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
Acadian Client Services has an immediate opening for a full-time Billing Specialist (Medicare HMO) to join their team in Lafayette, LA. Job Location: Lafayette, LA - This position is based in the office. The hours are Monday-Friday,
JOB SUMMARY: The Recalculation Examiner is responsible for researching and reprocessing claims that were previously adjudicated and need to be reconsidered for all lines of business. The examiner will use their resources, knowledge and decision-making acumen
JOB SUMMARY: To provide administrative and clerical support to ensure the efficient operation of the department. KEY RESPONSIBILITIES: • General clerical duties including copying, scanning and faxing. • Develops and maintains files and logs as related
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
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 HMP contracting and credentialing experience in the skilled nursing sector...
Administrative Support To provide administrative and clerical support to ensure the efficient operation of the department. Key Responsibilities General clerical duties including copying, scanning and faxing. Develops and maintains files and logs as related to department
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
AV Project Manager Role Summary The Project Manager will oversee all commercial aspects of Audio Visual projects, act as the client’s primary contact with Astreya and ensure that all contractual commitments are met. This position is
About the Job We are looking for an experienced IT Infrastructure Installation Service to independently execute and oversee complex server and network deployments supporting enterprise physical security systems. In this mid-level role, you will take ownership
Description For almost 50 years, Bet Tzedek Legal Services has provided high-quality, free legal services to Los Angeles’ most vulnerable residents. The Homeowner Protection team continues Bet Tzedek’s history of real estate and economic justice work.
Join Our Relentless Pursuit of Excellence AtSinger Vehicle Design, we believeEverything is Important.That’s why every nut, bolt, stitch, and finish matters when we restore and reimagine Porsche 911s into some of the most beautiful and respected
Lead Account Reimbursement Specialist III Job Summary: The Lead Account Reimbursement Specialist III facilitates the revenue cycle process by providing day to day operational support to billing, follow up, and customer staff. Serves as the liaison
Join Our Relentless Pursuit of Excellence AtSinger Vehicle Design, we believeEverything is Important.That’s why every nut, bolt, stitch, and finish matters when we restore and reimagine Porsche 911s into some of the most beautiful and respected
Join Our Relentless Pursuit of Excellence AtSinger Vehicle Design, we believeEverything is Important.That’s why every nut, bolt, stitch, and finish matters when we restore and reimagine Porsche 911s into some of the most beautiful and respected
HYBRID: This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs. The Precertification and Authorization Representative is an intermediate level
JOB SUMMARY: Responsible for completing out-bound calls and other member outreach opportunities to select members and documenting efforts. This role spends 100% of time on quality program activities. May require extended, or multiple, phone calls to
Call Center/Customer Service Specialist Pay: $17.00 per hour For over 50 years, Modernistic has provided our community with exceptional cleaning and restoration services throughout Michigan. Our family-owned company has six locations and is growing! If you