- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... adjudication of claims under the supervision of a licensed pharmacist. This...Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with… more
- TEKsystems (Denver, CO)
- Medical Appeals Specialist (Fully Remote) Make a measurable impact by overturning denials, recovering missed revenue, and improving patient account outcomes. As a ... Medical Appeals Specialist , you'll combine deep payer policy knowledge with analytical...follow‑ups to resolution. What you'll do 1) Research & Claims Audit You'll be assigned audits with varying volumes… more
- AbbVie (North Chicago, IL)
- …Tik Tok (https://www.tiktok.com/@abbvie) . Job Description Purpose The HRConnect Senior Benefits Specialist is a key part of AbbVie's Human Resource (HR) ... Operations group supporting the HRConnect delivery model. The HRConnect...supporting the HRConnect delivery model. The HRConnect Senior Benefits Specialist is responsible for supporting US benefits and leave… more
- Kaniksu Community Health (Sandpoint, ID)
- …accessible, quality healthcare in your community? We're seeking a Revenue Cycle Specialist to join our finance team. In this mission-driven role, you'll manage ... and optimize all phases of the revenue cycle-including billing, claims submission, denial management, and patient account follow-up. You'll work closely with both… more
- Sedgwick (Wichita, KS)
- …Workplaces in Financial Services & Insurance Remote Customer Service Specialist - Remote **SCHEDULE: Sun/Mon/Tues/Wed/Fri 9:30am-6:30pm EST** **PRIMARY PURPOSE:** To ... to ensure accuracy, timeliness, and quality service across all housing operations . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Answers inbound calls from… more
- University of Washington (Seattle, WA)
- …with evolving regulatory requirements. **Position Purpose** **:** Clinical Research Billing Specialist position will enable the Clinical Research Billing Manager and ... changes (eg, CTMS Target 3 rollout). The Clinical Research Billing Specialist will: + Support Billing team through day-to-day problem-solving in collaboration… more
- Stony Brook University (East Setauket, NY)
- Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the **Senior Revenue Cycle Specialist ** will act as an operational leader in the ... limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new...to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital… more
- Houston Methodist (Houston, TX)
- …is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform ... At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect...ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal… more
- Lowe's (Richmond, VA)
- *Weekend BDC Specialist * **Your Impact at Lowe's** As a Bulk Distribution Center Support Specialist , you'll work on-site in our Bulk Distribution Center (BDC) ... Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load plans… more
- Fairview Health Services (Minneapolis, MN)
- …appropriate information to others according to established procedures to support day-to-day operations Process home infusion claims accurately and timely. + ... accurate and timely billing, collections, appeal of home infusion claims . Perform collection tasks to obtain payments. Analyze accounts...add information needed to ensure proper billing. + Screen claims on-line or on paper for accuracy + Obtain… more