:** Honolulu, Hawaii **Pay ... Join a reputable dental agency in Honolulu as a Claims Specialist ! Under the supervision of the...High School Diploma required; post-high school training in data processing , office management, business , or a related… more
- Banc of California (Santa Ana, CA)
- …"bank"). Banc of California is one of the nation's premier relationship-based business banks focused on providing banking and treasury management services to small, ... throughout California and Denver, Colorado, as well as full-stack payment processing solutions through its subsidiary, Deepstack Technologies. The bank is committed… more
- Dignity Health (Bakersfield, CA)
- …of complex healthcare claims . This position requires expert knowledge of claims processing , coding, and regulatory compliance. The Claims Examiner ... **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing , with at least 2 years...+ Associate's Degree - Associate's Degree in healthcare administration, business , or related field preference or experience in lieu… more
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