- Aequor (San Diego, CA)
- …and advertising Responsible for regulatory approval and maintenance of all product claims compendia for the personal care category. Education: Minimum BS; MS, Pharm ... in Regulatory Affairs, including leadership roles Experience: Experience in promotional material approval Ideally, experience in Consumer Healthcare Effective… more
- AAOS (Rosemont, IL)
- …outside counsel on compliance with HIPAA/HITECH/CARES Act. Assists Compliance Specialist with processing trademark, copyright, and permissions requests. Prepares and ... of Directors. Collaborating on the day-to-day work of the Compliance Specialist , including: Conducting administrative review of all submitted grievances. Reviewing… more
- BrightSpring Health Services (Oklahoma City, OK)
- …of patients nationwide through our growing network of branches and healthcare professionals. The Adjudication Specialistwill be responsible for all aspects of ... pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims...Pharmacy + 1+ years pharmacy experience + Pharmacy or healthcare -related knowledge + Knowledge of pharmacy terminology including sig… more
- Robert Half Office Team (Libertyville, IL)
- Description We are looking for an Insurance Verification Coordinator for our healthcare establishment located in Illinois. This position is 100% remote but does ... minimum of 2 years of experience in a similar role within the healthcare , hospitals, or social assistance industry. * Proficiency in Cerner Technologies, Dentrix… more
- Guidehouse (San Marcos, CA)
- …Diploma + One year relevant experience **What Would Be Nice To Have** **:** + Healthcare claims background + PC skills in a Windows environment are required. ... Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the...degree preferred + Three years or more experience in healthcare collections, billing or claim negotiations + Demonstrated success… more
- TEKsystems (Waco, TX)
- …to support a growing healthcare company in the Waco area! As a claims follow up specialist on our team you will be verifying insurance information, ... you have experience working within medical insurance roles handling claims , payer portals, appeals, AR follow up, denials or...increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New… more
- MetLife (Bloomfield, CT)
- Short Term Disability Claims Specialist Location(s) + Posting Location:Bloomfield, Connecticut + Posting Location:Oriskany, New York Country United States ... Job ID 2567 **Description and Requirements** Short Term Disability Claims Specialist **Job Location:** **Virtual (AFTER TRAINING),...Associate Degree or higher + 2 plus years of claims management experience preferably in Healthcare field… more
- GuideOne Insurance (West Des Moines, IA)
- As the Claims Support Specialist , you will be responsible for handling tasks within the Claims Support Team, including but not limited to: in-bound phone and ... e-mail inquiries, bulk billing, claims FNOL, and program claims . You will...Medical, dental and vision plans to meet your unique healthcare needs + Wellness incentives + Generous time off… more
- Robert Half Accountemps (Glen Allen, VA)
- Description We are seeking a Medical Billing Specialist to join a healthcare organization in Glen Allen, Virginia. The role involves managing medical collections ... and billing, comprehending medical claims , and maintaining an understanding of the collections process....to medical billing and collections * Ensure compliance with healthcare industry regulations and standards in all tasks *… more
- Intermountain Health (Salt Lake City, UT)
- …requiring coding expertise. They perform manual charge entry and participate with Claims Solution Specialist -Coders in the continuous improvement efforts focused ... take pride in the contribution they make to lowering the cost of healthcare and improving the patient billing experience. Our caregivers work together to provide… more
- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist (Insurance Benefits Claims Examiner), you will be part of Healthcare and Insurance, Office of Personnel ... representatives, including responses on appeals of disputed health benefit claims , benefits regulations, and other program related inquiries. Prepares written… more
- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Hybrid in Bedford, MA This Role: As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal ... your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement processing, accurate Explanation of...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment...and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,… more
- Robert Half Accountemps (Glen Allen, VA)
- Description We are offering a contract- permanent employment opportunity in the healthcare industry for a Medical Billing Specialist in Glen Allen, Virginia. ... collections and billing issues * Process and monitor medical claims accurately and in a timely manner * Maintain...years of experience in a similar role within the Healthcare or NHS industry. * Proficiency in Medical Billing,… more
- Modernizing Medicine (Boca Raton, FL)
- We are united in our mission to make a positive impact on healthcare . Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc. 5000 Fastest-Growing ... US. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping...career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced … more
- Office of Personnel Management (Washington, DC)
- Summary As a Legal Administrative Specialist ( Claims Examiner) at the GS-0901-9, you will be part of Healthcare and Insurance, Office of Personnel ... education leading to such a degree or LL.B or JD, in Healthcare Administration, Health Policy, Business Administration, Management or other related degree. [B]… more
- Pacific Medical Centers (Renton, WA)
- **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...administration of managed care products **Preferred Qualifications:** + IDX healthcare software application + CHAMPUS, Medicare and/or Medicaid benefits/programs… more
- TEKsystems (Wausau, WI)
- Job Description: A Medical Billing & Claims Specialist is responsible for working and managing Accounts Receivable for our Clinic and Surgery Center and ... Preferred Skills & Qualifications: + 2+ years of medical billing experience in healthcare setting + High School Diploma Hours Monday-Friday 8am-5pm This is a… more
