• 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
    Upward (07/31/25)
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  • 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
    Upward (08/10/25)
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  • Mom's Meals (Ankeny, IA)
    …medical administrative assistance, or healthcare finance + Previous experience with electronic claims , such as electronic 835/837 claim and remit files, Zirmed, ... Position SummaryThe Billing Specialist is responsible for performing specified financial tasks...drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and… more
    DirectEmployers Association (10/16/25)
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  • Morley (CA)
    …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 5 am… more
    DirectEmployers Association (10/22/25)
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  • Eisai, Inc (Cincinnati, OH)
    …profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic ... assigned territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in the IV and oral markets… more
    HireLifeScience (10/11/25)
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  • 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
    Upward (08/12/25)
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  • Mom's Meals (Ankeny, IA)
    …drive to solve problems, drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and benefits available after 30 days ... Validate accuracy of system posted A/R payments + Backup claims denial team as needed + Prepare and submit...(CMS-1500, UBs, invoices, and payer portals, etc.) + Resolve claim rejections timely and resolve claim denials… more
    DirectEmployers Association (10/16/25)
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  • Stanford Health Care (Palo Alto, CA)
    …Health Care job.** **A Brief Overview** The Single Path Coding (SPC) Specialist -Level 2 is an advanced coder position responsible for reviewing clinical ... American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist II serves as a subject matter expert in...modifiers as applicable for both the hospital and professional claim + Validate and process any medical necessity edits… more
    DirectEmployers Association (10/23/25)
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  • 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
    Upward (08/08/25)
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  • Post Holdings Inc. (Lakeville, MN)
    …in North America. **Responsibilities** **OVERVIEW:** The role of the Product Specialist is to increase consumer satisfaction and decrease company risk. This ... role deals with the most complex consumer concerns. The Product Specialist represents multiple brands and the larger organization to consumers by managing and… more
    DirectEmployers Association (09/26/25)
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  • Stony Brook University (East Setauket, NY)
    Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
    DirectEmployers Association (10/03/25)
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  • Mom's Meals (Ankeny, IA)
    Position SummaryThe Temporary Benefits and Leaves Specialist works closely with Human Resources and department leaders to administer the company's leaves and total ... and coverages for new employees + Provide guidance during claims or enrollment new hire processes + Maintain records...types of leaves of absence + Review specific leave claims or requests with the Leave of Absence vendor,… more
    DirectEmployers Association (10/25/25)
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  • 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
    Upward (07/31/25)
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  • Stanford Health Care (Palo Alto, CA)
    …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
    DirectEmployers Association (10/22/25)
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  • 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
    Upward (07/31/25)
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  • 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
    DirectEmployers Association (10/10/25)
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  • Centers for Independence (Milwaukee, WI)
    **Billing Specialist II** **Job Details** **Job Location** CFI Main Campus - Milwaukee, WI **Position Type** Full Time **Education Level** High School Diploma, HSED, ... Percentage** None **Job Category** Finance **Description** **Job Purpose** : The Billing Specialist II is responsible for all facets of billing and collections for… more
    DirectEmployers Association (10/18/25)
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  • Washington Metropolitan Area Transit Authority (Hyattsville, MD)
    Specialist , Acquisition Planning & Contract Compliance Job ID: 250964 Location: MD - Metro Supply Facility Full/Part Time: Full-Time Posting Open-Close 10/22/2025 - ... Union 002 Regular/Temporary: Regular **Job Description** **Marketing Statement:** The Specialist in Acquisition Planning & Contract Compliance at WMATA plays… more
    DirectEmployers Association (10/23/25)
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  • Morley (Atlanta, GA)
    …in a new way! **_What to Expect_** As a remote Retail Auto Parts Specialist at Morley, you'll process retail parts and labor rate requests. You will provide ... labor rates + Scan and upload documents needed for claims review + Review mailed-in documents + Offer timely...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist : careers.morleycompanies.com | chat hours: M-F 8 am -… more
    DirectEmployers Association (10/23/25)
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  • FM (Johnston, RI)
    …loss prevention with insurance protection. **Summary** The Corporate Affairs Contracts Specialist II role is responsible for providing global legal and compliance ... subsidiaries (FM) with contracts, inclusive of non-disclosure agreements (excludes Claims and litigation based non-disclosure agreements). Responsibilities extend to… more
    DirectEmployers Association (09/24/25)
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