• Clinical Risk Management Specialist

    Rochester Regional Health (Rochester, NY)
    Job Title: Clinical Risk Management Specialist Department: Clinical Risk ManagementLocation: Riedman CampusHours Per Week: 40Schedule: Monday - Friday, 8am - ... 4:30pmSUMMARY The Clinical Risk Management Specialist plays a pivotal role in enhancing patient safety and improving the quality of care within the organization… more
    Rochester Regional Health (09/17/25)
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  • Medical Billing Specialist

    Tomah Health (Tomah, WI)
    …pay period. Pay is based on experience. JOB SUMMARY The Medical Billing Specialist is responsible for responding to and resolving a variety of account, billing ... hospital. Follows hospital compliance plan. MAJOR JOB FUNCTION + Process all claims , including secondary insurances, in a timely and efficient manner, performing all… more
    Tomah Health (09/23/25)
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  • Coding Specialist I

    CaroMont Health (Gastonia, NC)
    …by reviewing to validate the documentation supports the codes submitted on claims . Maintain a thorough understanding of anatomy and physiology, medical terminology, ... in this position will be moved to a Coding Specialist II position after obtaining 2 years' experience. Excellent...and other payer requirements related to coding and billing claims for services rendered. Excellent verbal and written communication… more
    CaroMont Health (08/27/25)
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  • Customer Service Specialist I

    AON (The Woodlands, TX)
    Aon Is Looking For A Customer Service Specialist As part of an industry-leading team, you will help empower results for our clients by delivering innovative and ... questions, and handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation… more
    AON (08/29/25)
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  • Quality/Risk Specialist II - Full Time…

    Henry Ford Health System (Detroit, MI)
    …surveillance, analysis, and prevention of events which may injure patients, lead to malpractice claims , and cause loss to the health care system. The QRS II ... collaborates with multidisciplinary health care teams to reduce and prevent adverse medical...duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their … more
    Henry Ford Health System (09/24/25)
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  • Prior Authorization Intake Specialist

    McLaren Health Care (Flint, MI)
    We are looking for a Intake Specialist , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... Health Care Corporation and is the parent company of...and knowledge of Medicare, HMO, PPO, TPA, PHO and Managed Care functions (eg administration, medical delivery, claims processing,… more
    McLaren Health Care (09/22/25)
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  • Coder Specialist IV

    Trinity Health (Livonia, MI)
    …field is preferred. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) ... and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses,… more
    Trinity Health (09/17/25)
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  • Billing Specialist

    Open Mind Health (NC)
    POSITION DESCRIPTION BILLING SPECIALIST LOCATION: REMOTE REPORTS TO: CHIEF OPERATING OFFICER ABOUT OPEN MIND HEALTH We are a collaborative team of ... and thrive in the real world today. Open Mind Health provides virtual psychiatry, talk therapy, and complementary modalities...that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also… more
    Open Mind Health (09/13/25)
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  • Risk Management Specialist

    Anthony Jordan Health Corp (Rochester, NY)
    RISK MANAGEMENT SPECIALIST ROCHESTER, NY (http://maps.google.com/maps?q=214C+Lake+Avenue+ROCHESTER+NY+USA+14608) * Corporate Compliance Apply Job Type Full-time ... Description The health services that became theAnthony L Jordan ...identification and incident management . Proactive risk reduction and claims prevention . To manage and encourage ongoing education… more
    Anthony Jordan Health Corp (08/08/25)
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  • Accounts Payable Specialist

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About The Role BHPS has a great opportunity for an Accounts Payable Specialist to join the Finance Team. Reporting to the Accounting Supervisor, the Accounts Payable ... Balance and Subrogation Recoveries ensuring all recoveries received are processed by claims department and then appropriately accounted for and returned to clients.… more
    Brighton Health Plan Solutions, LLC (08/02/25)
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