- CareFirst (Baltimore, MD)
- …capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting ... groups during proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice Transformation Consultants,… more
- Insight Global (Boise, ID)
- Job Description A closed door pharmacy is looking to hire a Pharmacy Benefits Specialist . This role will include processing pharmacy claims , triaging rejected ... - processing claims , triaging denials, verifying benefits 1+ year of Insurance experience Ability to work onsite Strong customer service and ability to multitask more
- Avera (Sioux Falls, SD)
- …and validating accounts to resolve denials, inappropriate payment and non payment of claims . The Specialist will identify, review and interpret third party ... Responsible for account review and follow up on unpaid claims for resolution. + Research for appropriate information and...available day 1 for eligible hires. + Free health insurance options, for full-time single coverage on Avera High… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Position Summary** The Meeting Planning Operations Specialist supports the execution and administration of corporate meeting and events and HCP programs ensuring ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Novant Health (NC)
- Job Summary Why This Role Matters As a Coding Audit Response Specialist , you will have the ability to be an educational resource to a dynamic team of coders, while ... charging (including communications and escalation pathways), problems preventing payment of claims , issues in coding including barriers and successes, accurate and… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** CUSTOMER TECHNICAL SUPPORT SPECIALIST (NEN) (RDTE) Bowhead has a job opening for a Customer Technical Support Specialist (NEN) in Dahlgren, VA. The ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Robert Half Office Team (Spring, TX)
- Description HR Specialist (Temporary-to-Full-Time) - Non-Profit | Spring, TX Schedule: Onsite for first 90 days; then hybrid (3 days in office / 2 days WFH) About ... a mission-driven non-profit in Spring, TX, is seeking a detail-oriented HR Specialist on a temporary-to-full-time basis. The ideal candidate will bring strong… more
- Elevance Health (Hanover, MD)
- **Reimbursement Implementation Specialist II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Reimburse Implement Specialist II** provides accurate, timely maintenance of complex provider...you will make an impact:** + Synchronizes data on claims and provider databases and provides expertise on business… more
- RWE Clean Energy (Uvalde, TX)
- …area:** Operations & Maintenance **Remuneration:** Non-Exempt The **Inventory Control Specialist - Solar and Wind** falls under the Operations organization ... Logistics and Maintenance to an Inventory Control Supervisor. The Inventory Control Specialist will be responsible for the master data accuracy supporting the solar… more
- Kelly Services (Pleasant Prairie, WI)
- **Training Specialist ** **Location:** On-site - Pleasant Prairie, WI **Schedule:** Regular Shift (Mon-Fri, 08:00 - 4:30) **Pay** : 23.00/hour **About the Role** ... is seeking a detail-oriented and proactive Quality & Training Specialist who will support our client and play a...process and risk-based studies across the organization. **CAPAs & Claims ** + Monitor CAPAs and Claims ; update… more