• Utilization Management Resource Center Specialist

    Cleveland Clinic (Cleveland, OH)
    …caregiver include: + Bachelor's Degree in health -related field + Experience processing medical insurance claims Our caregivers continue to create the best ... in early identification of issues that would result in delayed or non-payment of claims and takes a proactive approach to problem resolution. + Act as a resource… more
    Cleveland Clinic (09/16/25)
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  • Attorney for Legal Support Unit

    City of New York (New York, NY)
    …promoting economic stability and mobility, increasing homeownership opportunities, improving health and safety, and increasing opportunities for equitable growth. ... expanding housing choices, affirmatively furthering fair housing, and stabilizing the financial health of buildings. Your Team: At HPD, rent subsidy programs are… more
    City of New York (09/11/25)
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  • Senior Paralegal

    Amentum (Washington, DC)
    …Senior Paralegal to assist with the Radiation Exposure Compensation Act (RECA/Downwinders) claims team. The Senior Paralegal role is crucial in ensuring the ... efficient and accurate handling of incoming materials supporting claims filed under RECA. This position is responsible for following specific guidance and standard… more
    Amentum (08/31/25)
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  • Medical Billing /Payroll _ Home Care

    BrightStar Care (Naples, FL)
    …this set medical protocol to produce a statement or claim. * Investigate rejected claims , verify this information with the health provider, and update the new ... an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing Authorizations , appeals and re-… more
    BrightStar Care (08/28/25)
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  • Reviewer I, Medical

    US Tech Solutions (Columbia, SC)
    …protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. **Responsibilities:** + 80% May provide any of the ... following in support of medical claims review and utilization review practices: Performs medical claim...conduct/perform high dollar forecasting research and formulate overall patient health summaries with future health prognosis and… more
    US Tech Solutions (08/22/25)
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  • Relationship Account Manager - PBM

    AscellaHealth (Berwyn, PA)
    …preferred, including benefit design, specialty pharmacy services, rebate management, claims processing , and clinical program implementation. + Experience ... existing accounts within a pharmacy benefit management (PBM) or health plan environment. This position is crucial to delivering...aims to increase the demand for a product's Rx claims as well as AscellaHealth services. + New Client… more
    AscellaHealth (08/20/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …and/or systems. - Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy ... thousands of staff work hours, and single-handedly ensuring that over 80,000 claims are correctly processed. - Coordinate planning, set policies and prioritize the… more
    City of New York (08/13/25)
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  • Molecular Specialist - Virginia, West Virginia…

    BD (Becton, Dickinson and Company) (VA)
    …promotional events as required. + Managing administrative tasks such as processing orders, returns, warranty claims and customer complaints. **Qualifications:** ... technology companies in the world. Advancing the world of health (TM) is our Purpose, and it's no small...are met. + Ensuring timely submission of reports and claims . + Assisting in the identification of new business… more
    BD (Becton, Dickinson and Company) (07/28/25)
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  • Revenue Cycle Specialist III - Collections

    Cedars-Sinai (Los Angeles, CA)
    …may include preparing, indexing, and posting payments, performing daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, ... department and properly using activity codes. + Accurately billing multispecialty claims within established timelines and initiating dialog with payors, patients and… more
    Cedars-Sinai (07/19/25)
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  • Billing Integrity Analyst Credentialed

    HCA Healthcare (San Antonio, TX)
    …based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes the ... Parallon offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...processing of the claim in Patient Accounting, Relay Health or the payer. Applies modifiers when appropriate based… more
    HCA Healthcare (09/18/25)
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