- Sedgwick (San Francisco, CA)
- …employers at hearings before the appropriate judicial body. Negotiate Workers' Compensation medical liens following unit guidelines, in house resolution unit. ... Financial Services & Insurance Bill Review Trainer - Hearing Specialist **This position will be responsible for negotiating California...Medical Lien Negotiator on behalf of the Lien Resolution Unit + Handle all aspects of research, file… more
- Legrand NA (Chicago, IL)
- …and status, ensuring delivery requirements and deadlines are met, and complaint resolution . The Account Specialist is expected to exercise sound judgment ... a Glance Focal Pointhas an immediate opening for anAccount Specialist to join ourCustomer Serviceteam. This is a hybrid...within the department policies and procedures. * Ensure promptly resolution of any claims by adhering, as… more
- Peachtree Orthopedics (Atlanta, GA)
- …patients. Essential Duties and Responsibilities + Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients ... edits and other billing messages to resolve any claims denials to ensure prompt resolution . +...education degree (GED) required. + Minimum 5 years of medical billing and account follow up experience preferred. +… more
- Fairview Health Services (Hibbing, MN)
- …to medical records for purposes of data retrieval, analysis and claims processing. The coding specialist is responsible for effectuating clinical ... **Job Overview** **Fairview Range is hiring** **a Concurrent Inpatient Coding Specialist ** **in** **Hibbing, MN (REMOTE)** **.** As a Concurrent Inpatient Coding … more
- Needham Bank (Needham, MA)
- …provides customer service and banking solutions, education and information and issue resolution to our Needham Bank customers and communities via the Customer Care ... Center channel. A Customer Care Center Specialist will advise, advocate and deliver on the service...said to fully understand the need and provide the resolution to the customers' needs the first time. +… more
- Molina Healthcare (IA)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
- J&J Family of Companies (Somerset, NJ)
- …We are searching for the best talent for **Revenue Reconciliation Specialist ** to be in **Somerset, NJ** **.** **Job Summary** The **Revenue ... Reconciliation Specialist ** supports Johnson & Johnson Innovative Medicine's revenue reconciliation operations by managing tactical workflows such as Salesforce… more
- GuideOne Insurance (West Des Moines, IA)
- The Senior Regulatory Compliance Specialist - Legal and Compliance plays a key role in supporting the organization's commitment to integrity, accountability, and ... and the ability to communicate effectively across departments. The Senior Specialist will collaborate with internal stakeholders to ensure timely and thorough… more
- Loretto Management Corporation (Syracuse, NY)
- Overview The Leave Management/Payroll Specialist is responsible for coordinating the organization's leave of absence program and assisting with the processing of the ... HR Business Partners on all related leave of absence claims . Meets regularly to review the status of ... and develops legally sound strategies for mutually beneficial resolution . + Assists in the creation and facilitation of… more
- Martin's Point Health Care (Portland, ME)
- …to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through ... + Demonstrates advanced knowledge of enrollment / disenrollment guidelines, claims processing and plan benefits necessary to exercise decision-making authority… more