- 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 ... all diagnosis and procedure codes to assure properly assigned MS-DRG or APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical… more
- US Physical Therapy (Sanford, FL)
- …grow with us! **Job Description** We are seeking a detail-oriented **Insurance Verifications Specialist ** to join our team in Sanford, United States. In this role, ... resolving insurance-related issues + Coordinate with billing department for accurate claims processing **Qualifications** + 2+ years of experience in insurance… more
- The Clorox Company (Alpharetta, GA)
- …**Your role at Clorox:** The Senior Regulatory Specialist will serve as a strategic regulatory partner ... not limited to ingredient assessments, formula reviews, product dossiers, claims , packaging labels, marketing communication materials. + Translate complex regulatory… more
- Robert Half Accountemps (Bangor, ME)
- Description We are looking for a dedicated Patient Access Specialist to join our team in Bangor, Maine. In this role, you will be responsible for managing the ... data into the system to support billing processes and facilitate accurate claims . * Inform Medicare patients of potential non-payment for specific services using… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Division Support Specialist Under the general supervision of the Supervisor, Professional Billing & Coding, responsible for compiling & providing daily, ... monitor & report on work queue activity, encounter management, monitor electronic claims rejections & staff productivity reports. Compile & review monthly billing… more
- The Clorox Company (Forest Park, GA)
- …HSE leadership and compliance. As an HSE Leader at the site, the HSE Specialist will ensure compliance to all applicable Federal, State and Local Regulations in ... + Support local human resources or other plant functions on worker's compensation claims management + Manage the HSE Management System and troubleshoot any site… more
- Schwan's Company (Marshall, MN)
- …and the power of food to bring people together. The Regulatory Affairs Specialist , based out of Bloomington, MN or Marshall, MN, is responsible for developing ... standards + Review ingredients, formulations, processing procedures, analytical data, and claims for labeling purposes + Create nutrition facts panels in compliance… more
- East Boston Neighborhood Health Center (Revere, MA)
- …direct supervision of the Patient Financial Services Director, the Payment Poster/EDI Specialist is responsible for the accurate and timely processing and posting of ... information, making adjustments as necessary to ensure proper filing of supplemental claims to insurance companies. The staff in this position works closely with… more
- Burns & McDonnell (Kansas City, MO)
- **Description** The Contract Specialist (Legal) is responsible for negotiating downstream contracts in adherence with company and client requirements. This position ... Such duties may include: reviewing additional agreement types, supporting claims , reviewing project flowdowns, drafting formal contract notices to clients,… more
- AIG (Chicago, IL)
- …help customers to manage risk. Join us as a Senior Regional Production Specialist , Lexington Healthcare to play your part in that transformation. It's an opportunity ... strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners,… more