- Zelis (St. Petersburg, FL)
- …DRG validation. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and ... billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and...Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to… more
- Robert Half Legal (Los Angeles, CA)
- …hospitals, physicians, and other providers. * Conduct in-depth factual analysis of claims to identify patterns and determine case strategies. * Draft and argue ... and contract interpretations. * Manage cases that range from individual high-value claims to large-scale disputes involving multiple claims . * Participate in… more
- HUB International (Ventura, CA)
- …including stewardship reports, delivery of risk control services, carrier meetings, claims reviews, preparation of coverage outlines, and marketing of emergent and ... HUB procedures and state/federal insurance regulations. * Interfaces with HUB and carrier's claims teams to monitor and manage significant claims to resolution.… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …previously filed dispute. This may include specialized disputes, including denied claims , reassertions, repeat offenders, and Private Bank client customers. The ... compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research questions… more
- MyFlorida (Orlando, FL)
- …with DCF salary policy Posting Closing Date: 01/05/2026 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) This is an Internal Agency ... that is responsible for investigation, calculation and recovery of overpayment claims for public assistance programs (Temporary Cash Assistance, Food Assistance,… more
- Walmart (Janesville, WI)
- …area in accordance with company policies and procedures by properly handling claims and returns; utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; alerting patients to inventory that is… more
- Robert Half Accountemps (York, ME)
- …basis. This role involves working with healthcare billing processes, reviewing insurance claims , and ensuring accurate coding practices. Based in York, Maine, this ... billing field. Responsibilities: * Manage the daily processing of medical claims , ensuring accuracy and compliance with billing regulations. * Review hospital… more
- Sharecare (Albany, NY)
- …evaluated on a case by case basis and must be approved in advance._ ** Compensation :** $22.00/hour **Job Summary:** The role of the Family Health Advocate is an ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Waystar (Louisville, KY)
- …this position, you will leverage a technical, consultative approach to our EDI Claims Management solutions and support, enhancing the experience for both clients and ... clients by devising workarounds, drafting communications, and proposing solutions. + Dental Claims Support: Provide specialized support for Dental Claims within… more
- Robert Half Finance & Accounting (Rocky Mount, NC)
- …In this role, you will ensure accurate and timely processing of customer claims and payments while maintaining strong relationships with internal teams and external ... equipment manufacturing industry. Responsibilities: * Update and track customer claims daily to ensure accurate status monitoring. * Communicate effectively… more