- Queen's Health System (Honolulu, HI)
- …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and… more
- Highmark Health (Buffalo, NY)
- …and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly ... gain/risk share contract parameters. This includes analysis and interpretation of claims submission for superior coding accuracy, cost and utilization reports,… more
- Mount Sinai Health System (Elmhurst, NY)
- …information from the accounts receivable team to ensure the time processing of claims and all revenue is captured. Maintains daily logs of coded work. Assures ... Us** **Strength through Unity and Inclusion** The Mount Sinai Health System is committed to fostering an environment where...next chapter in our history. **About the Mount Sinai Health System:** Mount Sinai Health System is… more
- Astellas Pharma (Northbrook, IL)
- …and conducting our business with ethics and integrity enables us to improve the health of people throughout the world. For more information on Astellas, please visit ... interested in hybrid work are encouraged to apply. **Purpose:** The Content Specialist will enhance Astellas' ability to meet diverse customer and segment needs… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QI Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing internal quality reviews within… more
- TEKsystems (San Antonio, TX)
- …Skills - Computer skills (specifically in excel) Desired Qualifications: * Experience with Health Insurance claims , billing, or authorization * Two (2) years of ... Description The Impact You'll Make in this Role As an Insurance Verification Specialist II, you will play a critical role in ensuring timely and accurate insurance… more
- Army National Guard Units (Concord, NH)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a HUMAN RESOURCES SPECIALIST (EMPL BEN/COMP) , Position Description Number D1273P01 and is part of the ... Determines entitlement to retirement annuities, eligibility for continuation of life and health insurance. Provides technical advice to personnel on a variety of… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Legal is seeking a Senior Risk Management Specialist to join the team in Oakland, PA. This hybrid role offers a mix of onsite and remote work. ... Risk Management, the role involves systematically managing potential and actual claims . Analyzing clinical data is crucial for identifying liability areas, with… more
- AO Smith (Milwaukee, WI)
- Benefits Specialist Date: Sep 9, 2025 Location(s): Milwaukee, WI, US, 53224-9508 Company: A. O. Smith Corporation Company / Location Information AO Smith is a global ... the Netherlands, and the United Kingdom. Primary Function As the Benefits Specialist , you will provide assistance with the administration of benefit programs… more
- Sweetser (Saco, ME)
- Billing Specialist - Saco Job Code:12771 Location:Saco 04072 Department:Other FT/PT Status:Full Time Summary: Are you detail-oriented, numbers-savvy, and passionate ... keeping financial operations running smoothly? We're looking for a **Billing Specialist ** to join our fast-paced, collaborative, and quality-focused team! This… more