- CVS Health (Franklin, TN)
- …each and every day. **Position Summary** Performs claim documentation review , verifies policy coverage, assesses policy application validity, communicates with ... and beneficiaries to ensure accurate and timely handling of the medical review process. Contributes to the efficient and accurate handling of medical and… more
- Stanford Health Care (Palo Alto, CA)
- …while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review , interpret, and ... Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...documentation tools in accordance with department guidelines. + Proactively review Claim File Analysis (CFA) for adherence to quality… more
- Molina Healthcare (Omaha, NE)
- …* Applies contract language, benefits and review of covered services to claims review process. * Contacts members/providers as needed via written and verbal ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine… more
- CVS Health (Hartford, CT)
- …Efficiently use multiple systems and screens to obtain and record claim information + Review claims information to determine the nature of a member's illness or ... Hybrid position (onsite in Hartford, CT 3 days per week)** **Claim Benefit Specialist ** Reviews and adjudicates claims in accordance with claim processing… more
- Kaniksu Community Health (Sandpoint, ID)
- …denied or rejected claims , discrepancies or errors. + Assist in the review of patient refunds and adjustments. + Respond to patient and insurance inquiries ... accessible, quality healthcare in your community? We're seeking a Revenue Cycle Specialist to join our finance team. In this mission-driven role, you'll manage… more
- Fairview Health Services (St. Paul, MN)
- …reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial review and addresses ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of… more
- HCA Healthcare (Las Vegas, NV)
- …and personal growth, we encourage you to apply for our Medical Billing Specialist opening. We promptly review all applications. Highly qualified candidates will ... integrity. We care like family! Jump-start your career as a Medical Billing Specialist today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards… more
- HCA Healthcare (Jacksonville, FL)
- …this opportunity compelling, we encourage you to apply for our Collections Specialist opening. We promptly review all applications. Highly qualified candidates ... individual is recognized. Submit your application for the opportunity below:Collections Specialist with HCA Surgery Ventures Group at the Jacksonville Central… more
- Entergy (New Orleans, LA)
- **Job Title:** Contract Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **Please note:** Authorization to work in the United ... is not available for this position. This role will be titled Contract Specialist I, II, III, or Senior, based on education and qualifications.** **JOB… more