- Stanford University (Stanford, CA)
- …established criteria and communicate discrepancies in real time. + Process/assist with claims for dental care and durable medical equipment (DME)/orthopedic ... and Recreation is currently accepting applications for the position of Insurance Specialist , reporting to the Associate Athletic Director, Sports Medicine, you will… more
- Trinity Health (Livonia, MI)
- …resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: + ... Clinic for International Classification of Diseases, Clinical Modification + The American Medical Association _(AMA_ ) for CPT codes and CPT Assistant + American… more
- State of Colorado (Denver, CO)
- …utilizes technical expertise in state purchasing and contracting to facilitate the timely resolution of vendor and customer claims and disputes, to develop (for ... while also keeping them safe. The State of Colorado offers competitive medical , dental and vision insurance, life and disability insurance, and flexible spending… more
- Johns Hopkins University (Chicago, IL)
- …medication, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... required for lab testing provided on-site. + Maintain patient medical records. _Work collaboratively with the Benefits and Safety...wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. +… more
- Highmark Health (Honolulu, HI)
- …relationships hold the key to uncovering society's most complex challenges? Do you see medical records not just as disparate facts, but as a vast, dynamic network of ... work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means… more
- Mass Markets (CA)
- …complete an easy online application and an informal interview with a talent acquisition specialist . If you do not have your equipment, MCI will provide it. You will ... escalate customer dissatisfaction with managerial team + Ensure first call resolution through problems solving and effective call handling CANDIDATE QUALIFICATIONS… more
- Alight (IN)
- …any/any/all the mediums ie on phone, web chat. The Full Case Management Specialist post Go-Live/Certification is required to be an efficient communicator who is well ... client plans and provisions aimed at driving first call resolution .** **She/he is expected to provide effective solutions within...on calls + 20% of production time to review claims and take required action + Handle calls with… more
- University of Rochester (Albany, NY)
- …advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in ... and manipulates database. Responds to or clarifies internal requests for medical information. **ESSENTIAL FUNCTIONS** + Uses thorough knowledge of coding systems… more
- The County of Los Angeles (Los Angeles, CA)
- …employee performance evaluations, authorizing time-off requests, and responding to first-level resolution of employee grievances. + Serves as a technical resource to ... technicians and medical staff on orthopedic devices. + Prepares the annual...difficult cases on a regular basis, serve as technical specialist , and provide guidance to orthopedic technicians, exercise independent… more
- Gilead Sciences, Inc. (Hackensack, NJ)
- …relationships with key executives, decision influencers, and decision-makers at major medical centers, clinics, and other accounts. *Tracks and reinforces measures ... *Coordinates with leadership across Gilead functions: National Accounts, Marketing, Medical Scientists and other internal teams on appropriate cross-functional… more