• Aon Graduate Programme - Captive & Insurance…

    AON (St. Peter, MN)
    …reinsurance recoveries, commissions and brokerage payments + Receive and review claims bordereaux and other loss information received from brokers. Preparation of ... claims authorisation forms + Consideration of current and existing...receive regular performance feedback, and work with your line manager towards promotions, which are considered twice a year,… more
    AON (01/13/26)
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  • On-Site Procedural Billing Specialist I…

    Mount Sinai Health System (New York, NY)
    …Receivable, Charge Entry, Edits and Payment Posting. This individual facilitates claims processing and payments services rendered by physicians and assists with ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. The Specialist works directly with the Department Administrator.… more
    Mount Sinai Health System (01/08/26)
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  • Revenue Cycle Specialist III

    East Boston Neighborhood Health Center (East Boston, MA)
    …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure clean claim submission) &...trends, correct, appeal), Claim Edits (ensure clean claim submission) & Transaction history (track claim … more
    East Boston Neighborhood Health Center (12/28/25)
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  • Member Appeal & Grievances Triage Admin…

    Fallon Health (Worcester, MA)
    …as the initial investigator for provider appeals related to filing limit, claim denials, claim payment, retrospective referrals, administrative inpatient days ... all incoming mail, as well as forwarding all initial claim submissions, claim adjustments, and other miscellaneous...calendar or at the direction of a supervisor or manager . **Qualifications** **Education** High School Diploma or GED required.… more
    Fallon Health (11/18/25)
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  • Market Risk Partner

    Highmark Health (Annapolis, MD)
    …to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, ... wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support that is both client facing and supportive to Sales… more
    Highmark Health (10/30/25)
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  • SIU Investigator

    Kemper (Doral, FL)
    …SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. ... Miami and surrounding areas. Basic functions include: Investigation of claims , analysis and development of facts and evidence, and...of all investigations and makes recommendations to the responsible manager or other designee in a timely manner to… more
    Kemper (12/05/25)
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  • Payment Compliance Analyst

    HCA Healthcare (Nashville, TN)
    …The Payment Compliance Analyst works closely with the Payer Analysis Manager to provide financial analysis and operational support for Payment Compliance ... functions. Assists the Manager , Director and VP of Dispute Resolution with developing...Resolution Inventory + Maintains inventory status of Denial Escalation claim reviews and prepares monthly reporting + Manually validates… more
    HCA Healthcare (01/17/26)
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  • Lead Investigator, Special Investigative…

    Molina Healthcare (KY)
    **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...utilization by providers and recipients. The position will review claims data, medical records, and billing data from all… more
    Molina Healthcare (11/21/25)
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  • PT Acct Billing Liaison

    Covenant Health Inc. (Knoxville, TN)
    …updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information can be distributed to proper departments/staff. + Maintains ... as assigned to the satisfaction of the CBO Operations Manager and/or Director of Revenue Cycle. + Does not...staff for correction of charge entry errors. + Analyzes claim denials, looking for trends. Investigates errors. Reports findings… more
    Covenant Health Inc. (11/14/25)
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  • Senior Paralegal (Legal Assistant II) - Workers'…

    State of Colorado (Denver, CO)
    …from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty allegations, ... Workers' Compensation Division, state agencies, and the State's third party- claims administrator, regarding workers' compensation law, liability exposure, and… more
    State of Colorado (01/07/26)
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