- Cambia Health Solutions, Inc (Tacoma, WA)
- …centric focus.Required Licenses, Certifications, Registration, Etc.:Coding Certification preferred for Specialist I and II . Work Environment:Travel may be ... Appeals Specialist IRemote within WA, ID, OR, and UTPrimary...insurance companies, and attorneys or others regarding benefits and claims . Does not make final clinical decisions but has… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Documentation Specialist II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 ... to support the safety net required to achieve that purpose. Job Summary The Claims Documentation Specialist II is responsible for creating, editing and… more
- AON (NY)
- … claims in accordance with plan provisions. They examine claim submissions and documentation to confirm coverage and assess claims and compare data and ... and analysis of detailed medical records, itineraries and other documentation . + Proactive work to resolve claims ...other documentation . + Proactive work to resolve claims as expeditiously as possible; decisions are made based… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for...WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II -… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Complex Claim Specialist will be responsible for contacting all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary ... action plan to manage the claim. The Claim Resolution Specialist 1 will work with and communicate to NJM...seek authority as needed. This role will manage litigated claims of low complexity for further development within this… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1240253) Apply ENVIRONMENTAL HEALTH SPECIALIST ... is to be completed by all applicants for the Environmental Health Specialist II examination. This Supplemental Questionnaire requires you to document… more
- Methodist Health System (Dallas, TX)
- …resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...the ability to identify patterns, trends, and discrepancies in claims and financial data. - Effective communication and interpersonal… 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 ... that purpose. Job Summary The Coordination of Benefits (COB) Validation Specialist ensures the accurate coordination of healthcare benefits for individuals covered… more
- Johns Hopkins University (Middle River, MD)
- …understanding all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. The Coding Specialist II will work closely ... appropriate knowledge. + Understanding of third-party payer issues. Classified Title: Coding Specialist II Job Posting Title (Working Title): CO Coding … more
- MyFlorida (Tampa, FL)
- ELIGIBILITY SPECIALIST II - 60022279 Date: Apr 19, 2024 Location: TAMPA, FL, US, 33612 The State Personnel System is an E-Verify employer. For more information ... . Requisition No: 827643 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60022279 Pay Plan: Career Service Position Number:… more
- State of Colorado (Greeley, CO)
- Employee Relations Specialist (Administrator II ) - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4488772) Apply Employee ... Relations Specialist (Administrator II ) - Greeley Salary $48,396.00...disciplinary actions for legal sufficiency. + Respond to unemployment claims , employment verifications and requests for employment documentation… more
- NC Department of Transportation (Lenoir County, NC)
- Administrative Specialist II Print (https://www.governmentjobs.com/careers/northcarolina/jobs/newprint/4480118) Apply Administrative Specialist II ... Date 04/29/2024 Closing Date 5/3/2024 11:59 PM Eastern Job Class Title Administrative Specialist II Position Number 60016544 Section Division 2 Maintenance Work… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title ... requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary exceptions, appeals, grievances, and… more
- MyFlorida (Pensacola, FL)
- INVESTIGATION SPECIALIST II - 64085634 Date: Apr 30, 2024 Location: PENSACOLA, FL, US, 32534 PENSACOLA, FL, US, 32501 PENSACOLA, FL, US, 32502 PENSACOLA, FL, US, ... . Requisition No: 827836 Agency: Department of Health Working Title: INVESTIGATION SPECIALIST II - 64085634 Pay Plan: Career Service Position Number:… more
- Beth Israel Lahey Health (Burlington, MA)
- …and initiate corrected claims and appeals. Duties include hands on coding, documentation review and other coding needs for ICD-9, ICD-10. Works directly with the ... annually or as introduced or required. 3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding… more
- Boardwalk Pipeline Partners (Owensboro, KY)
- Sourcing Specialist I/ II / III/ Sr. Owensboro, KY, USA Req #1255 Wednesday, May 1, 2024 *To access Dayforce at its best, log in from the latest version of ... atwww.bwpipelines.com . We are currently looking for a Sourcing Specialist I/ II / III/ Sr. for our...coordinate deliveries. + Facilitate the resolution of disputes and claims . + Address all Sarbanes-Oxley documentation requirements… more
- Intrepid USA (Bartlett, TN)
- …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 ... thru Intrepid University + Clinician centric WellSky EHR to improve clinical documentation quality and patient care + Competitive pay with healthcare, dental,… 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 ... Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities,...**Req ID** : 2121 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC HB Follow… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Training Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solutions Center Appeals and Grievances (A&G) Training Specialist II is primarily responsible for the overall training strategy… more
