- Community Health Systems (Antioch, TN)
- …related field preferred + 1-3 years of experience in denials management, insurance claims processing , or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Commonwealth of Pennsylvania (PA)
- …Code 00121377 Bureau / Division Bureau of Workers' Compensation Office of Adjudication Union town Office Worksite Address 108 N Beeson Avenue Worksite Address ... in your career? Join the Workers' Compensation Office of Adjudication as a Clerical Assistant 3, where you will...maintain a caseload, process tasks, and distribute correspondence for claims . You will have the opportunity to correspond with… more
- State of Indiana (Indianapolis, IN)
- …integrate the delivery of human services by state government. FSSA is a health care and social services funding agency. Ninety-four percent of the agency's total ... serve Hoosiers of all ages and connect them with social services, health care and their communities. Disability Determination Bureau: Title II (Disability Insurance)… more
- AmeriHealth Caritas (Newtown Square, PA)
- …knowledge of payment integrity regulations and requirements + Experience with claims adjudication platforms (Facets, QNXT, HealthRules, Peradigm/Diamond, etc.) + ... role is shifting post-payment projects, where possible, left for prospective adjudication . A key accountability includes managing the Payment Integrity Support Desk… more
- MyFlorida (Tallahassee, FL)
- …incumbent's primary responsibility is to perform duties that assist us with the processing of Social Security disability claims . This position requires the ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 860087 Agency: Department of Health Working Title: OPS RECORDS ANALYST - 64858479 Pay… more
- US Tech Solutions (Columbia, SC)
- …in data collection/input into system for clinical information flow and proper claims adjudication . + Demonstrates compliance with all applicable legislation and ... health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and ... systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned. + Keeps… more
- Trinity Health (Grand Rapids, MI)
- …and other required documentation, files documentation. . Completes third party adjudication for prescription claims . . Utilizes computerized prescription ... courteous, cooperative, and timely service to patients, visitors, and staff. Trinity Health Pharmacy Solutions - Grand Rapids provides specialty pharmacy care for… more
- MyFlorida (Tampa, FL)
- …and apply applicable rules, regulations, policies and procedures relating to the processing of Social Security disability claims . Ability to review and ... Website (http://www.dms.myflorida.com/workforce\_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . Requisition No: 865945 Agency: Department of Health Working Title: MEDICAL DISABILITY PROF RELATIONS OFF -… more
- MyFlorida (Miami, FL)
- …. Requisition No: 862120 Agency: Department of Health Working Title: OPS MEDICAL DISABILITY EXAMINER - ... Date: 12/21/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) DEPARTMENT OF HEALTH DIVISION OF DISABILITY DETERMINATIONS OPEN COMPETITIVE OPPORTUNITY POSSIBLE… more