• Financial Counselor

    Baylor Scott & White Health (Fort Worth, TX)
    …received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer. **KEY SUCCESS FACTORS** 3 ... years of healthcare experience or education equivalency required. Proven ability to problem-solve, perform critical thinking. Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.… more
    Baylor Scott & White Health (01/11/26)
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  • Deputy Chief of Staff, Operations

    Veterans Benefits Administration (Washington, DC)
    …on high-level topics and projects. Experience must reflect substantial knowledge of claims processing workflows and benefits delivery operations. EXECUTIVE CORE ... QUALIFICATIONS (ECQs): In addition to the Technical Qualification Requirements listed above, all new entrants into the Senior Executive Service (SES) under a career appointment will be assessed for executive competency against the following five mandatory… more
    Veterans Benefits Administration (01/11/26)
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  • Fraud and Waste Investigator

    Humana (Concord, NH)
    …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is… more
    Humana (01/10/26)
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  • Patient Access Representative Associate

    Corewell Health (Kentwood, MI)
    …volume call center, medical billing, insurance environment relevant to benefits, provider contracting, claims processing , and/or managed health care. + 1 year of ... relevant experience Revenue Cycle. How Corewell Health cares for you + Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) . + On-demand pay program… more
    Corewell Health (01/10/26)
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  • Customer Service Representative-I (Escalations…

    Trinity Health (Farmington Hills, MI)
    …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. **Must have at least one year of healthcare call center customer service experience** **Experience working with the… more
    Trinity Health (01/10/26)
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  • Senior C# .NET Developer

    Radiant Digital (Richmond, VA)
    …must describe experience with large menu driven business systems, such as claims processing , payroll, medical, or insurance type applications. The candidate ... will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. We do not use API's. To ensure success as a… more
    Radiant Digital (01/10/26)
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  • SQL TSQL .Net 3.03.5 Developer

    COOLSOFT (Richmond, VA)
    …must describe experience with large menu driven business systems, such as claims processing , payroll, medical, or insurance type applications. The candidate ... will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. To ensure success as a C# developer you… more
    COOLSOFT (01/10/26)
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  • Patient Services Representative

    US Tech Solutions (Mount Pleasant, SC)
    …office notes, pre-authorizations, hospital documents, etc. + Ensure charges drop for claims processing . Work closely with practice coder in resolution process. ... Respond to requests from practice Revenue Cycle Advocate. Serve as resource for front desk registration to ensure accuracy on insurance information. Resolve patient billing concerns. Assist providers in charge capture when necessary. + Teamwork and… more
    US Tech Solutions (01/10/26)
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  • Operations Specialist - Logistics

    Kuehne+Nagel (Raleigh, NC)
    …(order fulfilment, Transport Management, Request and Deviation Management, Visibility and Monitoring, Claims Processing ) + Receive & respond in time to requests ... from relevant stakeholders (such as customer requests) + Adheres to and complies with all health & safety, quality, security, environmental, legal and regulatory requirements, company policies and procedures. + Participate in quality audits related to general… more
    Kuehne+Nagel (01/10/26)
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  • Program Integrity Coordinator, Managed Care…

    State of Minnesota (St. Paul, MN)
    …trends, aberrancies, or program integrity risks. + Knowledge of Minnesota Medicaid claims processing , coding systems, or encounter data. + Experience providing ... training, technical assistance, or formal presentations to internal or external stakeholders. + Project management or continuous improvement experience related to program integrity or compliance initiatives. + Variety of experiences working effectively with… more
    State of Minnesota (01/10/26)
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