JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
JOB SUMMARY: The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims. The Specialists will take actions such as identification of outstanding overpayment of claims, collection of claim overpayments, handling
Director, HMO Claims Services - 262004305 Description This is a full-time leadership position, eligible for Scripps Health annual Management Incentive Compensation Plan. This position is partial remote and located in San Diego and does require residence in
Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
Claims Examiner The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or
Job Title Responsibilities: Run the AR every 4 weeks. Make sure the claims were paid correctly. Denials must be checked, sent appeal, check authorization and eligibility. Make phone calls if the denial is not clear, have
Account Rep II As an Account Rep II on the HMO team, you will submit, post, and secure maximum allowable reimbursement from third-party carriers, government programs and Health Maintenance Organizations in the areas of claims submission and/or
HMO Coordinator The HMO Coordinator plays a critical role in managing and facilitating the operations of Health Maintenance Organization (HMO) plans to ensure seamless healthcare delivery to members. This position involves coordinating between healthcare providers, insurance companies, and members
Director, HMO Claims Services This is a full-time leadership position, eligible for Scripps Health annual Management Incentive Compensation Plan. This position is partial remote and located in San Diego and does require residence in San Diego. The
About Trinity Property Consultants At Trinity Property Consultants, your expertise fuels our mission. Guided by our values of innovation, teamwork, excellence, and empowerment, we’ve been a leader in the multifamily industry for over 25 years and
ED Care Coordinator - Per Diem Shift: 7:00am - 7:30pm Job Description: PATIENT POPULATION: The patient population served can be all patients, including geriatric, adult, adolescent, pediatric, and newborn. This also includes services which affect facility
Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate youve recommended. Heres a brief overview of the process: After youve completed this referral form, your recommended candidate
Requisition No: 879922 Agency: Department of Law Enforcement Working Title: CRIMINAL JUSTICE INFORMATION ANALYST II - 71001432 Pay Plan: Career Service Position Number: 71001432 Salary: $ 42,200.08 Posting Closing Date: 07/24/2026 Total Compensation Estimator Tool CRIMINAL
DEPARTMENT: HOMEWORK CENTER / YOUTH POSITION TITLE: ACADEMIC MENTOR STATUS: REGULAR/NON-EXEMPT – PART-TIME COMPENSATION: $22.00 PER HOUR DIRECT SUPERVISOR: EDUCATION & YOUTH ACTIVITIES DIRECTOR UNIT: SEATTLE WHITE CENTER CORPS GENERAL STATEMENT: The Salvation Army is a
Description The Channel Business Development Manager is responsible for recruiting new partners and driving ARR growth within assigned solution providers. This role involves collaborating with partners to drive new ARR through effective co-selling strategies and increasing
Job Summary The A/R Biller is responsible to process all Inpatient and Outpatient accounts to all payors promptly and accurately in order to promote financial stability within the Hospital. Experience in billing Medicare, Medicaid, Commercial Insurance,
Overview At Wipfli, people count. At Wipfli, our people are core to everything we do—the catalyst behind our ability to create exceptional impact and extraordinary results. We believe in flexibility. We focus on relationships. We encourage
We Are Inspired to Serve. Join us!Temporary MDS position; the MDS Nurse, RN (nurse assessment coordinator (NAC)) is an individual licensed as a registered nurse by the State Board of Nursing and employed by a nursing
Hospitality Team Member (FOH) Urban Plates Restaurants 2650 N Sepulveda Blvd, Manhattan Beach, CA 90266 Pay: $16.90 per hour - $21.03 per hour (potential with tips) Benefits • New Urban Plates Health & Wellness Plan for
ABOUT ROCKET LAB Rocket Lab is an end-to-end space company delivering responsive launch services, complete spacecraft design and manufacturing, payloads, satellite components, and more – all with the goal of opening access to space. The rockets