- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing /adjudication, recipient/provider eligibility, and third-party liability. ... in projects like the following: CMS Federal Reporting, quality measures, claims processing , Medicaid program eligibility, provider enrollment, third-party… more
- Cedars-Sinai (CA)
- …rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine ... **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation...ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care **Department** : MNS Managed Care… more
- CareFirst (Baltimore, MD)
- …and Abilities (KSAs)** + Adobe Acrobat Professional. + Microsoft Word, Excel, Outlook, Claims Processing Facets. + Ability to adapt to various coding technology ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, Risk Adjustment Data… more
- Air National Guard Units (Mcchord AFB, WA)
- …National Guard Title 5 Excepted Service Technician position: MANAGEMENT SUPPORT SPECIALIST Location: 225th Air Defense Group Joint Base Lewis-McChord, Washington ... announcement, will not be considered. Responsibilities A GS-0301-9, MANAGEMENT SUPPORT SPECIALIST : Plans, organizes, and oversees the full complement of activities… more
- Shift Robotics (Austin, TX)
- As a Customer Support Specialist at Shift, you will play a vital role in ensuring our customers receive exceptional service and support for all their inquiries and ... offer accurate information to customers. + Assist B2B customers with order processing , product information, and account management. + Manage and process returns,… more
- Trinity Health (Livonia, MI)
- …ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing . Duties also include abstracting and validating data from ... Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan **Status:** Full time… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43189BR** **Extended Job Title:** Compliance Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** The Institutional Compliance ... Program Specialist manages comprehensive departmental documentation preparedness for demonstrating regulatory compliance effectiveness; ensures immediate… more
- Air National Guard Units (Fairchild AFB, WA)
- …Guard Title 32 Excepted Service Unit Technician position: HEALTH SYSTEMS SPECIALIST Location: 141st Medical Group Fairchild AFB, Washington 99011-9413 Air National ... Jobs profile name is accurate* Responsibilities A GS-0671-9, HEALTH SYSTEMS SPECIALIST : Manages Health Services activities, including plans and operations, human… more
- Minnesota State (Mankato, MN)
- …specified Closing Date (if designated).** **Working Title:** Customer Service Specialist Intermediate - Front Office Staff (SA26029) **Institution:** Minnesota State ... University, Mankato **Classification Title:** Customer Svcs Specialist Int **Bargaining Unit / Union:** 206: AFSCME - Clerical and Office **City:** Mankato **FLSA:**… more
- CVS Health (Helena, MT)
- …and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more