• Insurance and Claims Specialist PACE…

    HCA Healthcare (Asheville, NC)
    …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...works with contracted, new, and potential network vendors regarding claims processing and payment concerns and appeals more
    HCA Healthcare (05/25/24)
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  • Pre-Certification Specialist

    University of Michigan (Ann Arbor, MI)
    Pre-Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... **Summary** The Precertification staff perform clinical reviews on all scheduled short stay and inpatient admissions to the hospital. The precertification review… more
    University of Michigan (06/07/24)
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  • Physician Coding Denials Specialist

    Fairview Health Services (St. Paul, MN)
    …critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ... **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more
    Fairview Health Services (05/29/24)
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  • Accounts Receivable Specialist

    ClearChoiceMD (Concord, NH)
    …employee's needs. A typical day in the life of an Accounts Receivable Specialist , includes: + Responsible for designated insurance claims to ensure submission ... care. ClearChoiceMD is seeking a dependable full-time accounts receivable specialist in Concord, NH. Our ideal candidate must have...for: + Outstand i ng Benefits with company paid Short Term Disability and life insurance + 401(K) with… more
    ClearChoiceMD (04/18/24)
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  • UM Specialist (LVN) - SNF - Sharp Extended…

    Sharp HealthCare (San Diego, CA)
    …with Medical Group Appeals on members with SNF services under appeals process.Reviews SNF claims for medical necessity and appropriateness when any ... information necessary for activities related to Medical Groups' Quality and Appeals processes. + Demonstrates knowledge of department policies and procedures… more
    Sharp HealthCare (04/03/24)
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  • Medical Billing Specialist

    Robert Half Accountemps (Clifton Springs, NY)
    Description We are offering a short term contract employment opportunity for a Medical Billing Specialist in the non-profit industry based in Clifton Springs, ... patient record management * Use Medisoft for processing insurance claims and patient billing * Oversee Accounts Receivable (AR)...(AR) to ensure timely payment of invoices * Handle appeals in case of disputes with insurance providers *… more
    Robert Half Accountemps (05/17/24)
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  • Employee & Labor Relations Human Resources…

    State of Colorado (Denver, CO)
    Employee & Labor Relations Human Resources Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4523989) Apply  Employee & Labor ... Relations Human Resources Specialist Salary $56,028.00 - $66,360.00 Annually Location Denver, CO Job Type Full Time Job Number FAA01048-05/29/24 Department… more
    State of Colorado (05/29/24)
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  • Supervisory Paralegal Specialist

    Patent and Trademark Office (Alexandria, VA)
    …and covered business method patent reviews and derivation proceedings, hears appeals from adverse examiner decisions in patent applications and reexamination ... to leverage and integrate information technology (IT) in the processing of patent appeals and patent review proceedings. You possess the knowledge to manage and… more
    Patent and Trademark Office (06/01/24)
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  • Reimbursement Specialist

    Amergis (Columbia, MD)
    …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill… more
    Amergis (04/13/24)
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  • Client Services Specialist

    Gehring Group (Palm Beach Gardens, FL)
    …employees, assisting with and resolving issues related to billing, eligibility, claims resolution, member appeals , benefit verification, medical procedure ... a great relationship with both the employees and various carriers. In short , Client Service Specialist make a difference in the lives of our clients' employees… more
    Gehring Group (03/28/24)
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  • Associate HR Operations LEAVE Specialist

    Keurig Dr Pepper (Frisco, TX)
    …+ Provide direct support to employee's needing assistance on maneuvering complex leave claims ie: Leave denials and appeals process, guidance on return to ... to be 100% onsite. The Associate HR Operations Leave Specialist is part of the myHR team, a world-class,...administration process, including but not limited to FMLA, ADA, Short -term disability, long-term disability, and personal leaves +… more
    Keurig Dr Pepper (05/30/24)
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  • Billing Specialist

    Avera Marshall (Le Mars, IA)
    …and billing policies/procedures are kept current. + Facilitate the processing of insurance appeals of problem claims . + Prepare daily and monthly bills for ... our Business Office / Insurance Department for a Billing Specialist . Floyd Valley offers a positive culture that supports...regarding their medical bills and the status of their claims . + Monday - Friday 8:00a.m.-4:30p.m. Requirements: + High… more
    Avera Marshall (04/16/24)
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  • Revenue Cycle Specialist III

    Cedars-Sinai (Los Angeles, CA)
    …daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, performing account follow-up activities, updating information ... and resolve complex cases and problem accounts with minimal assistance. Submits appeals and collect monies relative to physician reimbursement. Services as a… more
    Cedars-Sinai (04/04/24)
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  • Business Operations Specialist - Santa…

    American Red Cross (Camarillo, CA)
    …Cross of California has a fantastic opportunity available for a Business Operations Specialist out of our Santa Barbara or Camarillo Red Cross office._** **This is ... Operating Officer or the Chief Administrative Officer, the Business Operations Specialist supervises the daily operation of support services and business office… more
    American Red Cross (06/07/24)
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  • Medical Billing Specialist - Medical Clinic

    Ascension Health (Allegan, MI)
    …wellness plans Retirement benefits including employer match plans Long-term & short -term disability Employee assistance programs (EAP) Parental leave & adoption ... by position, exclusions may apply for some roles (for example: Travel, PRN, Short -Term Option, etc.). Actual compensation offer will vary based upon role, education,… more
    Ascension Health (03/15/24)
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  • Cpw Wildlife Manager III / Wildlife Damage…

    State of Colorado (Larimer County, CO)
    …plus pre-tax and Roth 401K and 457 plans + Paid life insurance + Short - and long-term disability coverage + Employee Wellness programs + Flexible Spending Accounts + ... CPW's liability for damages, and to reconcile any damage claims submitted as a result of those damages. These...It is recommended that you contact the Human Resources Specialist listed below to resolve issues related to your… more
    State of Colorado (06/05/24)
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  • Enterprise Solutions Integration (ESI) Analyst

    State of Colorado (CO)
    …17th Avenue, Denver, CO Department Contact Information Sarah LaRue Talent Acquisition Specialist ###@state.co.us How To Apply Please submit an online application for ... Vision (https://dhr.colorado.gov/state-employees/state-employee-benefits/vision-insurance) insurance coverage + Automatic Short -Term and Optional Long-Term Disability Coverage… more
    State of Colorado (06/07/24)
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  • Medicaid Operations Office Deputy Director

    State of Colorado (Denver, CO)
    …for overtime compensation. Department Contact Information Jessica Boyer, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online ... the operational performance standards (eg, call center performance standards, claims payment standards, enrollment processing standard, etc.) for contractors working… more
    State of Colorado (06/05/24)
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  • Business Operations Administrative Support

    American Red Cross (Salt Lake City, UT)
    …Operating Officer or the Chief Administrative Officer, the Business Operations Specialist supervises the daily operation of support services and business office ... trains volunteers regarding the filing and maintenance of insurance claims and follow up with estimates/repairs. Is liaison with...Family Leave * Employee Assistance * Disability and Insurance: Short + Long Term * Service Awards and recognition… more
    American Red Cross (06/07/24)
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  • Manager of Med Staff Services SSHC

    HCA Healthcare (Dulles, VA)
    …Time Away From Work Program (paid time off, paid family leave, long- and short -term disability coverage and leaves of absence) + Employee Health Assistance Fund that ... the risk manager to review and evaluate an applicant's claims history and National Practitioner Data Bank or other...process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements.… more
    HCA Healthcare (06/05/24)
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