- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Appeals Specialist I is responsible for the initial analysis of appeals and/or grievance correspondence, and determination ... of next steps for Government Program lines of business . Responsible for collecting, organizing and tracking information to facilitate and expedite processing of… more
- Air National Guard Units (Fairchild AFB, WA)
- …Guard Title 32 Excepted Service Unit Technician position: HEALTH SYSTEMS SPECIALIST Location: 141st Medical Group Fairchild AFB, Washington 99011-9413 Air National ... Jobs profile name is accurate* Responsibilities A GS-0671-9, HEALTH SYSTEMS SPECIALIST : Manages Health Services activities, including plans and operations, human… more
- Parker Hannifin Corporation (Glendale, AZ)
- …enterprise excellence - we will exceed customer expectations and achieve our business objectives. Planner Specialist Ensures performance to the master production ... Planner Specialist Location : GLENDALE, AZ, United States Job...movements between internal work and storage areas and/or outside processing or suppliers to ensure materials are available when… more
- Abbott (Alameda, CA)
- …patients and professionals measure, track and analyze glucose levels. As a Pricing Specialist , you will be responsible for processing contract transactions in ... Manage aged deductions and work with receivables management to resolve disputed claims . + Interface with other functional groups to ensure consistency and integrity… more
- Globus Medical, Inc. (Audubon, PA)
- …resume their lives as quickly as possible. **Position Summary:** The Benefits Specialist is responsible for the comprehensive administration of all group benefit ... + Collaborate with the Payroll Manager to ensure accurate and timely processing of benefit contributions and adjustments. + Assist with onboarding activities,… more
- OhioHealth (Columbus, OH)
- …verification, providing support to staff members as assigned. The Office Specialist is well organized, highly motivated, customer service oriented, expresses good ... 2. Responsible for electronic and manual insurance verification and processing of insurance paperwork. When necessary obtains pre-authorization from insurance… more
- First Horizon Bank (Memphis, TN)
- **Description** **Location:** On site in Memphis, TN **SUMMARY** The Client Specialist role supports the line of business by providing exceptional service and ... ensuring the accuracy and completion of documentation and transactions. The Client Specialist acts as a liaison between clients, associates, and internal partners to… more
- Cedars-Sinai (CA)
- …rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation... - Managed Care **Department** : MNS Managed Care ** Business Entity** : Cedars-Sinai Medical Center **Job Category** :… more
- CareFirst (Baltimore, MD)
- …and Abilities (KSAs)** + Adobe Acrobat Professional. + Microsoft Word, Excel, Outlook, Claims Processing Facets. + Ability to adapt to various coding technology ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data… more
- CVS Health (Helena, MT)
- …include but not limited to the following: + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited ... as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring...the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical… more