- MultiPlan (Atlanta, GA)
- …discuss negotiations for a specific dollar range of eligible claims/bills prior to payment , in order to achieve maximum discounts and savings on behalf of ... for desired savings * Address counter-offers received and present proposal for resolution while adhering to client guidelines and policy and procedures * Seek… more
- Trinity Health (Farmington Hills, MI)
- …state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new ... PURPOSE** Work Remote Position (Pay Range: $20.6822-$31.0233) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Entity:** CPUP **Location:** ... St **Hours:** Full time regular **Summary:** + The Accounts Resolution Specialist II reports to...underpayments by insurance carriers regarding open balance to obtain payment . Act as a subject matter expert escalated issues… more
- City of Detroit (Detroit, MI)
- Contract and Procurement Specialist II Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4496642) Apply Contract and Procurement ... Specialist II Salary $56,807.00 - $76,242.00 Annually Location MI, MI...compliance with the terms and conditions of contracts, including resolution of problems concerning the obligations of the parties;… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY * The Revenue Cycle Specialist II will be responsible for the review, minor analysis, trending and follow up of Third Party Claims ... to include the identification, billing and collection of payments. The Revenue Cycle Specialist II will actively engage with other departments to ensure timely… more
- LA Care Health Plan (Los Angeles, CA)
- Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los Angeles, ... that purpose. Job Summary The Coordination of Benefits (COB) Validation Specialist ensures the accurate coordination of healthcare benefits for individuals covered… more
- Navient (HI)
- …WORK MUST BE PERFORMED IN THE UNITED STATES. Xtend Healthcare is looking for an Insurance Specialist II who will be responsible for review and resolution of ... appropriate next steps to bring aged account receivables to resolution . The Insurance Specialist will be responsible...basic claim billing functions. . Clearly prepares appeals for payment to insurance company when appropriate. . Ensure strong… more
- Cedars-Sinai (CA)
- …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... on the account is complete and accurate. Adheres to payment timeline protocol. + Adheres to payment ...**Req ID** : 2121 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC HB Follow… more
- Cedars-Sinai (Torrance, CA)
- …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... on the account is complete and accurate. Adheres to payment timeline protocol. + Adheres to payment ...**Req ID** : 1194 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington… more
- ASM Global (Wichita, KS)
- …managed public assembly facilities, has an excellent and immediate opening for Ticket Specialist at Century II Performing Arts & Convention Center in Wichita, ... Kansas. SUMMARY: The Ticket Specialist is responsible for selling tickets to the general...selling tickets to the general public from the Century II Box Office, while providing general information to guests.… more
- CareOregon (Portland, OR)
- Job Title Provider Relations Specialist II Exemption Status Exempt Department Provider Relations Manager Title Provider Relations Supervisor Direct Reports n/a ... + Research provider questions and connect them to appropriate resources; ensure resolution to root cause of provider issues and concerns. + Perform provider… more
- Intrepid USA (Albany, GA)
- …individuals in the Agency in a timely manner. We are looking for an Support Specialist II who is highly organized and detail-oriented with the ability to ... acquisition, recruiting process and team members As a Support Specialist , you will be responsible for non-clinical areas of...as needed + Completing Key Performance Indicators reporting and resolution on a daily basis: . RAPs Reporting .… more
- CareFirst (Reston, VA)
- **Resp & Qualifications** **PURPOSE:** The Quality Specialist II is responsible for examining and evaluating the accuracy of transactions in accordance with ... Audits assigned function (service, claims, enrollment) for accuracy, benefit payment , contract interpretation, and compliance with policies and procedures.… more
- Beth Israel Lahey Health (Burlington, MA)
- …by management. Analyzes work queues and other system reports and identifies denial/non- payment trends and reports them to the Billing Supervisor. 2. Responds to ... helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims. 3. Establishes relationships and… more
- Sharp HealthCare (Santee, CA)
- …a possible solution to the PT Supervisor or supporting clinical lead or specialist for resolution in a timely manner.Consults and listens, effectively ... or no progress after 3 treatment sessions.Meets all regulatory requirements for payment (ex. Pre-authorization, POCs, UM, etc.). Follows POC form for PT coverage… more
- University of Utah Health (Salt Lake City, UT)
- …This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. Account portfolio may include accounts ... patient outcomes. **Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims. + Performs contract compliance on outstanding… more
- The Mount Sinai Health System (New York, NY)
- …staff on coding and other items. Demonstrates proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection. ... procedures, including coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians.… more
- The Mount Sinai Health System (New York, NY)
- …staff on coding and other items. Demonstrates proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection. ... procedures, including coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians.… more
- Centene Corporation (Tallahassee, FL)
- …in maintaining relationships between departments to ensure timely and appropriate issue resolution . + Supports the documentation, tracking, and resolution to all ... to customers. + In some instances, researches and identifies basic claims payment errors and make appropriate adjustments. + Performs other duties as assigned.… more
- Truist (Charlotte, NC)
- …needs, problems, and requests, following through to ensure timely and accurate resolution . 5. Assist in general servicing of Commercial loans, deposits and fee ... opening, pulling & working reports, processing payments, assisting in fraud resolution , general research, wire processing, general maintenance, etc. 6. Assist… more
