- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...plus. **What will you do in this role?** + Auditing of Third-Party Administrators to ensure reserve adequacy. +… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary :** Responsible for the update, maintenance, auditing , and operation of third party prescription plans including Commercial, ... and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers.… more
- Baptist Memorial (Memphis, TN)
- …activities related to denied claims such as obtaining authorizations, claims review, patient billing, appeal writing, auditing , and/or denial management; ... Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Billing Specialist I is responsible for processing, auditing , and submitting primary and secondary insurance claims , ensuring accuracy, ... compliance, and timely reimbursement. This role utilizes electronic claims management systems to review, correct, and resolve billing errors, denials, and… more
- Novant Health (NC)
- …Type: Full time with benefits What You'll Do: + The Coding Audit Response Specialist will work in conjuction with Dimensions and Smarter DX to perform audits by ... for all applicable Novant Health facilities. + The Coding Audit Response Specialist will support the Corporate Coding Audit Response Lead/Coding Supervisor by… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 05/13/2025 **Requisition Number** PRN41889B **Job Title** Compliance Specialist **Working Title** Compliance Specialist **Job Grade** E ... at any time)** **Job Summary** Provides compliance related coding reviews and auditing of faculty and physician documentation. The position will utilize coding… more
- ManpowerGroup (Ironton, OH)
- Our client, in the **home health care industry** , is seeking a **Billing Specialist ** to join their team. As a **Medical Billing and Insurance Coordinator** , you ... Insurance Coverage** - Confirm patient benefits and obtain authorizations. + **Billing & Claims Processing** - Prepare, submit, and track claims with third-party… more
- C&W Services (New York, NY)
- **Job Title** HSSE Regional Specialist **Job Description Summary** POSITION SUMMARY The Environmental Health & Safety (EH&S) Manager is responsible for providing ... report and manage the corrective actions * Support Workers Compensation (WC) claims tracking, investigation, and management process * Liaise with WC Program Manager… more
- Independent Health (Buffalo, NY)
- …fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist -Senior will be responsible for reviewing coding and clinical decisions on ... proficiency demonstrated by long-standing, consistent results, advanced coding knowledge and auditing skills evidenced by their ability to train others, to identify… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Remote Medical Staff Services Health Care Specialist (Delegation/Enrollment)** The Medical Staff Services Health Care Specialist is ... + Preferred experience in health plan Provider Relations and/or Health Plan auditing setting, or within a hospital's Delegated Enrollment or Managed Care Enrollment… more
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