- Iowa Department of Administrative Services (State Of Iowa, IA)
- Claims Recovery Specialist Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5115289) Apply Claims Recovery Specialist Salary ... Determinations, Integrated Claims Recovery Unit, is seeking a Claims Recovery Specialist (Income Maintenance Worker 2) to support program integrity… more
- On With Life (Ankeny, IA)
- …allow persons served, families and clinicians more time to focus on treatment and recovery . Hours for the Medical Billing Specialist are primarily between 8am ... Join Our Expanding Team! As a onsite Medical Billing Specialist at On With Life, you can be a...greater. This position is responsible for generating and submitting claims for our various programs in a timely manner… more
- CDM Smith (Des Moines, IA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
- Datavant (Des Moines, IA)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- Molina Healthcare (Des Moines, IA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... and State regulatory requirements are met for Pre-pay Edits, Overpayment Recovery which improves encounter submissions, reduces General and Administrative expenses… more
- Molina Healthcare (Des Moines, IA)
- …review to facilitate a referral to law enforcement or for payment recovery . **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical ... records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines,...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- UnityPoint Health (Des Moines, IA)
- …support to address the total health needs of members. * Provide continuous claims -based monitoring of care to ensure evidence- based guidelines are being addressed ... Support coordination of care with primary care providers and specialist . * Identify & ensure individuals have access to...School supports, Substance use treatment links and treatment, support recovery with links to support groups, recovery … more
- Western Digital (Des Moines, IA)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more