• Clinical Government Audit Analyst and Appeal…

    Stanford Health Care (Palo Alto, CA)
    …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
    Stanford Health Care (11/14/25)
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  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and skills… more
    Houston Methodist (10/29/25)
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  • Senior Regulatory Affairs Specialist

    Teleflex (Morrisville, NC)
    Senior Regulatory Affairs Specialist **Date:** Nov 3, 2025 **Location:** Morrisville, NC, US **Company:** Teleflex **Expected Travel** : Up to 10% **Requisition ID** ... a difference in patients' lives. **Position Summary** The Sr. Regulatory Affairs Specialist (SRA) will develop US, EU, and Canada strategies, assessments and… more
    Teleflex (11/04/25)
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  • Account Billing Specialist - Hospital…

    Queen's Health System (Honolulu, HI)
    …and in compliance with federal, state, insurance carriers, health plans and other third party payor requirements. * Ensures accurate claims submission to ... periods. * Operates: telephone, computer, copier, typewriter, facsimile, and calculator. III . TYPICAL WORKING CONDITIONS: * Not substantially subjected to adverse… more
    Queen's Health System (11/27/25)
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  • Payment Recovery Specialist - QHS Payment…

    Queen's Health System (Honolulu, HI)
    …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and… more
    Queen's Health System (11/27/25)
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  • Prof Billing Specialist - Rev Cycl _Prof…

    Queen's Health System (Honolulu, HI)
    …and in compliance with federal, state, insurance carriers, health plans and other third party payor requirements, as assigned. * Ensures accurate claims ... office equipment such as computer, copier, facsimile, telephone, typewriter, etc. III . TYPICAL WORKING CONDITIONS: * Not substantially subjected to adverse… more
    Queen's Health System (09/09/25)
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  • Total Rewards Analyst

    Entergy (Hammond, LA)
    …Entergy Services, LLC **_This position will be filled as a Total Rewards Analyst III , SR, or Senior Lead, depending on the qualifications and experience of the ... any discrepancies identified. + Reviews and responds to benefit eligibility claim request received from employees and retirees. + Supports contract negotiations… more
    Entergy (10/31/25)
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  • CO Medicaid Enterprise Solution (CMES) Integration…

    State of Colorado (CO)
    …Denver, CO 80203, USA Department Contact Information Sarah LaRue Talent Acquisition Specialist ###@state.co.us How To Apply Please submit an online application for ... the technical aspects of Decision Support Systems portfolio modules including claims , eligibility and enrollment data, financial payment data, provider enrollment… more
    State of Colorado (12/01/25)
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