- Cardinal Health (Columbia, SC)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. + Processes… more
- Graybar (Chesterfield, MO)
- …related areas (SPDs, SARs), and ensure plans follow governmental requirements for claims and appeals ( FAS 106, FAS 125, HIPPA, 5500s, etc.). + Research and analyze ... HR, Business, Finance, or related field + Certified Employee Benefit Specialist (CEBS) preferred + Knowledge of benefit related government regulations, basic… more
- AdventHealth (Tampa, FL)
- …analyze claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with developing and implementing strategies and procedures to ... or + Certified Pension Consultant (CPC) Required or + CCS-Certified Coding Specialist Required This facility is an equal opportunity employer and complies with… more
- State of Colorado (Denver, CO)
- …marital status. Your application will be reviewed by a qualified Human Resources Specialist to determine if you meet the minimum qualifications for this position. If ... Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . WHY WORK FOR US We… more
- St. Luke's University Health Network (Allentown, PA)
- …CCI/LCD, carrier policy and utilization of coding software applications. The appeals process may include collaboration with the Claim Editing Manager, Physician, ... Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an appeal rationale based on clinical documentation, application of LCD,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …distribution, accurate provider directories, performance on VBC contracts, benefit adjudication, appeals , and grievances. + Collaborate with the TPA to understand ... to enhance member experience with a focus on engagement. HEALTH AND WELLNESS SPECIALIST : + Develop and implement health and wellness programs to boost member… more
- Tarleton State University (Stephenville, TX)
- …technology, and office space. + Reporting: Work with the university budget specialist for record keeping and university reporting. Academic Program Development and ... and rigor of classes and programs; mediate departmental processes for student academic appeals . + Recruitment : Work with the Division of Enrollment Management and… more
- Zoological Society of San Diego (San Diego, CA)
- …collaborates with the Marketing team to coordinate comprehensive direct response appeals and membership programming. This position reports to the Chief Philanthropy ... onsite canvassing. + Provide mentorship and guidance to Philanthropy Specialist and Philanthropy Associate supporting their professional growth and ensuring… more
- State of Colorado (Denver, CO)
- …has a safe place to live and thrive. The Data & Reporting Specialist supports the execution of data reporting, analysis, and visualization activities related to ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules. For questions related to this… more
- City of Bellingham (Bellingham, WA)
- …Workers' Compensation budget. Works closely with payroll staff and Leave Specialist in ensuring appropriate coordination of workers compensation benefits and leave ... + Presents cases at Labor and Industries claim conferences, formal hearings, board appeals and mediations, with the assistance of counsel when necessary. Safety: +… more