- Colgate-Palmolive (New York, NY)
- …let's build a brighter, healthier future for all. The Leave Administration Specialist (Contract) reports to the Leave Administration Manager and supports the Manager ... address deviations with stakeholders. Day-to-Day Responsibilities: + Case management: Review leave requests (FMLA, STD/LTD, parental, medical, military, ADA); verify… more
- WestCare Foundation (Dandridge, TN)
- …Level High School Description Position Summary: The Billing and Credentialing Specialist is responsible for overseeing insurance billing processes, managing provider ... Claim Preparation & Submission: Prepare and submit accurate and timely medical claims to insurance companies, government programs, and other payers. + Charge Entry:… more
- UPMC (Pittsburgh, PA)
- …Department of Orthopaedics- Sports Medicine is hiring a flex full-time Contact Center Specialist to join their team! This is a Monday through Friday daylight ... position must work at minimum 28 hours per week. Purpose: The Contact Center Specialist will provide support for the Contact Center activities by serving as the… more
- WMCHealth (Poughkeepsie, NY)
- …a potential lawsuit, etc.) and alerts the department director, administration, and the claims manager. Initiates a more thorough review to clarify the ... Quality Improvement Specialist - RN Company: MidHudson Regional Hospital City/State: Poughkeepsie,...PI + Screens cases to identify issues for physician review , using criteria established by the medical staff and… more
- Fairview Health Services (Hibbing, MN)
- …codes to medical records for purposes of data retrieval, analysis and claims processing. The coding specialist is responsible for effectuating clinical ... **Job Overview** **Fairview Range is hiring** **a Concurrent Inpatient Coding Specialist ** **in** **Hibbing, MN (REMOTE)** **.** As a Concurrent Inpatient Coding … more
- Bechtel Corporation (Houston, TX)
- …Job Summary: Bechtel Global Logistics (BGL) is seeking a project Senior Logistics Specialist based in Houston to support the Natrium project. The Logistics ... Specialist will be responsible for domestic and international multi-leg...requirements. + Represents Logistics at supplier/contractor kickoff meetings to review supplier/contractor delivery and Bechtel Logistics requirements contained in… more
- Belcan (North Hollywood, CA)
- Contracts Administrator Specialist Job Number: 360078 Category: Administrative Description: Job Title: Contracts Administrator Specialist Pay Rate: $50 /hr DoE ... analyzes and responds to complex issues including the validity of customer claims and development of Parker assertions. * Provides support to assigned programs,… more
- Medtronic (Irvine, CA)
- …in Advertising & Promotional labeling + Proficiency with Veeva PromoMats, Ad Promo/MLR claims , and material review and approval systems + Excellent communication ... following and other duties may be assigned. + Support review of advertising and promotional material to ensure that...International promotional labeling material, including the creation of a claims matrix database and claims objects. +… more
- CVS Health (Charleston, WV)
- …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 ... each and every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit...by providing accurate and timely resolution in processing medical claims . You will be a key link in providing… more
- Molina Healthcare (Fort Worth, TX)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the member/provider through written… more