- Commonwealth Care Alliance (Boston, MA)
- …to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and other PI partners, perform ... auditing and/or utilization review required + 7+ years experience with Optum Claims Editing System (CES), Zelis, Lyric or other editing tools + Extensive… more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Excess Claims_** to join our North America Claims ... should act as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim… more
- Axis (New York, NY)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Design Professional_** to join our North America ... Claims . The candidate should possess the ability to handle...in coverage, evaluation and reserving + Excellent writing and editing skills + Solid negotiation and settlement skills +… more
- Axis (New York, NY)
- …for candidates taking part in the selection process. AXIS is seeking a **_Senior Claims Specialist - Financial Institutions - Claims_** to join our North America ... Claims team and will report to the Head of...coverage, evaluation and reserving + Excellent presentation, writing and editing skills + Solid negotiation and settlement skills +… more
- Zelis (FL)
- …and the personal interests that shape who you are. Position Overview The Client Policy Specialist is a client facing role that will act as the subject matter expert ... (SME) as it pertains to Zelis editing product in support of the growth, and expansion...growth, and expansion of assigned clients. The Client Policy Specialist will lead the sales overview discussion of new/existing… more
- St. Luke's University Health Network (Allentown, PA)
- …applications. The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. ... Demonstrate the ability to formulate an appeal rationale based on clinical documentation, application of LCD, relative carrier policy and published Academy or Societal guidance + Provide coding guidance to providers and charge entry staff for single or low… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …support functions in support of their own or other contract specialist actions, including invoice processing, document review/ editing , analysis, and ... Title: Facilities Contract Specialist (Level I/II) Non-Competitive Progression Location: United States-Virginia-Virginia Beach Job Number: 2500008Z Are you ready to… more
- UIC Government Services and the Bowhead Family of Companies (Bethesda, MD)
- **Overview** Navy ERP Financial Support Specialist (C80-2025-22996): Bowhead seeks a part time (24 hours per week) Navy ERP Financial Support Specialist to ... Finance, Logistics, Security, Space Planning, Safety, Administrative Services, Technical Editing , Records Management, and Computer Engineering and IT support. The… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …manage, and protect life. The Durable Medical Equipment (DME) Customer Order Specialist is responsible for performing all tasks and communication related to intake ... costs, deductibles, and payment methods with patients. The DME Customer Order Specialist is knowledgeable in Kestra DME offerings, its features and benefits, and… more
- Air National Guard Units (Tyndall AFB, FL)
- Summary This National Guard position is for a AIR OPERATION GROUP TRAINING SPECIALIST (TITLE 32), Position Description Number D1931000 and is part of the Florida ... National Guard. Responsibilities As an Air Operation Group Training Specialist , GS-1702-09, you will oversees, monitor, and evaluate military /ancillary training… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …manage, and protect life. The Durable Medical Equipment (DME) Customer Order Specialist Supervisor is responsible for supervising the day-to-day operations for the ... Order Processing Manager to help facilitate the submission of claims to payers + Regularly communicate with patients to...beginner knowledge of Microsoft Excel + Familiarity with PDF editing Preferred: + Experience with HCPCS procedure codes and… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... and verbal. + Overcome objections that prevent payment of claims and gain commitment for payment through a concise...record of actions taken. + Write and complete final editing of letters of determination sent out for appeals.… more
- BD (Becton, Dickinson and Company) (San Diego, CA)
- …of possible** with us. **Job Overview** As a Staff Regulatory Affairs Specialist in Advertising/Labeling, you will play a crucial role in supporting Medication ... from a review and approval level. * Assist in preparing, auditing, editing , and publishing registration documentation as needed. * Support business export control… more
- FM (Johnston, RI)
- …and technical standards development, and provide technical support to operations engineering and claims . + Advanced degree in Engineering or related field + 5+ years ... Strong leadership and project management skills + Robust technical writing and editing expertise + Excellent communication and interpersonal skills + Open to travel… more
- McLaren Health Care (Shelby Township, MI)
- …filing requirements. + Performsnecessary maintenance to patient accounts in the billing and claims editing systems. + Responds timely to all patient and ... filing limits. + Performs necessary maintenance to patient accounts in the hospital and claims editing systems. + Responds timely to all patient and commercial… more
- Mass Markets (FL)
- …a trusted partner in the industry. We are seeking a full-time Accounts Payable Specialist to join our growing team! The role is accountable for day-to-day accounting ... plan, organize and manage projects + Detail-oriented, excellent proofreading and editing skills + Ability to work effectively in a fast-paced environment,… more
- Army National Guard Units (Barrigada, GU)
- …consolidated organizational training assessment reports. (20%) Serves as the technical specialist in readiness reporting for the organization. Performs analysis of ... and training systems and products. Must have effective writing skills; editing practices; instructional media applications, training reports, program and curriculum… more