- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Risk Management, the role involves systematically managing potential and actual claims . Analyzing clinical data is crucial for identifying liability areas, with… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …all procedures. Follow Up on accepted or denied claims . Review denied claims for denial reasons and provide resolution . Investigate insurance fraud and ... SUMMARY: We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a… more
- Sedgwick (Dallas, TX)
- …Best Workplaces in Financial Services & Insurance Remote Housing Support Specialist **REMOTE POSITION** **Schedule: MONDAY - FRIDAY 11AM-8PM EST** **PRIMARY ... adjusters, and vendors to ensure smooth transitions and effective problem resolution during the housing period. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Serves… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …OF JOB The Account Receivable Specialist is responsible for performing resolution -oriented claims submission and follow-up to achieve cash recovery and A/R ... resolution goals of assigned health system receivables, through established...organizational and time management skills. Assertive in resolving unpaid claims . EQUAL OPPORTUNITY Redeemer Health is an equal opportunity… more
- Army National Guard Units (Raleigh, NC)
- …32 EXCEPTED SERVICE POSITION. This National Guard position is for a PARALEGAL SPECIALIST (TITLE 32), Position Description Number D1242000 and is part of the ... NGNC-SJA, National Guard (JFHQ-SJA / MD 1210-303). Responsibilities As a PARALEGAL SPECIALIST (TITLE 32), GS-0950-9, you will serve provide ancillary legal work to… more
- Aveanna Healthcare (Olyphant, PA)
- Operations Specialist ApplyRefer a FriendBack Job Details Requisition #: 207808 Location: Olyphant, PA 18447 Category: Business Operations Salary: $20.00 - $21.50 ... per hour Position Details Position Overview The Operations Specialist is responsible for providing top level customer service to internal and external clients as it… more
- Aston Carter (Medley, FL)
- Accounts Receivable Specialist - Hybrid | Medley, FL | $Multi-Million Company Join a thriving industry leader! We're actively hiring an Accounts Receivable (AR) ... Specialist to support a high-performing finance team at a...retailer accounting teams and internal stakeholders. + Process invoices, claims , and apply payments accurately. What We're Looking For… more
- Phoenix Home Care and Hospice (Springfield, MO)
- Home Health Billing Specialist Location: Springfield, MO Full-Time | Join a Collaborative, Growing Team Are you detail-oriented, organized, and passionate about ... Hospice is looking for a motivated Home Health Billing Specialist to join our Springfield, MO team! This is...engaging team culture What You'll Be Doing: + Submitting claims promptly in accordance with payer guidelines + Identifying… more
- Molina Healthcare (Salt Lake City, UT)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of… more
- Avera (Brookings, SD)
- …insurance payers. + Communicates with internal and external customers involved in the claims resolution process to ensure timely claims processing.) ... and follow up of unpaid, overpaid/over adjusted and denied claims . + Reviews, analyzes, and appeals denials received relative...and completes claim refiling as well as submits secondary claims not auto- generated through the system. + Assist… more