• Accounting / Bookkeeper - Columbus

    State of Georgia (Muscogee County, GA)
    …and identifies budget variances. + Performs routine accounting, clerical, billing, and/or claims processing duties for assigned accounts + Responds to inquiries ... to solve routine accounting problems. + Prepares requested materials for audits of financial data or records. + Processes or records financial transactions such as accounts payable and receivable, payroll, invoices, or requisitions in a ledger or computer… more
    State of Georgia (10/04/25)
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  • Installation Project Manager - Switchgear Products

    Siemens (Wendell, NC)
    …+ Identify out-of-scope work, prepare estimates, and assist in change order and claims processing to support project controls. + Coordinate and manage ... construction personnel and subcontractors, ensuring resource availability, tracking headcount, and optimizing productivity. + Maintain compliance with all project requirements, codes, and construction standards across on-site and off-site activities. + Foster… more
    Siemens (10/03/25)
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  • Coding Quality & Edu Spec 1 / HIM Coding

    Hartford HealthCare (Farmington, CT)
    …Terminology(CPT) codes and resulting DRGs/APCs to ensure consistency and efficiency in claims processing , data collection, and quality reporting for HHC * ... Validates Home Health Coding/OASIS reviews. * Prepares written reports on the results of the audits, including recommendations for improvement and compliance with state and federal laws, regulations and policy. * Presents audit reports, results and action… more
    Hartford HealthCare (10/03/25)
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  • Director, Utilization Management BH

    Commonwealth Care Alliance (Boston, MA)
    …utilization management functions with network strategy, vendor relationship management and claims processing . Works closely with provider relations on resolving ... provider related issues. * Directs the work of the utilization management team to ensure quality, interrater reliability and standards are met in daily operations. Responsible for resolution and communication of utilization management issues and concerns and… more
    Commonwealth Care Alliance (10/02/25)
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  • Health Services Specialist

    Cummins Inc. (Rocky Mount, NC)
    …Accurate documentation of workers' compensation and other legally required records ensures smooth claims processing and regulatory audits. + **Acting as a Health ... Resource** Your presence and expertise make you a go-to resource for health-related questions, fostering trust and proactive health behaviors. + **Supporting Return-to-Work Programs** By managing health records and care plans, you help employees transition… more
    Cummins Inc. (10/02/25)
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  • Sales Executive FSI

    DXC Technology (Washington, DC)
    …Cycle + Working knowledge of Asset management for insurance, Underwriting, Claims Processing , Digital engineering, and modernization, Analytic Integration, ... System Integration, Market Data Integration, Data Migration, Cloud + Exceptional communication skills, both verbal & written, excellent presentation skills + Excellent English - articulate, good presentation and negotiation skills Must be legally authorized to… more
    DXC Technology (10/01/25)
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  • Compliance Specialist

    CDPHP (Latham, NY)
    …to detail is key to this role. + Demonstrated knowledge of all claims processing systems, contracts, and riders. + Keen analytical skills, organizational, ... project management and excellent verbal and written communication skills, as well as the ability to interact with all levels of management, staff at other plans and outside professionals. + A thorough knowledge of current policies, procedures, and rules for… more
    CDPHP (10/01/25)
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  • Grievance Specialist-Health Plan

    BayCare Health System (Clearwater, FL)
    …specifications. + Knowledge of health plan operations, benefit coverage, and claims processing . Familiarity with regulatory requirements governing grievance and ... appeal processes, such as ERISA, HIPAA, and state-specific regulations. + Proficiency in using computer systems and software for case management and documentation. **Minimum Qualifications:** + Required - 3 years Customer Service (or similar) within a… more
    BayCare Health System (09/30/25)
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  • Financial Counselor

    Trinity Health (Athens, GA)
    …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... customer service activities is highly desired. Consideration may be given for commensurate customer service experience in another industry. **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique… more
    Trinity Health (09/27/25)
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  • Risk Adjustment Coding Specialist (Remote)

    CareFirst (Baltimore, MD)
    …and Abilities (KSAs)** + Adobe Acrobat Professional. + Microsoft Word, Excel, Outlook, Claims Processing Facets. + Ability to adapt to various coding technology ... platforms, such as Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems and coding documentation platforms. + Must be able to effectively communicate and provide positive customer service to every internal and external customer, including… more
    CareFirst (09/26/25)
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