- 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
- 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
- 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
- University of Utah (Salt Lake City, UT)
- …with employees and departments to obtain information to process leaves and claims . Refers employees to ADA Specialist when necessary. Enters leave-related ... medical or disability leave, military leave, or unpaid leave. Analyzes insurance claims and leave requests, determines employee eligibility, assists managers in the… more
- State of Georgia (Fulton County, GA)
- …Alerts Job Title: Property Relations and Yardi Manager- Atlanta Pay Grade: L Workplace: Hybrid - 1 day per week in office Travel: 5% Job Summary: The Property ... both program areas. + Troubleshoot and resolve escalated GHVP claims -related issues, including payment denials, corrections, and recoupments. +...+ Review weekly GHVP claim reports and ensure timely resolution of any issues. + Serve as lead point… more
- Elevance Health (Waukesha, WI)
- …Dodgeville, Darlington, Monroe, Milwaukee. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance from the ... facing projects or initiatives. This position will serve as the Employment Specialist and Self-Direction Specialist for Anthem's Wisconsin Family Care health… more