- Ochsner Health (New Orleans, LA)
- …difference at Ochsner Health and discover your future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and ... Strong leadership skills **Job Duties** + Review and analyze denied or underpaid claims to determine appeal opportunities. + Prepare and submit timely, accurate, and… more
- UIC Government Services and the Bowhead Family of Companies (Alexandria, VA)
- …- SME + Financial Business Analyst - Journeyman + Financial Business Analyst - Senior + Helpdesk Specialist + Information System Security Officer - Journeyman + ... Specialist - SME + Cloud Systems Architect - Senior + Cloud Systems Architect - Master + Cloud...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Oak Orchard Health (Brockport, NY)
- …the third-party billing organization to ensure proper processing of all payer claims . This would include research for accuracy, analyze reports, follow through ... the third-party billing company + Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... to enhance provider satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account… more
- AdventHealth (Apopka, FL)
- …for all activities regarding Rx Plus Pharmacy's state licensed data entry, claims adjudication, prior authorization, pharmacy specialist , and technician quality ... prescription order intake of various media, technician quality assurance, claims adjudication and copay assistance, prior authorization, and prescription… more
- Newtown Savings Bank (Newtown, CT)
- …This position is responsible for the daily activities of the Account Resolution Specialist (s). Ensure adherence to The Fair Debt Collection Practice Act. Assist the ... Account Resolution Specialist (s) with difficult or complex accounts and situations, utilizing...and final reports to Loss Mitigation team along with Senior Management. + Prepare the monthly Residential and Consumer… more
- WSP USA (New York, NY)
- …contractors and commit the SCA's resources on such change orders + Review contractors claims or disputed work and advise senior management as to appropriate ... construction and modernization projects under the guidance of a senior level SCA Project Officer. + Ensure the quality...and project documentation necessary for adjudicating or denying such claims . + Visit various job sites as required in… more
- ConnextCare (Oswego, NY)
- …aspects of the position + Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how ... + Contact insurance companies to follow up on delinquent claims + Follow up on denied claims by sending claim status requests to appropriate insurance companies… more
- The County of Los Angeles (Los Angeles, CA)
- …Manager II include, but are not limited to: Human Resources Analyst IV Program Specialist IV, CEO Senior Staff Analyst, Health Services To receive credit for ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...and checking the profile inbox. We will not consider claims of missing notices to be a valid reason… more
- Army National Guard Units (St. Augustine, FL)
- …of the FL HRO, National Guard. Responsibilities As a, HUMAN RESOURCES SPECIALIST (LABOR REL/EMPL REL), GS-0201-12, you will provides program management and guidance ... appraisals and provides reports. Coordinates between management, and HR Development Specialist in the development of performance improvement plans. Manages the use… more