- GN Hearing (Vancouver, WA)
- …& Benefits** We're proud to offer a comprehensive package designed to support your personal, professional, and financial goals: + **Competitive pay:** Hourly rate ... and a hearing instrument benefit + **Professional growth:** Education reimbursement to support ongoing learning + **And more ways we invest in you:** Additional… more
- Trinity Health (Livonia, MI)
- …in all situations. Develops sustainable, efficient, and effective processes to support customers within the parameters of the Department service level agreements. ... Term Disability, Military Leave, Family Medical Leave and Workers' Compensation claims with internal areas of expertise and external vendors. Acts independently… more
- Molina Healthcare (Kearney, NE)
- **JOB DESCRIPTION** **Job Summary** + Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and ... member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides… more
- Molina Healthcare (Roswell, NM)
- **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and ... to improve our member and provider experiences. **Job Duties** * Provide service support to members and/or providers using one or more contact center communication… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Division Support Specialist Under the general supervision of the Supervisor, Professional Billing & Coding, responsible for compiling & providing daily, ... weekly & monthly data to Supervisor for the Specialties that they support . Will monitor & report on work queue activity, encounter management, monitor electronic … more
- Oracle (Little Rock, AR)
- **Job Description** Oracle Clinical AI Assistant (CAA) allows providers and their support staff to focus more on patient care by reducing administrative burden of ... this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical...1-2 years of experience in hospital audits preferred + Associate or bachelor's degree in nursing from an accredited… more
- Robert Half Office Team (Carmel, IN)
- …a fast-paced healthcare environment and ensure accurate, timely resolution of denied medical claims . This position would support our Carmel, IN team. Hours: ... 8am - 5pm Key Responsibilities: + Review, investigate, and resolve denied insurance claims . + Analyze denial trends to identify and address root causes. + Research… more
- Huron Consulting Group (Chicago, IL)
- …configuration testing, regression testing, and root cause analysis for benefit-related claims issues. + Support annual Medicare Advantage bid implementation, ... Huron is seeking a Facets Benefit Configuration Subject Matter Expert (SME) to support the design, configuration, and validation of benefits within the Facets core… more
- Robert Half Legal (Bayport, MN)
- …complex matters and contributing directly to business success. Responsibilities: * Manage claims and lawsuits related to specific business units or product lines, ... litigation progress. * Partner with insurance providers and adjustors to address claims effectively. * Collect, analyze, and organize internal and external documents… more
- State of Massachusetts (Boston, MA)
- …are prepared and issued at the completion of fact finding sufficient to support the determination. * All determinations are based on objective facts that ... support the determination reached. * Determinations are based on...counseling, educational counseling, credit collection, credit interviewing, credit investigation, claims adjudication, claims settlement, claims … more