- Highmark Health (Cheyenne, WY)
- …systems problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction ... supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine,… more
- OhioHealth (Westerville, OH)
- **We are more than a health system . We are a belief system .** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could ... by collecting accurate demographic and financial information to produce a clean claim necessary to receive timely reimbursement. In addition, this position provides… more
- MyFlorida (Tallahassee, FL)
- ASSISTANT ATTORNEY GENERAL-DLA - 41001035 1 Date: Sep 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... cases under state and federal antitrust laws, Florida False Claims Act, Florida securities law, Civil Racketeering and as...promotion unless they are registered with the Selective Service System (SSS) before their 26th birthday, or have a… more
- AdventHealth (Maitland, FL)
- …in calculating net revenue for AH. Strong ability to mentor and train complex systems to pertinent staff. Responsible for ensuring system builds are audited to ... methodologies and rate component data for government and non-contracted products for system calculation of claims . Facilitates in the completion and coordination… more
- Ascension Health (Evansville, IN)
- …in the patient account record of all billing activities. Maintain documentation of claims processed as part of the daily claims reconciliation process. + ... account record of all billing activities. Maintain documentation of claims processed as part of the daily claims...more. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600… more
- Integra Partners (Troy, MI)
- …WILL YOU LEARN IN THE FIRST 6 MONTHS? + Become self sufficient in the UM system and core UM, Credentialing and Claims workflows + Stand up a regulatory ... Medicaid, and NCQA regulations relevant to Utilization Management (UM), Credentialing and Claims , with the ability to translated them into operational requirements +… more
- Quality Technology Services, LLC (Duluth, GA)
- …supports the delivery of scalable infrastructure solutions by ensuring systems excellence and cross-functional collaboration. The analyst will be responsible ... + Ensure data integrity, consistency, and accuracy across all PLM-related systems . + Implement and optimize tools and processes that promote cross-functional… more
- Air National Guard Units (Des Moines, IA)
- …of classified hardware and software on personal computers and associated assigned systems . Develops, modifies, and tests overall classified system backup and ... C4 systems , services, and activities. Analyzes policies, regulations, and system provisions governing standard operating systems . Assists and advises users… more
- CVS Health (Annandale, VA)
- …including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and… more
- Robert Half Accountemps (North Charleston, SC)
- … claims , including filing reports, tracking incidents, and monitoring claim progress. * Respond to inquiries from employees regarding payroll, benefits, ... in a dynamic work environment. * Quick learner, particularly with payroll software systems such as Paycom. * Strong organizational and time-management skills to meet… more