- Otsuka America Pharmaceutical Inc. (Bronx, NY)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... unmet medical needs and nutraceutical products for the maintenance of everyday health . In Otsuka's evolved customer engagement model, a Neuroscience LTC … more
- Travelers Insurance Company (Baltimore, MD)
- …to join our Strategic Resolution Group Claim team as a Technical Specialist handling complex toxic tort, latent injury, sexual misconduct and/or environmental ... claims that may present significant financial exposures. With general...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- CVS Health (Harrisburg, PA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...each and every day. **Position Summary** The Network Relations Specialist is responsible for loading new and updated provider… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …Committee for Quality Assurance (NCQA), URAC, State and Federal Government, and health plan payors. Incumbents are responsible for: 1) ensuring accurate and timely ... credentialing and subsequent submission of provider information to support appointing and claims submission; 2) ensuring accurate and timely data entry of provider… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- OVERVIEW Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing ... journey. We invite you to apply today. SUMMARY OF JOB The Sr. A/R Specialist - is responsible for the claim submission and collection of all outstanding accounts.… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health , etc. + Draft appeal letters, including the coding… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The **Physician Practice Compliance Specialist ** is responsible for assuring on-going compliance by actively participating in ... the Compliance Program for Hackensack Meridian Health and for affiliated services. The Physician Prac Compliance Spec assures the integrity of the physician practice… more
- BronxCare Health System (Bronx, NY)
- Overview Conduct review of denied claims and audits of registration/insurance verification activities to improve denial rates and enhance revenue. In-service staff ... manner consistent with maintaining and furthering a positive public perception of Bronxcare Health System and its employees. - Contributes to and participates in the… more
- Mohawk Valley Health System (Utica, NY)
- Business Office Specialist Department: ACCTS RECEIVABLE & COLLECTION Job Summary Under the general direction of the AR Supervisors or designee, the Billing Office ... Specialist will provide support and assistance with the daily...payer spreadsheets + Meet with and brief supervisors on claims issues contained in the spreadsheets prior to monthly… more
- Trinity Health (Columbus, OH)
- …analysis, audit, provider relations and more. **About the job:** Provider Service Specialist responds in a timely and accurate manner to provider inquiries made ... to Plan documentation policies + Review, investigate and advise providers regarding claims status and payment determinations + Maintain a comprehensive knowledge of… more