- Gilead Sciences, Inc. (Los Angeles, CA)
- …and help create possible, together. **Job Description** As a **Senior Therapeutic Specialist , Oncology** , you are responsible for representing Gilead's products and ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- C&W Services (New York, NY)
- **Job Title** HSSE Regional Specialist **Job Description Summary** POSITION SUMMARY The Environmental Health & Safety (EH&S) Manager is responsible for providing ... report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager… more
- Legacy Treatment Services (Hainesport, NJ)
- Insurance Verification Specialist Job Details Level Experienced Job Location Integrated RCM Services - Hainesport, NJ Position Type Full Time Education Level High ... Job Shift Day Job Category Insurance The Insurance Verification /Self-Pay Representative for Legacy Treatment Services will verify insurance coverage and determine… more
- RTX Corporation (Marlborough, MA)
- …DoD Clearance: Secret Collins Aerospace is seeking a talented and driven Principal Specialist Material Program Manager (MPM) to join our Mission Systems team in ... customer communications and building a robust customer relationship + Supplier Claims /Request for Economical Adjustments (REA's) and mediation management + Conduct… more
- Magellan Health Services (Boise, ID)
- …+ Other duties as assigned by management. The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an ... a Customer Care/Healthcare environment with experience in eligibility, authorization and claims problem resolution. 2+ years' experience in network development with… more
- WATTS (Andover, MA)
- …and we have a dynamic future ahead. The Strategic Accounts Receivable Specialist is responsible for the efficient, effective, productive, and accurate resolution of ... + Manage the tactical relationship of the customers as representative of the Finance Shared Services organization + Troubleshoot...support for common proof of delivery and/or product shortage claims + Provide guidance and direction to Sales and… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... determination made by the government or commercial payors, or their auditor representative . + Facilitate clinical chart reviews to assist with supporting assigned… more
- Leviton (Northbrook, IL)
- …project-based price quotations (RFPs) within Oracle based on alignment with field representative and history of past quotes (BI tool analysis). Support ED salesforce ... Marketing Materials, and delivery status. Provide support for Customer Claims including deductions, pricing discrepancies, and return orders. Qualifications… more
- Beth Israel Lahey Health (Cambridge, MA)
- …patient contact information is complete and verified with the patient or patient representative . + Verifies the guarantor type and information and ensures it is ... offices as needed to obtain approvals. + Escalates challenging accounts to provider representative to ensure accounts are approved at least two weeks prior to… more
- Ochsner Health (Jefferson, LA)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... or more of the following: DNFB, Pre-AR, Denials, and Claim Edits. + Verifies correct discharge disposition when appropriate...and Environmental Demands** The physical demands described here are representative of those that must be met by an… more