- North Carolina State University (Raleigh, NC)
- …UTS/UNC Partnership Location: Chapel Hill, NC Essential Job Duties: This Insurance Specialist position offers both dental and medical insurance services . The ... Insurance Specialist works in all areas of billing and reimbursement,...terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies and contracts of multiple… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medical Billing & Denials Specialist Department: Patient Financial Services Location: SLH - Regional Administrative Campus Hours Per Week: 40 Schedule: ... 8am-4pm SUMMARY: A Medical Billing and Denials Specialist is responsible for managing the billing process,... is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or… more
- Cognizant (Albany, NY)
- **Job Title:** **Sr. Product Specialist - QNXT Configuration (Remote)** **Job ID:** **66246221** **About the role** As a **Sr. Product Specialist ** , you will ... and clarify gaps. + Interpret paper contracts for reimbursement and troubleshooting, claim pending issues. + Create detailed technical design documents and perform… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote Physician Pro Fee Coding Specialist -Hospital Medicine is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ... of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (eg, Athena… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job Category ... most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy … more
- The City of Rochester, MN (Rochester, MN)
- Human Resources Specialist Print (https://www.governmentjobs.com/careers/rochester/jobs/newprint/5160601) Apply Human Resources Specialist Salary $32.94 - ... POSITION DESCRIPTION The City of Rochester welcomes applications for: Human Resources Specialist 2 positions available The City of Rochester is committed to a… more
- Sedgwick (Houston, TX)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- Trinity Health (Livonia, MI)
- …8:30 am-5pm No Weekends w/Holiday Rotations** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of all THAH ... and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished...and authorization is received timely for the submission of claims . Responds to all system issues by preparing documentation… more
- Sedgwick (Naperville, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Service Center Specialist **PRIMARY PURPOSE** **:** To provide support to the claims staff ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Sets up and enters new claims into claims management system. + Inputs and reviews notes/diaries in claims… more
- State of Michigan (St. Joseph, MI)
- Services Specialist 9-12 - Adult Services - St. Joseph County Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5164770) Apply Services ... Specialist 9-12 - Adult Services - St. Joseph County...is an 84-year-old woman who lives alone. The client claims a trusted friend started visiting her a month… more