• Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and other PI partners, perform ... auditing and/or utilization review required + 7+ years experience with Optum Claims Editing System (CES), Zelis, Lyric or other editing tools + Extensive… more
    Commonwealth Care Alliance (05/28/25)
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  • Senior Claims Specialist , Excess…

    Axis (New York, NY)
    …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Excess Claims_** to join our North America Claims ... should act as highest level individual contributor directly reviewing excess casualty claims to determine nature of loss, coverage provided, and scope of claim… more
    Axis (05/17/25)
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  • Senior Claims Specialist - Design…

    Axis (New York, NY)
    …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Design Professional_** to join our North America ... Claims . The candidate should possess the ability to handle...in coverage, evaluation and reserving + Excellent writing and editing skills + Solid negotiation and settlement skills +… more
    Axis (04/10/25)
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  • Sr. Claims Specialist - Financial…

    Axis (New York, NY)
    …for candidates taking part in the selection process. AXIS is seeking a **_Senior Claims Specialist - Financial Institutions - Claims_** to join our North America ... Claims team and will report to the Head of...coverage, evaluation and reserving + Excellent presentation, writing and editing skills + Solid negotiation and settlement skills +… more
    Axis (03/29/25)
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  • Client Policy Specialist

    Zelis (FL)
    …and the personal interests that shape who you are. Position Overview The Client Policy Specialist is a client facing role that will act as the subject matter expert ... (SME) as it pertains to Zelis editing product in support of the growth, and expansion...growth, and expansion of assigned clients. The Client Policy Specialist will lead the sales overview discussion of new/existing… more
    Zelis (04/28/25)
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  • Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …applications. The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. ... Demonstrate the ability to formulate an appeal rationale based on clinical documentation, application of LCD, relative carrier policy and published Academy or Societal guidance + Provide coding guidance to providers and charge entry staff for single or low… more
    St. Luke's University Health Network (05/21/25)
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  • Chief Program Specialist , CEO - Real…

    The County of Los Angeles (Los Angeles, CA)
    CHIEF PROGRAM SPECIALIST , CEO - REAL ESTATE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4905644) Apply  CHIEF PROGRAM SPECIALIST , CEO - ... We are pursuing qualified candidates to fill Chief Program Specialist , CEO positions within the Chief Executive Office. The...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
    The County of Los Angeles (05/30/25)
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  • Facilities Contract Specialist (Level I/II)…

    Navy Exchange Services (NEX) (Virginia Beach, VA)
    …support functions in support of their own or other contract specialist actions, including invoice processing, document review/ editing , analysis, and ... Title: Facilities Contract Specialist (Level I/II) Non-Competitive Progression Location: United States-Virginia-Virginia Beach Job Number: 2500008Z Are you ready to… more
    Navy Exchange Services (NEX) (03/21/25)
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  • Navy ERP Financial Support Specialist

    UIC Government Services and the Bowhead Family of Companies (Bethesda, MD)
    **Overview** Navy ERP Financial Support Specialist (C80-2025-22996): Bowhead seeks a part time (24 hours per week) Navy ERP Financial Support Specialist to ... Finance, Logistics, Security, Space Planning, Safety, Administrative Services, Technical Editing , Records Management, and Computer Engineering and IT support. The… more
    UIC Government Services and the Bowhead Family of Companies (05/25/25)
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  • DME Customer Order Specialist

    Kestra Medical Technologies, Inc (Dallas, TX)
    …manage, and protect life. The Durable Medical Equipment (DME) Customer Order Specialist is responsible for performing all tasks and communication related to intake ... costs, deductibles, and payment methods with patients. The DME Customer Order Specialist is knowledgeable in Kestra DME offerings, its features and benefits, and… more
    Kestra Medical Technologies, Inc (05/17/25)
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