• Clinical Appeal & Claim Review Nurse II

    Medical Mutual of Ohio (OH)
    …the continuum of care. **Responsibilities** + Independently evaluates basic to complex medical claims and/or appeal cases and associated records by applying ... **Technical Skills and Knowledge:** + Strong clinical knowledge and understanding of health care delivery processes. + Familiarity with medical terminology and… more
    Medical Mutual of Ohio (09/12/25)
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  • Data Analyst II Medical Economics

    Centene Corporation (Jefferson City, MO)
    …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... degree in business, economics, statistics, mathematics, actuarial science, public health , health informatics, healthcare administration, finance or related… more
    Centene Corporation (08/01/25)
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  • Benefits Specialist

    Globus Medical, Inc. (Audubon, PA)
    …and insurance vendors. + Administer Short-term/Long-term Disability and Family and Medical Leave Act (FMLA) claims , including tracking and documentation. ... At Globus Medical , we move with a sense of urgency...+ Manage workers' compensation claims , including initial assessments, documentation, reporting to carriers, and… more
    Globus Medical, Inc. (08/30/25)
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  • Sr Epic Application Analyst - Epic Professional…

    Rush University Medical Center (Chicago, IL)
    **Job Description** **Location:** Chicago, Illinois **Business Unit:** Rush Medical Center **Hospital:** Rush University Medical Center **Department:** Rev Cycle ... vary depending on the circumstances of each case. **Summary:** Rush University Medical Center is seeking a highly skilled **Senior Epic Application Analyst**… more
    Rush University Medical Center (08/22/25)
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  • Product Surveillance Tech I ( Medical

    US Tech Solutions (North Chicago, IL)
    …FDA and international Competent Authorities. + In addition will process claims for financial **reimbursement and replacement products** in accordance with ... and ISO 14971. + Requirements include compliance with ethics, environmental health and safety, financial, human resources, and general business policies,… more
    US Tech Solutions (07/18/25)
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  • Financial Services Rep 1

    Rush University Medical Center (Chicago, IL)
    **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Enterprise ... refunds, and claim corrections resulting from the multitude of claims and payer edits. The Financial Services Representative 1...year of experience. * Two years of experience in health care or hospital billing with an understanding of… more
    Rush University Medical Center (07/11/25)
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  • Medical Records Coder III, Complex

    University of Rochester (Rochester, NY)
    …Information Technology or health related field - 2 years' experience as Medical Coder required - Additional coding experience in area of assignment preferred - ... expertise of the individual, and internal equity considerations._ **Responsibilities:** The Medical Coder III functions as an advanced coder in the abstraction… more
    University of Rochester (08/07/25)
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  • Patient Accounts Specialist

    Avera (Sioux Falls, SD)
    …part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.** **A Brief Overview** ... having a high level of knowledge of the Avera Medical Group patient accounts responsibilities for the Avera ...and follow up of unpaid, overpaid/over adjusted and denied claims . + Reviews, analyzes, and appeals denials received relative… more
    Avera (08/13/25)
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  • Corporate Counsel - Litigation

    Providence (Irvine, CA)
    …benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability ... valued, strategic, and practical legal advice and support for Providence St. Joseph Health ("Providence") in a wide range of diverse litigation and dispute matters,… more
    Providence (07/02/25)
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  • Senior Provider Relations Professional

    Humana (Lansing, MI)
    …handling escalated or highly visible provider complaints/issues to resolution. + Understanding of health insurance claims and ability to analyze data to resolve ... part of our caring community and help us put health first** The Senior Provider Relations Professional is responsible...providers in self-service functions - such as eligibility confirmation, claims submission and payment - by use of available… more
    Humana (08/16/25)
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