- Banc of California (Santa Ana, CA)
- …mechanisms comply with standard industry practices, regulatory guidelines, and senior management's recommendations and/or directions. Performs all duties in ... (ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. +… more
- Johns Hopkins University (Middle River, MD)
- …and rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties and Responsibilities** + Uses A/R follow-up ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Gilead Sciences, Inc. (Baltimore, MD)
- …and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office ... of the Inspector General's Compliance Program Guidance for Pharmaceutical Manufacturers **Basic Qualifications:** High School and Nine Years' Experience OR Associates Degree and Seven Years' Experience OR Bachelor's Degree and Five Years' Experience OR… more
- Northwell Health (Lake Success, NY)
- …editor report to analyze, research and resolve issues related to Medicare outpatient claims that generate code editor edits. + Maintains current knowledge base of ... regulatory & coding guidelines, billing processes, Ambulatory Payment Classification (APC) groups, federal, state and regulatory agency coding and reimbursement changes and coding requirements to ensure hospital procedures and services are properly ordered and… more
- Commerce Bank (Kansas City, MO)
- …the compensation range for some roles. This compensation range is for the Loss Mitigation Specialist & Senior Specialist - Mortgage job and contemplates a ... requirements have been met + Prepare Foreclosure Recommendation and submit to senior management for approval, review legal documents and progress of each loan… more
- UPMC (Pittsburgh, PA)
- University of Pittsburgh Physicians is hiring a full-time Contact Center Specialist to assist the Vascular Surgery Department at UPMC Presbyterian. This position is ... completion of the training and orientation period. Purpose: The Contact Center Specialist will provide support for the Contact Center activities by serving as… more
- Axis (Kansas City, MO)
- …for candidates taking part in the selection process. AXIS is seeking a **_Senior Claims Specialist - Financial Institutions - Claims_** to join our North America ... determine nature of loss, coverage provided, and scope of claim and to guide strategic direction regarding settlement/disposition of...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
- 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 ... and integration of medical codes across policies and platforms. The Senior Coding Analyst partners with medical policy analysts, configuration teams, and… more
- Access Dubuque (Dubuque, IA)
- …Start Date 20251108 End Date 20260108 Featured Job TH Ad TH Comments **Similar Jobs** Senior Controls Specialist - Days Simmons Pet Food Sales Specialist ... Accounting and Administrative Support Specialist Express Employment Professionals Specialist -Peer Support Hillcrest Family Services Senior Controls … more
- Otsuka America Pharmaceutical Inc. (GA)
- …the globe. **Position Summary:** The primary purpose of the Clinical Field Specialist role is to build a clinical patient pipeline for Recor-sponsored clinical ... through targeted, data-driven outreach and education. The Field Clinical Specialist also provides procedure support including case proctoring, physician… more