• Director, Provider Network Administration (HP…

    Molina Healthcare (GA)
    …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... data issues (eg, provider match error rate) and Configuration issues for claims payment. * Produces reports related to provider network information. * Establishes… more
    Molina Healthcare (09/21/25)
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  • Dispute Specialist I

    Woodforest National Bank (The Woodlands, TX)
    …banks in the country! The Dispute Specialist I is responsible for investigating and processing debit card and/or ACH dispute claims , and Stop Payments, initiated ... banks policies and procedures. Key Responsibilities: . Research customer dispute claims by reviewing card transactions, account records and information provided by… more
    Woodforest National Bank (09/17/25)
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  • Patient Accounting Billing Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    …systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned. + Keeps ... and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and scrubber systems to… more
    Dana-Farber Cancer Institute (09/04/25)
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  • Manager, Corporate Compliance

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    …regulations governing the US pharmaceutical industry, including the federal False Claims Act; Anti-Kickback Statute; Food, Drug, & Cosmetic Act; Prescription Drug ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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  • Contract Administrator

    LS Power Development, LLC (St. Louis, MO)
    …requirements. + Have experience with the intake, analysis and response to counterparty claims , including with respect to assessing and processing project change ... key contract metrics and requirements. + Identify, report, document and track contract claims , elevating claims and briefing management as necessary. + Evaluate… more
    LS Power Development, LLC (08/20/25)
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  • Accounting Associate | Hybrid in

    Sedgwick (Sacramento, CA)
    …payable for risk pool clients, including coding checks, verifying signatures, processing checks, filing, and related journal entries. + Interfaces with clients ... the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more
    Sedgwick (08/19/25)
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  • Manager Benefit Administration - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... fostering teamwork. + Experience with spreadsheets, data reporting, and word processing applications. **Preferred Qualifications** + Other Course work or prior… more
    Sharp HealthCare (08/09/25)
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  • TRICARE Community Liaison

    Humana (Fort Benning, GA)
    …provider, and Government inquiries regarding eligibility, enrollment, billing, claims , referrals/authorizations, network operations, access to care, Defense Health ... to process and correct uncomplicated general eligibility, enrollment, billing, claims , referral/ authorization, and network difficulties experienced by TRICARE… more
    Humana (10/29/25)
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  • Program Controls Specialist

    HNTB (Miami, FL)
    …according to project procedures. This role also supports client invoice processing and contract management activities, helping maintain accurate records and ensure ... timely processing . **What You'll Do:** + Prepares material, labor, and...with the project team or client/owner related to potential claims , claims avoidance, and claims … more
    HNTB (10/25/25)
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  • Insurance Specialist II - Corporate Patient AR…

    Guthrie (Towanda, PA)
    …of complex insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes suggestions for ... more streamlined processing . Prepares reports as required and requested. Works with...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
    Guthrie (10/22/25)
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