- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and ... efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while...skill enhancement. What you'll need to succeed + Proven claims experience handling and auditing Workers Compensation… more
- Axis (New York, NY)
- …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
- University of Southern California (Los Angeles, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- Genesis Healthcare (PA)
- …plans related to such issues. 5. Participates in provider monitoring and auditing activities and investigations, and implementing quality assurance and ... We are seeking a full time Certified Professional Coding Specialist to join our Advanced Care Organization (ACO) team.... will work as a compliance team member by auditing documentation of credentialed providers for proper code assignment… more
- Fairview Health Services (St. Paul, MN)
- …Qualifications** + 5 years hospital inpatient coding-related experience such as coding, auditing , abstracting, DRG assignment, Data Quality in coding denials + ... **Job Overview** The Inpatient Coding Denials Specialist performs appropriate efforts to ensure receipt of...of hospital inpatient coding related experience such as coding, auditing , abstracting, DRG assignment, Data Quality in… more
- BrightSpring Health Services (Englewood, CO)
- …Inc. is a leading provider in home Infusion therapy. We are looking for a Billing Specialist to join our Revenue Cycle Management team as we grow to be one of the ... top home infusion providers in the country. The Billing Specialist will report to the Billing Manager and work...an industry shift from hospital delivery settings to lower-cost, high- quality alternative providers such as Amerita. As a core… more
- Baylor Scott & White Health (Temple, TX)
- …reviews, and reports on quality control activities for all Pharmacy Services Specialist 1 staff. Including review and auditing reports as determined by ... **JOB SUMMARY** The Pharmacy Services Specialist 2 communicates with members, providers, and clients...assist with understanding the prior authorization process, and resolve claims processing and eligibility issues while adhering to department… more
- Southern Glazer's Wine and Spirits (Lakeland, FL)
- …(Depots). This position will complement these teams with technical, data management, compliance, auditing , and tactical support. The EHS Specialist will serve as ... that truly cares about its people. **Overview** The EHS Specialist reports to the Director of EHS and supports...national programs, and corrective actions associated with our compliance auditing program. This role supports SGWS in achieving our… more
- Zurich NA (Springfield, IL)
- …workstreams + Experience in a transactional, operational or customer service environment + Quality auditing experience + Knowledge of the insurance industry and ... Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am...continuous process and system enhancements to improve operational efficiencies, quality and/or timeliness. At Zurich North America Claims… more
- MyFlorida (Gainesville, FL)
- INVESTIGATION SPECIALIST II - 79001410 Date: Jan 7, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 867813 Agency: Business and Professional Regulations Working Title: INVESTIGATION SPECIALIST II - 79001410 Pay Plan: Career Service Position Number: 79001410… more