- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Under minimal supervision, the Claims Recovery Specialist II review and audits medical and/or dental claims to ... adjustments. **ESSENTIAL FUNCTIONS:** + Under supervision, reviews, audits, and/or initiates recovery efforts for medical, and/or dental claims to recover… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials ... analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals,… more
- Queen's Health System (Honolulu, HI)
- …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...Information + Organization: Corporate Services + Department: CBO Insurance Recovery - HB + Shift: Day Job + Union… more
- Navy Federal Credit Union (Pensacola, FL)
- …and equity loans by gathering and analyzing bankruptcy notifications, facilitating Proof of Claims , Motion for Relief and/or charge off. To set up and process Real ... 13 and Chapter 7 bankruptcy filings to determine the potential for asset recovery + Manage the mortgage loan modification process by coordinating efforts with… more
- Air National Guard Units (Springfield, OH)
- Summary This National Guard position is for a IT CYBERSECURITY SPECIALIST (SYSADMIN), Position Description Number D2793000 and is part of the OH 178 Wing, Ohio Air ... servers using multiple operating systems. Responsibilities As a IT CYBERSECURITY SPECIALIST (SYSADMIN), GS-2210-11, you will perform the following duties: 1. Serves… more
- City of New York (New York, NY)
- …and Eligibility Verification (BCIEV) is recruiting one (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist in its ... reviewing and analyzing MAP duplicate Client Identification Numbers (CINs) for potential recovery of duplicate payments to New York State. - Initiate corrective… more
- The County of Los Angeles (Los Angeles, CA)
- …disaster/emergency services, when required. Regional Disaster Medical and Health Specialist Program (RDMHS) Assists in the development, implementation, and ... when needed to carry out job-related essential functions. PHYSICAL CLASS II - Light: This class includes administrative and clerical positions requiring… more
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