- Community Involvement Programs (St. Paul, MN)
- …to learn more about working here at Accord. About the Role The Billing Specialist is responsible for overseeing billing operations in order to ensure timely billing, ... payments and collection. The Billing Specialist will be responsible for their programs' open and...manager to ensure accurate billing, and payments. Job Location Hybrid : You will work in our office in St.… more
- Kerry (Beloit, WI)
- …with our customers. + Navigates internally within Kerry to ensure timely proactive resolution of issues, queries, claims and complaints providing a seamless ... grow in a truly global environment. About the role Hybrid Role Monday and Friday Remote Tuesday , Wednesday...for all internal and external (customer) order management engagement, resolution & communication. + Coordinating with the wider CC… more
- Henry Ford Health System (Troy, MI)
- …fraud, compliance, and any other issue. Aside from committee meetings, assist with claims resolution issues as needed. + Assist in requesting and tracking ... professional publications as it pertains to Benefit Administration Manual policies, claims processing decisions, and coding credentials. This posting represents the… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is hiring a Senior Risk Management Specialist to join our team! This position will work a hybrid schedule with onsite work at the Forbes ... of the position is systematic management of potential as well as actual claims . Clinical data will by analyzed to determine areas of potential liability. Corrective… more
- Deloitte (Austin, TX)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Specialist you will have the ability to share new ideas and collaborate on ... East Coast working Eastern Time zone hours. + Provide support for incident resolution + Provide support for service requests + Provide support for enhancement build… more
- AmeriHealth Caritas (West Chester, PA)
- **Role Overview** The **Application Support Specialist ** will support a state government healthcare system (LTSS). In this role, you will lead a team that helps keep ... customers and business partners to understand needs, discuss issues and guide resolution . This role also requires solid analytical thinking and clear collaboration… more
- Aston Carter (Irving, TX)
- …interactions. The ideal candidate will have experience in lien and claims management as well as collections duties for accounts receivable within ... + Identify, document, and distribute disputes to the appropriate department for resolution , and conduct conferences with sales and/or customers to resolve disputed… more
- Travelers Insurance Company (Wyomissing, PA)
- …Partners with claim professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, ... is deemed appropriate for further consideration. Travelers offers a hybrid work location model that is designed to support...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Nuvance Health (Danbury, CT)
- *Description* *FULL TIME DAY SHIFTS- VARIABLE HOURS / WEEKEND ROTATIONS REQUIRED* * * Hybrid /Remote* * *Summary:* The purpose of the Denial Prevention Nurse is to ... payer practices, successfully challenging payers as they prevent obstacles and deny claims and escalating any egregious payer behaviors to internal leadership for… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... a primary resource for resolving provider inquiries and supporting issue resolution . + Collaborate in the implementation of CCA's enterprise-wide provider engagement… more