• Psychological Services Specialist, Corrections…

    Commonwealth of Pennsylvania (PA)
    …. Work Schedule and Additional Information: + Full-time employment, 37.5 hours per week + Work hours to be determined, ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....box below. + College/University + Course Title + Credits/Clock Hours 10 WORK BEHAVIOR 2 - TREATMENT OF INDIVIDUALS… more
    Commonwealth of Pennsylvania (11/27/25)
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  • Injury Examiner

    USAA (Chesapeake, VA)
    …**Injury Examiner** , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, ... determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a… more
    USAA (11/25/25)
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  • A/R Rep

    UnityPoint Health (Ankeny, IA)
    + Area of Interest: Patient Services + FTE/ Hours per pay period: 1.0 + Department: CBO- Madison + Shift: Full Time/Days + Job ID: 174197 Overview Insurance Billing ... of payment delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and ensuring that… more
    UnityPoint Health (11/06/25)
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  • Supervisor Audit & Compliance

    ICW Group (Sacramento, CA)
    …**PURPOSE OF THE JOB** The purpose of this job is to supervise functions of claims internal controls and to monitor team activities with a focus on trends and ... is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement....Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per… more
    ICW Group (11/04/25)
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  • RN - Clinical Risk Manager - Full Time - Days

    Mohawk Valley Health System (New Hartford, NY)
    …of safety, throughout the organization. Responsible for management of pending insurance claims and partnering with brokers and insurers. Core Job Responsibilities + ... current with regulatory requirements related to risk management. + Manages insurance claims in coordination with other members of the legal/compliance department +… more
    Mohawk Valley Health System (11/21/25)
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  • Network Relations Manager (Behavioral Health)

    CVS Health (Frankfort, KY)
    …regarding Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes ... and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of...position has to reside in KY or within 3 hours of the capital.** **Preferred Qualifications** + Knowledge of… more
    CVS Health (11/19/25)
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  • AR Account Follow-Up Specialist - Alabama Oncology

    Alabama Oncology (Birmingham, AL)
    …and reports any problems, issues, or payor trends to supervisor. + Resubmits insurance claims within 72 hours of receipt. + Participates in maintaining Payor ... for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions,… more
    Alabama Oncology (11/06/25)
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  • Physician - Psychiatrist Compensation & Pension

    Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
    …for the evaluation of Veterans and Service Members who have filed VA Disability claims . The incumbent will be located at VA Palo Alto Health Care System (VAPAHCS). ... Veterans and Service Members who have filed VA Disability claims with the Veterans Benefits Administration (VBA) and/or Service...drug use. Requires lifting 15-44 pounds; pushing (approx. 2 hours ); reaching above shoulder; use of fingers and both… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Payment Recovery Specialist - QHS Payment Follow…

    Queen's Health System (Honolulu, HI)
    …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and… more
    Queen's Health System (11/27/25)
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  • Coord, Revenue Integrity - Revenue Integrity_QHS…

    Queen's Health System (Honolulu, HI)
    …be limited to patient access, scheduling, charge capture, CDM maintenance, claims submission and follow-up, payment posting, collections, claims adjudication, ... third party payer contracts, government reimbursement and policies, compliance, net revenue and/or profitability analyses, preferably in an acute care facility. * Experience in a lead or supervisory role. * Experience to demonstrate the following: o Working… more
    Queen's Health System (11/27/25)
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