- Molina Healthcare (San Diego, CA)
- …Provides subject matter expertise and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role ... and finance partners to proactively identify issues and implement resolution strategies. + Serves as a thought partner to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- ITW (Baltimore, MD)
- …troubleshooting technical issues, providing expert guidance, and ensuring timely resolution of product-related problems. In addition to these core responsibilities, ... this position oversees and provides leadership to the Technical Product Specialist team, ensuring consistent support standards, effective knowledge sharing, and… more
- State of Colorado (Denver, CO)
- …from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty allegations, ... Workers' Compensation Division, state agencies, and the State's third party- claims administrator, regarding workers' compensation law, liability exposure, and… more
- Molina Healthcare (Provo, UT)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... and finance partners to proactively identify issues and implement resolution strategies. + Serves as a thought partner to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- City of New York (New York, NY)
- …the Senior Executive Director will also be a subject matter expert in processing VA claims for Veteran benefits and supervising staff on how to process VA claims ... DVS health screeners are connected to mental health resources. Process VA Claims , Provide Veteran Benefits Counseling: Possess high-level knowledge of processing … more
- OhioHealth (Columbus, OH)
- …the billing/coding process. Ensures compliance with Revenue Cycle targets for resolution of failed claims . 15% 3. Coordinates billing/coding activities ... including quality, productivity, coder training/education, physician onboarding/education and failed claims for the OhioHealth Network and OhioHealth Physician Enterprise.… more
- Travelers Insurance Company (Las Vegas, NV)
- …intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews ... injury or assist claim handlers in managing medical treatment to an appropriate resolution . This position will work out of the Concentra Clinic in Las Vegas.… more
- Adecco US, Inc. (Louisville, CO)
- …role is essential to our revenue cycle team, focusing on follow-up, claims resolution , and clear communication. **Key Responsibilities:** + Review Explanation ... only **Application Deadline:** August 24, 2025 Are you an experienced **Medical Billing Specialist ** ready to play a vital role in the healthcare revenue cycle?… more
- AdventHealth (Tampa, FL)
- …The APC Coordinator may assist in training outpatient coders on the appropriate resolution of NCCI edits. Work alongside members of the ancillary departments and ... revenue cycle team to obtain timely resolution of accounts discharged but not final billed as...billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight… more
- City of New York (New York, NY)
- …ELIGIBLE FOR CONTINUED EMPLOYMENT. Under general direction of the EFT Transfer Specialist with wide latitude for independent judgment, the LMU Worker is responsible ... with all program areas and FIA to troubleshoot payment processing issues, facilitate resolution as well as landlord communication and customer service. This unit is… more