- MultiPlan (Atlanta, GA)
- …subject to defined work output standards and production which involves high volume claims resolution . Work involves direct contact with internal and external ... overcome objections and apply effective telephone negotiation skills to reach successful resolution on negotiated claims . * Up to 40% of time will be on phone… more
- Blanchard Valley Hospital (Findlay, OH)
- … of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits. Support ... to support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist , Revenue Integrity Auditor, Revenue… more
- Blanchard Valley Hospital (Findlay, OH)
- …quarterly internal quality audits of the PCISS, in coordination with the Coding Claims Resolution Specialist . Provide feedback and documented education to ... the Vregarding the results and areas of opportunity for improvement. Complete monthly follow-up audits and monitoring, as needed. Duty 6: Work with the Compliance Department to provide assistance in response to investigational or potential compliance risks.… more
- Cambia Health Solutions, Inc (Portland, OR)
- Network Management Business Operation Specialist or Senior, DOERemote opportunity for residents of OR, WA, ID and UT Primary Job Purpose The Network Management ... Business Operations Specialist and Senior apply analytical skills, project management, and subject matter expertise to research and resolve issues, support various… more
- A-Line Staffing Solutions (Monroeville, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... A-Line Staffing is now hiring a Medical Billing Specialist in Monroeville, PA. The Medical Billing ...I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid.… more
- A-Line Staffing Solutions (Monroeville, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... A-Line Staffing is now hiring Billing Specialist in Monroeville Pennsylvania 15146. The Billing ...I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid.… more
- Johnson Service Group (Cape Canaveral, FL)
- …administration of commitments, monitoring supplier performance, back charge procedures and the resolution of claims and disputes * Knowledge of international ... commercial conditions of buying as well as international suppliers * Skilled in working with and communicating effectively both orally and in writing with other project functional groups, primarily Engineering, Construction, Project Management * Materials… more
- Toyota Boshoku America, Inc (Hopkinsville, KY)
- …performance management, attendance, team member issues and concerns, etc.2. Lead resolution and/or referral of specific policy-related and procedural problems and ... and investigate compliance issues regarding workers' compensation injuries and claims , attendance, corrective actions, harassment, etc. 4. Support facilitation of… more
- Creative Financial Staffing (Pittsburgh, PA)
- …post payments File check stubs and bank receipts. Account reconciliations AR Specialist maintains files, records and payment resolution Verify banking ... balance bank account with Sage Research and processes customer claims of invoice payment. AR Specialist researches...processes customer claims of invoice payment. AR Specialist researches and processes charge backs, returns, and bad… more
- A-Line Staffing Solutions (Atlanta, GA)
- Title: QA Specialist Location: Work from Home Note: This role is NOT open to C2C candidates The IT Testing Specialist will create test deliverables and perform ... may include system, integration, regression, or end-to-end testing. The IT Testing Specialist will deploy and execute job streams for creating test beds, designing… more
- Valmont Industries, Inc. (Valley, NE)
- …offsite locations, customers, and internal departments to ensure prompt and satisfactory resolution of field claims . Essential Functions: Negotiate and resolve ... the highest level of support. As a Product Services Specialist , you'll be at the forefront of addressing product...product complaints from shipment to resolution , considering both commercial and physical aspects.Coordinate internal activities… more
- Creative Financial Staffing (Jessup, MD)
- Are you an experienced AR/Collections Specialist seeking an exciting opportunity with a privately-held company in Laurel, MD? Our client is actively looking for a ... to the success of their growing organization. Key Responsibilities: As an AR/Collections Specialist , you will play a pivotal role in managing the accounts receivable… more
- WSFS Bank (Newark, DE)
- …reinvent service vendor management, ATM Cash Forecasting, and Vault Cash resaleThe TCM Support Specialist will be part of the ATM Help Desk team, a unit responsible ... accurate and timely informationThis will include type of service, estimated resolution times, billing status and service resolutionsAssist in armored courier… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely manner. This position applies prior knowledge of denials… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …improving the health of our communities. About the Role:Job SummaryThe Patient Safety Specialist will support the NGPG Patient Safety & Risk Management programs by ... safety initiatives, risk management programs, and patient variance processes. The Specialist will monitor trends, conduct investigations and complete audits to… more
- Accounting Now (Tampa, FL)
- Medicare Appeals Specialist Do you like challenging payers? Enjoy that feeling of satisfaction when your appeal is overturned? Then, this position may is right for ... payment practices and trends.Filing complaints with Medicare and Medicaid agencies when claims are denied in error.Perform follow up on any outstanding claims… more
- Accounting Now (Tampa, FL)
- …payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims . Uses exceptional organization, written, and verbal ... and resolve problem accounts, and request adjustments or rebills on claims .Duties:Research, initiate follow-up, and resolve all unpaid or underpaid system debit… more
- Jazz Pharmaceuticals (New York, NY)
- …or slow a patient's access to Epidiolex. The ARM provides issue resolution through effective collaboration and coordination with all contracted specialty pharmacy ... in the geography.Proactively address patient specific issues and provide issue resolution across the geography.Work closely with the external and internal customers… more
- South Shore Health (Norwell, MA)
- …coding principles, a - Assists billing company with any and all coding queries for claims appeals and resolution . b - Answer all other ancillary departments with ... or CCS-P or CPC or CPC-H - Certified Coding Specialist OR Certified Coding Specialist - Physician Based OR Certified Professional Coder OR Certified Professional… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional insurance… more
