Claims Review Specialist 2797750 One of the most prestigious and well-known universities is seeking a Claims Review... Organization. The company offers a great work environment! Claims Review Specialist Pay and Benefits: Hourly pay: $40/hr...
Claims Review Specialist 2797750 One of the most prestigious and well-known universities is seeking a Claims Review... Organization. The company offers a great work environment! Claims Review Specialist Pay and Benefits: Hourly pay: $40/hr...
. We are in search of a highly motivated candidate to join our talented Team. Job Title: Claims Review Specialist Location...
Software Guidance & Assistance, Inc., (SGA), is searching for a Claims Review Specialist for a Contract assignment...
Job Description: SUMMARY Primary responsibilities of a Litigation Specialist/Senior Claims Representative - Legal... litigation advice in claim review meetings. Coordinate referral with AVP of Claims or VP of Claims on other litigated claims...
Shift: Day 5x8-Hour (08:00 - 17:00) Claims Review Specialist Location: Hybrid, mostly remote 10920 Wilshire Blvd...
's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources... Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned...
FRAUD DETECTION SPECIALIST I WHAT IS THE OPPORTUNITY? A Fraud Detection Specialist level I, will review alerts... alerted transactions via outbound and/or inbound call, in addition to initiating dispute claims. This position will play a key...
Identifies areas for potential improvement of patient satisfaction Review Denied Claims (No Authorization/No Referral... Preauthorization Specialist implements, maintains and executes procedures and processes by which Optum performs its referral...
Identifies areas for potential improvement of patient satisfaction Review Denied Claims (No Authorization/No Referral... Preauthorization Specialist implements, maintains and executes procedures and processes by which Optum performs its referral...
Employee Relations/Investigations Specialist 1) Support on Employee Relations -Receive, review, and analyze... reasonable accommodation requests; 2) Support of Legal Actions/Agency Complaints (EEOC, maybe small-claims) -Coordinate...
Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints... requirements. This position reviews pre-service authorizations, concurrent and post-service (retroactive review) medical necessity...
. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Documentation Specialist Location... Documentation Specialist independently prioritizes and performs assigned duties and tasks. Clinical Documentation Specialists...
Software Guidance & Assistance, Inc., (SGA), is searching for a Clinical Document Improvement Specialist for a Contract..., decisions, and diagnosis for inpatients. The Clinical Documentation Specialist utilizes clinical expertise and some coding...
Specialist (6 months) to provide critical support across benefit administration, invoicing, payroll, and new hire orientation... update and review employee profiles in ADP to ensure accurate benefit information. Serve as the point of contact...
's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources... Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned...
while transforming your career. Field Reimbursement Specialist - Los Angeles, CA What you will do Let’s do this. Let’s change the... world. In this vital role the Field Reimbursement Specialist (FRS) will manage defined accounts within a specified...
, CA 90018 Schedule Monday-Friday (8:30AM-5:00pm) Summary The Senor Billing Specialist will review and verify... denied and voided claims, following through until claim is paid. Responsible for weekly download of SIFT Data. Review data...
Monday-Friday (8:30AM-5:00pm) Summary The Billing Specialist will review and verify that client records are complete...Billing Specialist 2116 Arlington Ave, Los Angeles, CA 90018, USA ● Los Angeles, CA, USA Req #11373 Wednesday...
has named us one of Americaâs Best Hospitals! What will I be doing in this role? The Revenue Cycle Specialist III works... Hospital, Professional Fee billing and collections. Duties include but are not limited to, reviewing and submitting claims...