- Baylor Scott & White Health (Temple, TX)
- …pharmacy benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department ... **JOB SUMMARY** The Pharmacy Services Specialist 2 communicates with members, providers, and clients...members by phone or in writing to effectively resolve claims processing issues for all Health Plan… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …to billing/collections (timely filing, specific invoicing requirements, etc.) Ensure timely processing of any re-billing invoices/ claims . Manage any fiscal ... Job Summary The Patient Account Specialist is responsible for accurate and timely billing...Job Duties + Ensure accurate and timely billing of claims to payers. Verify all services delivered are billed… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 - ... typically report to a higher-level manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review… more
- Prime Therapeutics (Annapolis, MD)
- … research for escalated pharmacy and client inquiries, offering issue resolution for claims processing and pharmacy payment in order to resolve inquiries. ... Excel **Preferred Qualifications** + Experience working with RxClaim system or other claims processing experience + Pharmacy Technician certification (CPhT) or… more
- State of Indiana (Indianapolis, IN)
- …Administration's "Ticket to Work" program. Role Overview: This role, Disability Claims Adjudicator 2 - Vocational Specialist , completes vocational referrals, ... DCA Vocational Specialist Date Posted: Dec 1, 2025 Requisition ID:...This role requires applicants to be fully trained Disability Claims Adjudicators and completion of CDR training. Salary Statement:… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring … more
- Sedgwick (Wichita, KS)
- …college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... Workplaces in Financial Services & Insurance Remote Customer Service Specialist - Remote **SCHEDULE: Sun/Mon/Tues/Wed/Fri 9:30am-6:30pm EST** **PRIMARY PURPOSE:** To… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3049497) Apply ENVIRONMENTAL HEALTH SPECIALIST III ... class receive administrative and technical lead from a Chief, Environmental Health Specialist and may receive technical lead from an Environmental Health … more
- TEKsystems (Delavan, WI)
- About the Role We are seeking a detail-oriented and customer-focused Claims Resolution Specialist to join our team. This role is responsible for managing and ... resolving claims submitted by customers, transportation, and credit departments. Using...+ Build strong cross-functional relationships with credit, transportation, order processing , and shipping teams. + Perform other duties as… more