- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Shift Daytime Job Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment Integrity ... role will act as the point of contact for claim related research. Serves as a claims ...units to ensure timely resolution of open issues. The Specialist assumes ownership and accountability for the timely and… more
- Hallmark Financial (Dallas, TX)
- Job Description: Job Summary The Compliance Specialist : Accurately processes monthly compliance review ensuring regulatory compliance. Essential Functions include ... the following. Other duties may be assigned. Process monthly and quarterly SOX compliance control testing. Assist with internal and external compliance audits. Maintain compliance records. Complete additional compliance related tasks as they arise… more
- Eisai, Inc (Pittsburgh, PA)
- …profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic ... territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
- Premier Auto Credit (Glendale, CA)
- …has insurance coverage, the verification specialist will inform the insurance claim specialist . The insurance verification specialist will: Ensure that ... Insurance Verification Specialist Our Collections team is currently seeking an...losses by identifying opportunities to open and resolve insurance claims on insured vehicles that are damaged. Ensure that… more
- Aequor (Golden Valley, MN)
- …Certifications Specialist is responsible for assuring compliance of third-party claims and certifications. This Certifications Specialist position is a ... globally to support business needs. Key Accountabilities: Provide global claims and certification expertise and collaborate cross-functionally to leverage… more
- Monster (New Paltz, NY)
- …of protected information May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. May be ... SUMMARY: *Experience Differential & Education Differential* The Revenue Cycle Specialist II is cognizant of the philosophy, standards, objectives and policies of the… more
- Monster (New Paltz, NY)
- …on annual changes. May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. Maintains ... SUMMARY: The Revenue Cycle Specialist I is cognizant of the philosophy, standards,...clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets… more
- Monster (Findlay, OH)
- …of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits.Support Condition 44 ... enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist , Revenue Integrity Auditor,… more
- Greenfield Rehabilitation Agency/Rehab Resources (Brookfield, WI)
- …Description Join Our Growing Team at Greenfield Rehabilitation Agency as a Billing Specialist ! Are you ready to make an impact? Greenfield Rehabilitation Agency is ... detail-oriented individuals to become part of our dynamic team! As a Billing Specialist at our corporate headquarters, you'll play a pivotal role in supporting… more
- Monster (Santa Fe Springs, CA)
- What you'll need to succeed as an Operations Specialist for Over, Short and Damage at XPO Minimum qualifications: 2 years of operational experience in ... of experience in OS&D Knowledge of hazardous materials regulations About the Operations Specialist for Over, Short and Damage job Pay, benefits and more: Expected… more
- Monster (Philadelphia, PA)
- …Solutions has a client that is immediately hiring for Senior Clinical Compliance Specialist Position type: Full-time - Contract to hire Duration: 3 months Location: ... Philadelphia, PA As Senior Clinical Compliance Specialist , you will be: Responsible for investigating, reviewing, and applying clinical and/or coding expertise in… more
- Monster (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... review. Provides billing with information needed to obtain payment of claims .Remote within local geography after orientation. JOB DUTIES AND RESPONSIBILITIES:… more
- Monster (Crystal, MN)
- …Certifications Specialist is responsible for assuring compliance of third-party claims and certifications. This Certifications Specialist position is a ... Job Title: Quality Certifications Specialist Location: Golden Valley, MN Hours/Schedule: Type: Contract Overview The… more
- Aftermath Billing (Port Saint Lucie, FL)
- …Collector is responsible for managing accounts receivable for behavioral health claims , including follow-up with insurance payers and patients. This role plays ... applicable regulations. Key Responsibilities: Monitor and manage outstanding behavioral health claims . Follow up with insurance companies to ensure timely payment.… more
- Monster (Lacey, WA)
- …implement safety initiatives to reduce the frequency of EHS incidents and claims at locations. Support facilities in conducting incident investigations. Assist in ... and meetings. Partner with HR and Workers Compensation representatives for claim follow-up. Complete annual regulatory reporting (environmental and safety) on behalf… more
- ELECTRICAL COMPONENTS INTERNATIONALHOLDINGS COMPANY (Southfield, MI)
- …Location Southfield Michigan - Southfield, MI Job Category Finance B2B Collections Specialist Electrical Components International (ECI) is seeking a B2B Collections ... Specialist to join our team. Who We Are Founded...consignment inventory issues, delivery schedules, technical specifications, or warranty claims affecting payments. Support Continuous Improvement: Participate in process… more
- Accessia Health (Midlothian, VA)
- POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS MANAGED : None STATUS : Non-Exempt SUMMARY: The Case Management ... Specialist is responsible for acting as a bridge between...priorities, meet deadlines, and ensure accuracy in documentation and claims processing. Compassion for patients with chronic conditions and… more
- Monster (Springfield, IL)
- Job Summary The Sr. R&D Specialist will work with internal business partners and product development teams to provide technical support for biocompatibility ... or in-vivo safety testing required in support of a product claim Compile risk assessments, identify gaps, and propose solutions. Represent Medline… more
- Gentle Dental (Corbett, OR)
- …experts of billing, account and insurance information. You will successfully manage claims and have extensive experience in working with DentiCal insurance. From the ... first appointment to the last, our Insurance Billing Specialist lead patients to a happy and healthy smile! Full benefits including medical, dental, vision, life… more
- Monster (Brentwood, TN)
- …Currently, we are searching for a Data Analytics and Business Intelligence Specialist to fulfill an immediate vacancy. This individual will be responsible for: ... in python. Proactive self-starter with the ability to independently identify problems. Having a healthcare background in claim , adjustments, etc. is a plus. more
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