• Mail Production Specialist

    TEKsystems (Farmington, MO)
    …MO team. 8am-4:30pm CST (40 hours/week with possible OT) Mailroom process Claims mails for enterprise departments Production based environment - Open sort and ... incoming correspondence - Record specified incoming documents - Appropriately file imaged claims appeals adjustments and inferior quality imaged claims -… more
    TEKsystems (10/10/25)
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  • Ops - Senior Clerk

    MyFlorida (Jacksonville, FL)
    …service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This ... office. + Pay/validation operator and assists players in completing claims in prizes greater than $599.00. + Primary or...computer programs of the agency ie e-mail, and word processing . + Computer skills to include the ability to… more
    MyFlorida (10/10/25)
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  • Utilization Management Coordinator Remote (Strong…

    Sedgwick Government Solutions (Dallas, TX)
    …you have experience in medical records, triage, customer service, authorizations, claims and billing, patient health assessment, or other related healthcare support ... and triage as necessary. + Enter demographics and UR information into claims or clinical management system; maintains data integrity. + Obtains all necessary… more
    Sedgwick Government Solutions (10/10/25)
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  • Clinical Provider Auditor II

    Elevance Health (Norfolk, VA)
    …associated with fraud and abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as… more
    Elevance Health (10/09/25)
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  • Full Stack Web Architect

    Capgemini (New York, NY)
    …like Kubernetes Deep knowledge of insurance workflows including policy issuance claims processing and customer servicing Exposure to enterprise integration ... design and development efforts for digital servicing policy management and claims platforms **Key Responsibilities:** Define architecture for responsive secure and… more
    Capgemini (10/09/25)
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  • Regional Access Manager - Southeast Region,…

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (10/08/25)
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  • Senior Accountant - HHS (Finance)

    Walworth County (Elkhorn, WI)
    …reimbursement from State and other agencies for DHHS services, managing the claims process to maximize reimbursement. Timely prepares all monthly, quarterly and ... annual fiscal reports/ claims for HHS federal and state funding. Participates in...apply to financial records. + Ability to utilize word processing , database and spreadsheet programs. + Ability to establish… more
    Walworth County (10/08/25)
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  • Operations Support Services Manager

    Sedgwick (Memphis, TN)
    …Sedgwick's Shared Services department, including (but not limited to) the processing of security requests. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Oversees ... experience or equivalent combination of education and experience required. Claims and/or IT experience preferred. **Skills & Knowledge** + Proven… more
    Sedgwick (10/08/25)
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  • Rare Disease Account Manager

    Otsuka America Pharmaceutical Inc. (Beverly Hills, CA)
    …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (10/07/25)
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  • Epic Hospital Billing (HB) Analyst

    CTG (CA)
    …and support decision-making. + Monitor key performance indicators (KPIs) related to claims processing , denials, collections, and reimbursements. + **Training & ... + Strong understanding of hospital revenue cycle processes, billing, coding, claims , and reimbursement; with a previous focus on behavioral health.… more
    CTG (10/07/25)
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