• Monster (Allentown, PA)
    …of coding software applications.The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or ... a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified...role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding… more
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  • Monster (Allentown, PA)
    …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims more
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  • Monster (Findlay, OH)
    PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, ... without requiring further intervention. This staff member performs all pre- claim submission activities, including verifying existing information is accurate,… more
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  • 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
    HireLifeScience (09/06/25)
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  • 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
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  • 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
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  • 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
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  • 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
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  • 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
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  • Monster (Findlay, OH)
    …and mitigation of compliance risks. The purpose of the HIS Coding Integrity Specialist III is to assign diagnosis and procedure codesto patient accounts utilizing ... workload requires. Other responsibilities also include abstracting of accounts, resolving claim edits, researching coding issues, querying the physician, and being… more
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  • Monster (Wendell, NC)
    Accentuate Staffing is currently seeking an AR/Rebates Specialist for our client in Wendell, NC 27591. The ideal candidate will have some experience in one or more ... and statement request. Review and process marketing co-op advertising claims . Review and process sales program and sales bonus.... Review and process sales program and sales bonus claims . Send out notices to customers and track and… more
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  • 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
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  • Monster (Findlay, OH)
    …and mitigation of compliance risks. The purpose of the HIS Coding Integrity Specialist II is to assign diagnosis and procedure codesto patient accounts utilizing ICD ... workload requires. Other responsibilities also include abstracting of accounts, resolving claim edits, researching coding issues, querying the physician, and being… more
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  • Monster (Dublin, CA)
    Innova Solutions is immediately hiring for a Solutions Specialist II (Collections) Consultant Position type: Contract Duration: 4 mo+ Location: Dublin, CA As a(n) ... Solutions Specialist II (Collections) Consultant: Highly proficient debt collector, with...to management the disposition of delinquent loans for small claims court, repossession, credit revocation, field investigation, or legal… more
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  • Monster (Northfield, IL)
    Job Summary Under general supervision, the Regulatory Specialist is responsible for planning and executing regulatory activities necessary to bring new ... Participate in the development, review, and substantiation of product labeling and claims . Present project objectives with team members, solve problems, and act as… more
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  • Monster (Carlisle, PA)
    …accounting-based solutions such as carrier payment, customer invoicing, reconciliation and claims support, as directed. Support all other activities as assigned by ... the Sz15 Senior Logistics Manager or Transportation Manager. Essential Functions: Excellent communication and interpersonal skills required. Ability to accurately write or otherwise record information such that it is readily useable by coworkers, customers,… more
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  • Monster (Greenville, TX)
    …The role is also responsible for processing warranty and non-warranty RMA claims to ensure customer satisfaction. Representatives are expected to maintain a strong ... technical understanding of products throughout their lifecycle-from development and pre-sales support through field use, ongoing support, and end-of-life. This encompasses knowledge of how products are designed, manufactured, tested, deployed, diagnosed,… more
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  • Monster (New Paltz, NY)
    …and facilitates resolution. May be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. May be ... and that processing of denials are at optimal levels Ensure daily/weekly/monthly medical claim submission. Resolve claim and remittance file issues as needed.… more
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  • Monster (Baltimore, MD)
    …employers, by providing an efficient forum for the resolution of individual claims . OUR VISION The Workers' Compensation Commission envisions a state wherein injured ... with relevant information needed for the adjudication of workers' compensation claims . It is responsible for processing Orders, Settlements and correspondence as… more
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  • Monster (Cary, NC)
    …9am - 6pnm Patients Benefits Representative Overview: The Patient Access Specialist , Rare/Orphan will be responsible for benefits investigation, prior authorization ... support, and claims adjudication, as well as refill management and delivery...patient's profile by processing eligibility checks and adjudicating pharmacy claims . * Adjudicate claims and troubleshoot rejections… more
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