• Adjudication Specialist

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $18.00 - ... for career advancement to all our team members. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing… more
    Polaris Pharmacy Services, LLC (09/10/25)
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  • Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …expanding, industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume or… more
    Mass Markets (08/28/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Providence, RI)
    …inquiries and problems. + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Applies medical ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. + Handles phone and written inquiries related to requests for… more
    CVS Health (09/23/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Carson City, NV)
    …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
    CVS Health (09/19/25)
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  • Copay Support/Claims Processing Specialist

    AssistRx (Phoenix, AZ)
    …of Care and Health Care Providers. The Copay Support/Claims Processing Specialist will adjudication , troubleshoot claim rejections, claim reversals, allocation ... The Copay Support/Claims Processing Specialist is a critical role within the organization...discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing and data integrity.… more
    AssistRx (09/13/25)
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  • Lead Personnel Security Specialist

    Alluvionic (Washington, DC)
    …by federal personnel security specialist . + Assist federal personnel security specialist in the adjudication of background investigations for suitability and ... of Justice! Job Summary: Alluvionic is seeking a Lead Personnel Security Specialist to join the Executive Office for United States Attorneys (EOUSA) Security… more
    Alluvionic (07/01/25)
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  • Manager- Criminal Background Screening…

    Capital One (Richmond, VA)
    Manager- Criminal Background Screening Adjudication & I9 Team As the Manager of our I9 logistics and criminal background screening adjudication teams, you will ... + Lead process team's execution and adherence for background screening adjudication across the enterprise for all associates and contractors + Collaborate… more
    Capital One (07/25/25)
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  • Personnel Security Specialist VI - TS

    Xcelerate Solutions (Washington, DC)
    Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... the Agency Personnel Security Program Managers (PSPM) in performing BIs and adjudication case work in support of security and suitability investigations and… more
    Xcelerate Solutions (08/14/25)
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  • Remote Medical Insurance Reimbursement…

    Community Health Systems (Fort Smith, AR)
    …entry and more for hospitals and healthcare providers. The Remote Insurance Reimbursement Specialist position is remote and full time, which is 40 hours per week._ ... _y employer._ _As a Remote Insurance Reimbursement Specialist at Community Health Systems (CHS) - Patient Access Center, you'll play a vital role in supporting our… more
    Community Health Systems (09/20/25)
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  • Remote Medical Insurance Reimbursement…

    Community Health Systems (Fort Smith, AR)
    …entry and more for hospitals and healthcare providers. The Remote Insurance Reimbursement Specialist position is remote and full time, which is 40 hours per week. ... As a Remote Insurance Reimbursement Specialist at Community Health Systems (CHS) - Patient Access...Applies correct transaction codes to accounts, ensuring proper claim adjudication and reimbursement flow. + Monitors and follows up… more
    Community Health Systems (09/20/25)
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