- Fairview Health Services (Minneapolis, MN)
- …or insurance company for overpayments + Request adjustments on incorrectly processed claims Review and process correspondence + Patient orders + ... established procedures to support day-to-day operations Process home infusion claims accurately and timely. + Review accounts...home infusion claims accurately and timely. + Review accounts for all needed information and communicate to… more
- Entergy (Jackson, MS)
- **Job Title:** Capital Project Procurement Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **Please note:** Authorization to ... in Jackson, MS. The selected candidate will be placed as a Procurement Specialist , II, III, or Senior based on education, experience, and demonstrated success at… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Billing Specialist is responsible for multiple components of the billing & coding process, including Accounts Receivable, Charge Entry, Edits ... these processes to ensure accurate and timely payment of claims and collection, and in analysis and problem resolution....specialty coding for services and medical office visits and review physician coding and provide updated to physicians and… more
- HCA Healthcare (Tampa, FL)
- …you want to join an organization that invests in you as a Collections Legal Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... a difference. We are looking for a dedicated Legal Specialist like you to be a part of our...and procedures, special projects, and to track results + Review contracts and writes demand letters for SSC under… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 - ... manager and are responsible for processing and maintaining credentialing documentation for review by the credentialing review committee. Essential Job Functions… more
- Actalent (Valencia, CA)
- Description The Quality Regulatory Affairs Specialist will be a key contributor to ensuring full compliance with regulatory standards while upholding the highest ... affairs within the nutraceutical and dietary supplement industry. Responsibilities + Review and approve raw material, packaging material, and finished product… more
- Otsuka America Pharmaceutical Inc. (GA)
- …the globe. **Position Summary:** The primary purpose of the Clinical Field Specialist role is to build a clinical patient pipeline for Recor-sponsored clinical ... through targeted, data-driven outreach and education. The Field Clinical Specialist also provides procedure support including case proctoring, physician… more
- LA Care Health Plan (Los Angeles, CA)
- …health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- Molina Healthcare (Kenosha, WI)
- …* Applies contract language, benefits and review of covered services to claims review process. * Contacts providers as needed via written and verbal ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise… more
- MyFlorida (Tampa, FL)
- ELIGIBILITY SPECIALIST III (COE) - 60046226 Date: Nov 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 865367 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST III (COE) - 60046226 Pay Plan: Career Service...the case administration of these programs. + Ability to review images such as pictures or handwritten notes to… more