- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES AND… more
- TEKsystems (Conway, AR)
- Description We are seeking a detail-oriented Mailroom Specialist to support the scanning and classification of medical claims into our internal systems. This ... incoming documentation. * Receive and scan incoming paper medical claims . * Accurately classify claims to ensure...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- CommonSpirit Health (Centennial, CO)
- …for reimbursement. Demonstrates dynamic ability to adapt to ongoing changes within the health insurance industry in order to effect and implement positive ... and leaders who care about your success. The RN Clinical Denials Appeals Specialist functions as a revenue management liaison for all care sites with external… more
- WestCare Foundation (Fresno, CA)
- …position ensures claims are submitted accurately and timely directly to insurance carriers and Medi-Cal Managed Care Plans (MCPs) in accordance with all DHCS, ... payer, and organizational guidelines. The specialist works closely with fiscal, clinical, and data teams...claims directly to Medi-Cal Managed Care Plans and insurance carriers. + Verify client eligibility, authorizations, and service… more
- Travelers Insurance Company (Orlando, FL)
- …service-related work experience OR Bachelor's Degree. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more
- HCA Healthcare (Sarasota, FL)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery Ventures. **Benefits** Surgery Ventures, offers a total… more
- Waystar (Louisville, KY)
- …POSITION** We are currently seeking a talented and driven Technical Research Specialist who is passionate, curious, and radiates optimism. The Enterprise Technical ... Research Specialist will serve as a versatile team member, acting...will leverage a technical, consultative approach to our EDI Claims Management solutions and support, enhancing the experience for… more
- BrightSpring Health Services (San Luis Obispo, CA)
- Our Company ResCare Community Living Overview The Human Resource Specialist is responsible for performing administrative HR-related duties. This position carries out ... employee data for corrective action/termination requests + Responds to unemployment claims and participates in unemployment hearings + Provides guidance and support… more
- HCA Healthcare (Atlantis, FL)
- …**Introduction** Do you have the career opportunities as a(an) Risk Management Specialist you want with your current employer? We have an exciting opportunity ... HCA Florida JFK Hospital offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs… more
- Family and Children's Association (Mineola, NY)
- …based on skills and experience' while still allowing for growth. Benefits + Full Health /Dental/Vision Insurance + Generous Paid Time Off + 403(b); with generous ... Contract Specialist Location: Garden City, NY | Schedule: Full...responsible for timely preparation, submission and payment reconciliation for claims submitted to various funding sources (local, state and… more