- Robert Half Accountemps (Baltimore, MD)
- …with healthcare regulations and billing standards. * Assist in identifying discrepancies in claims and resolving them promptly. * Provide support in medical ... Description We are looking for a detail-oriented Medical Billing Specialist to join our team in Baltimore, Maryland. This...to insurance companies to resolve billing issues and ensure claims are processed effectively. * Manage reimbursements and … more
- 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 ... cases and resolve issues. + Employee Experience: Engage with employees to support them throughout the leave process. + Escalation Management: Resolve routine… more
- CareFirst (Baltimore, MD)
- …policy models are developed and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate ... capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting… more
- Molina Healthcare (Bowling Green, KY)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- HCA Healthcare (Nashville, TN)
- …Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home position!** **Flexible schedule ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to ensure that we continue… more
- Air National Guard Units (New London, NC)
- …GS-5 level requirements. Education You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you ... SERVICE POSITION. This National Guard position is for a LOGISTICS MANAGEMENT SPECIALIST (TITLE 32), Position Description Number D1964000/D1638000 and is part of the… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday ... through Friday 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate to pharmacy prior… more
- Aston Carter (Cleveland, OH)
- …including open enrollment and new hire sessions. + Provide real-time employee support on coverage/ claims concerns and provider issues related to self-funded ... Benefits Specialist Job Description As a Benefits Specialist...systems, supporting employees, and ensuring compliance. You will handle claims management, enrollment processes, and compliance reporting. A full… more
- GuideOne Insurance (West Des Moines, IA)
- The Senior Regulatory Compliance Specialist - Legal and Compliance plays a key role in supporting the organization's commitment to integrity, accountability, and ... and the ability to communicate effectively across departments. The Senior Specialist will collaborate with internal stakeholders to ensure timely and thorough… more
- TEKsystems (Chandler, AZ)
- …/ Expedites orders with high complexity and urgency. Resolves customer claims with functional departments (Accounting, Quality Assurance, etc.), Credit & Rebill, ... RMA process, determine root cause, recommend and implement corrective actions, support Account Receivables with cash collection. Maintain Pipeline health on part… more