- Ascension Health (Austin, TX)
- …and resolving health-care claim payment appeals and communicating resolution /determination in accordance with the standards and requirements established ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, ... Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer service to lobby… more
- Adecco US, Inc. (Hebron, KY)
- Adecco is currently assisting a local Customer in their search for **Complex Claims Attorney/Examiner** positions in **Remote (US based)** . This is a great ... opportunity to further your existing skills as a legal or claims professional, while learning new ones to assist you in your career. The best part is you would be… more
- TEKsystems (Honolulu, HI)
- …the provider onboarding process, provider education, provider outreach and issue resolution . Communicates with external and internal customers and manages work ... medical systems, Project management, excel, workflow management, billing systems, claims systems, healthcare insurance, provider support Top Skills Details medical… more
- HCA Healthcare (Caldwell, ID)
- …integrity. We care like family! Jump-start your career as an Inpatient Coding Resolution Specialist today with Parallon. **Benefits** Parallon, offers a total ... location._** Come join our team as an Inpatient Coding Resolution Specialist . We care for our community!...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assist the… more
- Dickinson Financial Corporation (Kansas City, MO)
- **Summary** The Dispute Resolution Specialist I is responsible for processing electronic funds transfer (EFT) investigation claims in a fast-paced work ... for both internal and external clients. A successful Dispute Resolution Specialist I must be capable of...researching disputes and ensuring accurate information, evaluating activity and claims , as well as performing resolution actions… more
- Centers for Independence (Milwaukee, WI)
- …Nonprofit - Social Services **Description** **Job Purpose:** The Payment Resolution Specialist position is responsible for ensuring claims are processed and ... **Payment Resolution Specialist ** **Job Details** **Job Location**...will be required to review and resolve issues with claims by the required deadlines to ensure timely payment.… more
- Dickinson Financial Corporation (Kansas City, MO)
- **Summary** The Dispute Resolution Specialist II is responsible for processing EFT investigation claims in a fast-paced work environment. This role will ... and research for both internal and external clients. Successful Dispute Resolution Specialist II must be capable of following limited, conceptual instruction and… more
- Penn Medicine (Philadelphia, PA)
- …day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist I **Department:** Otorhinolaryngology Administration **Location:** Hospital ... hybrid schedule regular office hours. **Summary:** + The Account Resolution Specialist I reports to the Supervisor...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Ophth Clinical Support Location: Penn Presbyterian ... 39th Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more