- Equitable (Charlotte, NC)
- Claims Intake Specialist (Group Insurance Claims Experience Required) ( 250000DA ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** ... Equitable is seeking a dynamic Claim Intake Specialist to join our Disability and Absence Claims organization. The **Claim Intake Specialist **… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** + Responsible for telephonic intake of all leave requests using the Case Management tool in support centralized leave management for employees, ... set up leaves of absence as part of the Intake team; provides exemplary service in both quality and...experience + One year experience with disability/leave of absence claims preferred. + Ability to manage confidential and sensitive… more
- TEKsystems (San Antonio, TX)
- …local to San Antonio work Remote with Restrictions Position Overview: The Healthcare Intake Specialist position qualifies orders for placement based on payer's ... required documentation for shipping of product and billing of claims . Brief Description: + Analyze and prioritize orders +...years of related healthcare experience in medical billing of claims , verifying benefits. + Prior Call Center experience +… more
- UNC Health Care (Rocky Mount, NC)
- …lasting impact on our community's health and wellbeing. Summary: The Patient Access Intake Specialist is responsible in ensuring that patient access processing ... driven outcome targets to continue the revenue flow cycle of clean claims and point of service cash collections. These functions includes, but not… more
- Nestle (Bridgewater, NJ)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the ... sales force throughout the customer order management process. The Specialist role manages high order volume on all NHS...managing the end-to-end Order to Cash process flow, from intake of customer sales orders through receipt of goods… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare? Bring your true colors to blue. The Role The Clinical Intake Specialist is responsible for processing telephonic and fax notifications, ... referrals and requests for authorization from members, facilities and physician offices. Intake Specialist focuses on building and updating referrals and… more
- City of Littleton (Littleton, CO)
- …on loss history. **Workers' Compensation** + Processes and manages Workers' Compensation claims from intake to return-to-work planning. + Tracks claim trends ... experienced and adaptable HR professional to serve as a Leave and Compliance Specialist . This key position oversees a wide variety of compliance, risk, and… more
- MyFlorida (Tallahassee, FL)
- …Tool (https://compcalculator.myflorida.com/) DIVISION OF SERVICE OPERATIONS BUREAU OF CENTRAL INTAKE AND LICENSURE REGULATORY SPECIALIST II Position Number: ... REGULATORY SPECIALIST II - 79000564 Date: Jul 30, 2025...Mission: The Division of Service Operations manages the Central Intake and Licensure unit, the one-stop shop for … more
- Prime Therapeutics (Des Moines, IA)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... for the intake and initial handling of allegations of fraud, waste...support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned.… more
- Robert Half Accountemps (Girard, OH)
- Description We are looking for a skilled Medical Biller/Collections Specialist to join our team on a long-term contract basis in Girard, Ohio. In this role, you will ... expertise in medical billing and coding. Responsibilities: * Prepare and submit claims to insurance providers, Medicaid, and Medicare for durable medical equipment… more
- TEKsystems (Schaumburg, IL)
- …Notice of Loss) Specialist plays a critical role in the initial intake and processing of commercial motor vehicle loss reports. This position is approximately ... 60% customer email communication and 40% data entry and claims case management. Key Responsibilities + Serve as the...in the auto insurance industry. + Prior experience in claims processing. + Familiarity with Lotus Notes. Soft Skills… more
- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking an **Employee Relations Specialist ** to join the Employee Experience division. At OUC, we don't just ... date. + Partner with payroll, HRIS, and legal teams to handle unemployment claims and reporting. + Conduct exit interviews and analyze results for actionable… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Appeals Specialist II will be responsible for the initial analysis of appeals/grievance correspondence, and determination ... FUNCTIONS:** + Independently researches contractual benefits, limitations & exclusions and claims to assist medical professional staff in performing the review of… more
- Metro One Loss Prevention Services Group (Plano, TX)
- Job Description We are seeking a HR Specialist to join our growing team. This role provides day to day support in a variety of HR related areas including compliance, ... of all new hire paperwork, following-up as required. . Manage all workers' compensation claims - work directly with our insurance carrier to file and provide all… more
- ProMedica Health System (Lansing, MI)
- …are essential unless noted otherwise* 1. Accurate and timely credentialing intake for all supported providers with hospital privileges, payor/plan credentialing, ... in credentialing software. 4. Timely responses to Onboarding providers/plans/hospitals for intake of new providers. 5. Accurately and timely input of billing… more
- Option Care Health (Fenton, MO)
- …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Appeals Specialist I is responsible for the initial analysis of appeals and/or grievance correspondence, and determination ... without breaching confidentiality of medical information. + Assists Supervisor and Appeals Specialist II and III with unit projects and other duties related to… more
- Elevance Health (Irving, TX)
- …specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - Paragon ... weeks/30 days at the Plano, TX office. The **Referral Specialist II** is responsible for providing support to a...limited to: + Acts as a SME, ability beyond intake calls that include verifying eligibility and benefits for… more
- University of Washington (Seattle, WA)
- …CENTER PHARMACY DEPARTMENT** is looking for an outstanding **AMBULATORY INFUSION AUTHORIZATION SPECIALIST .** . **WORK SCHEDULE** * Full-Time / 40 hours per week * ... staff **PRIMARY JOB RESPONSIBILITIES:** * Review and screen new patients at intake to determine if patient has adequate insurance coverage. Refer appropriate… more
- Command Investigations (Lake Mary, FL)
- …business located in Lake Mary has an immediate need for a full-time Data Entry Specialist . In this role, you will be responsible for case referral intake from ... Suite) + Excellent written and verbal communication skills + Basic understanding of claims vocabulary + Investigative mindset (questioning the out of place) + High… more