- Queen's Health System (Honolulu, HI)
- …carriers, health plans and other third party payor requirements. * Ensures accurate claims submission to optimize revenue for the Medical Center. II. TYPICAL ... highly desirable. B. EXPERIENCE: * One (1) year experience in medical insurance claims processing or billing. An Associate's or Bachelor's degree in business… more
- Western Digital (Boise, ID)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- LG Energy Solution (Holland, MI)
- …such items as physicians' reports on employee health, workers' compensation insurance claims , medical restrictions on employee work, and the policies and ... investigate, and manage work-related injuries and illnesses, including Workers' Compensation claims + Manage return to work approval process + Provide support… more
- TEKsystems (Canoga Park, CA)
- …In this role, you will conduct retrospective reviews of inpatient and outpatient claims to ensure medical necessity, compliance, and timely processing within a ... + Perform comprehensive utilization reviews for inpatient and outpatient claims . + Prepare medical records for review by medical directors and… more
- Dentsply Sirona (Sarasota, FL)
- …offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. Dentsply Sirona's ... is near the Sarasota, FL location.** **Job Summary:** **The Senior Regulatory Specialist is a contributing member of cross-functional teams in support of regulatory… more
- Elevance Health (Miami, FL)
- … Specialist ** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and compliance. ... Code (CPC or CCS-P) required. **Preferred Skills, Capabilities, and Experiences:** + Claims processing experience preferred. + Knowledge of medical terminology… more
- Legacy Treatment Services (Hainesport, NJ)
- Insurance Verification Specialist Job Details Level Experienced Job Location Integrated RCM Services - Hainesport, NJ Position Type Full Time Education Level High ... with the billing department to ensure accurate and timely claims processing and with client access department for patients...+ 3.2 weeks of PTO in first year + Medical , vision, dental & life insurance benefits + 403(b)… more
- Penn Medicine (Bala Cynwyd, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality… more
- Molina Healthcare (Rio Rancho, NM)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness… more
- Southland Industries (Carrollton, TX)
- …Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **Position Details** + Provide administrative support to group ... filing system. + Assist with case management of open claims through to closure; notify safety director of safety...company match (no cap)** and immediate 100% vesting + Medical , dental, and vision insurance **(100% paid for employee)**… more