- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Consultant uses industry knowledge, research skills, payment policy and business operations knowledge to become a trusted subject matter expert on professional ... operational impacts, inquiries and implementation efforts. + Assist in developing new claim editing logic and maintenance of existing rule logic to support payment… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- Summary The incumbent serves as a Supervisory Mobility Transportation Specialist - Mobility Manager and manages all Veteran Transportation System (VTS) and ... including patient transport, Special Mode Transport (SMT), mileage reimbursement claims , transportation contracts, 911 ambulance claims , inter-facility… more
- MyFlorida (Orlando, FL)
- ELIGIBILITY SPECIALIST II - 60068921 Date: Nov 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865981 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60068921 Pay Plan: Career Service Position Number: 60068921 Salary:… more
- Henry Ford Health System (Detroit, MI)
- …Campus, Centralized Pharmacy Services Center - Detroit Schedule: Full Time The Pharmacy Specialist is a pharmacist who, by virtue of knowledge gained through special ... expert in a major area of pharmacy practice. The Pharmacy Specialist assumes overall leadership responsibility in directing the pharmacy-related activities in… more
- Abbott (Alameda, CA)
- …and professionals measure, track and analyze glucose levels. As a Pricing Specialist , you will be responsible for processing contract transactions in national and ... credits/debits and resolve other contractual discrepancies. + Track and report rebates claim and payments status + Analyze and answer customer service queries… more
- United States Fleet Forces Command (Kittery, ME)
- Summary You will serve as a Human Resources Specialist (Employee Benefits) in the USFF HR Services Branch, Executive Support Office of PORTSMOUTH NAVAL SHIPYARD. ... reports and statistics on injury compensation using the Employees' Compensation Operations and Management Portal (ECOMP) and continually updates and maintains the… more
- Elevance Health (Miami, FL)
- The **Coding and Reimbursement Specialist ** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education ... or documentation is unclear. + Trains and educates others on coding documentation, claim payment guidelines, and related issues. + Reviews CPT and ICD-9 codes… more
- UPMC (Harrisburg, PA)
- The Quality Administration department is looking for a new Patient Safety Specialist to support patient safety activity in the Women's and Children's service line ... + Investigate actual and potential patient safety risks in the clinical operations of the hospital through rounds, chart reviews, interviews, physical inspection and… more
- UPMC (Pittsburgh, PA)
- UPMC Mercy is hiring a Full Time Patient Safety Specialist to support our hospital! This position will work Monday-Friday during business hours. Purpose: Responsible ... + Investigate actual and potential patient safety risks in the clinical operations of the hospital through rounds, chart reviews, interviews, physical inspection and… more
- Penn Medicine (Bala Cynwyd, PA)
- …and timely claim submission. . Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed . In ... Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality… more