- Alight (TX)
- …Alight. Learn more at careers.alight.com. **About the Role** The Appeals Specialist reviews adverse determination outcomes for Short Term Disability and ... **Do you want to be part of a collaborative Appeals team?** **Our Story** At Alight, we believe a...**Responsibilities** . Executing the investigation of STD and LTD claims that are in dispute. Handling assigned case load… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...works with contracted, new, and potential network vendors regarding claims processing and payment concerns and appeals … more
- Robert Half Accountemps (Brunswick, ME)
- Description We are offering a short term contract employment opportunity for a Medical Billing Specialist in Brunswick, Maine. The role is integral to our team, ... and NetSuite to perform various duties, including accounts receivable, appeals , billing functions, claim administration, collection processes, and Medicaid billing.… more
- State of Colorado (Denver, CO)
- Social Services Rule Specialist III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4491962) Apply Social Services Rule Specialist III ... program assistance to county staff responsible for administration, issuance, and claims collection of Adult Financial and Colorado Works benefits and services.… more
- Fairview Health Services (St. Paul, MN)
- …critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ... **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of...records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a… more
- Robert Half Accountemps (New Orleans, LA)
- Description Robert Half has partnered with a client seeking a Medical Biller/Collections Specialist in the non-profit industry. The role we are seeking is that of a ... Medical Biller/Collections Specialist , who will be an integral part of our...organization. Located in New Orleans, Louisiana, this is a short -term contract to full time employment opportunity. Responsibilities: *… more
- Sharp HealthCare (San Diego, CA)
- …with Medical Group Appeals on members with SNF services under appeals process.Reviews SNF claims for medical necessity and appropriateness when any ... information necessary for activities related to Medical Groups' Quality and Appeals processes. + Demonstrates knowledge of department policies and procedures… more
- ClearChoiceMD (Concord, NH)
- …employee's needs. A typical day in the life of an Accounts Receivable Specialist , includes: + Responsible for designated insurance claims to ensure submission ... care. ClearChoiceMD is seeking a dependable full-time accounts receivable specialist in Concord, NH. Our ideal candidate must have...for: + Outstand i ng Benefits with company paid Short Term Disability and life insurance + 401(K) with… more
- Robert Half Accountemps (Clifton Springs, NY)
- Description We are offering a short term contract employment opportunity for a Medical Billing Specialist in the non-profit industry based in Clifton Springs, ... patient record management * Use Medisoft for processing insurance claims and patient billing * Oversee Accounts Receivable (AR)...(AR) to ensure timely payment of invoices * Handle appeals in case of disputes with insurance providers *… more
- State of Colorado (Denver, CO)
- Employee & Labor Relations Human Resources Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4523989) Apply Employee & Labor ... Relations Human Resources Specialist Salary $56,028.00 - $66,360.00 Annually Location Denver, CO Job Type Full Time Job Number FAA01048-05/29/24 Department… more
- Patent and Trademark Office (Alexandria, VA)
- …and covered business method patent reviews and derivation proceedings, hears appeals from adverse examiner decisions in patent applications and reexamination ... to leverage and integrate information technology (IT) in the processing of patent appeals and patent review proceedings. You possess the knowledge to manage and… more
- Robert Half Accountemps (Spokane, WA)
- …maintaining accurate records, processing payments, and managing appeals and claims . This position offers a short -term contract employment opportunity. ... We are in search of a dedicated Medical Biller/Collections Specialist to join our team in Spokane, Washington. This...Responsibilities: * Processing and submitting insurance claims * Managing account payments and maintaining up-to-date patient… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... staffing experiences to deliver the best workforce solutions. The Reimbursement Specialist I reviews branch sales for appropriate documentation, generate and bill… more
- Great River Health (West Burlington, IA)
- …Coordinates and assists in reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carrier. ... filing system. Process new insurance policies, modifications to existing policies, and claims forms. Obtain information from policyholders to verify the accuracy and… more
- Gehring Group (Palm Beach Gardens, FL)
- …employees, assisting with and resolving issues related to billing, eligibility, claims resolution, member appeals , benefit verification, medical procedure ... a great relationship with both the employees and various carriers. In short , Client Service Specialist make a difference in the lives of our clients' employees… more
- Keurig Dr Pepper (Frisco, TX)
- …+ Provide direct support to employee's needing assistance on maneuvering complex leave claims ie: Leave denials and appeals process, guidance on return to ... to be 100% onsite. The Associate HR Operations Leave Specialist is part of the myHR team, a world-class,...administration process, including but not limited to FMLA, ADA, Short -term disability, long-term disability, and personal leaves +… more
- Avera Marshall (Le Mars, IA)
- …and billing policies/procedures are kept current. + Facilitate the processing of insurance appeals of problem claims . + Prepare daily and monthly bills for ... our Business Office / Insurance Department for a Billing Specialist . Floyd Valley offers a positive culture that supports...regarding their medical bills and the status of their claims . + Monday - Friday 8:00a.m.-4:30p.m. Requirements: + High… more
- Cedars-Sinai (Los Angeles, CA)
- …daily reconciliation, processing payment transfers, reviewing and submitting claims to payors, performing account follow-up activities, updating information ... and resolve complex cases and problem accounts with minimal assistance. Submits appeals and collect monies relative to physician reimbursement. Services as a… more
- American Red Cross (Santa Barbara, CA)
- …Red Cross of California has a fantastic opportunity available for a Business Operations Specialist out of our Santa Barbara or Camarillo Red Cross office. This is ... Operating Officer or the Chief Administrative Officer, the Business Operations Specialist supervises the daily operation of support services and business office… more
- Ascension Health (Allegan, MI)
- …wellness plans Retirement benefits including employer match plans Long-term & short -term disability Employee assistance programs (EAP) Parental leave & adoption ... by position, exclusions may apply for some roles (for example: Travel, PRN, Short -Term Option, etc.). Actual compensation offer will vary based upon role, education,… more