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...
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
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
Job Title: Financial Counselor Job Type: On-site, Monday-Friday 9am-5:30pm MST (open to Saturday availability) Wage scale: $23-$27 Your experience matters Denver Springs At Denver Springs, we are committed to empowering and supporting a diverse and determined
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track
ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES Acknowledging patients or guests and their requests Appearing professional in dress, grooming and hygiene. Assists in the training of new employees. Demonstrates awareness and sensitivity to the rights of patients
Job DetailsJob Location: Entrepreneur High School - Fontana - Fontana, CA 92553Position Type: Full TimeSalary Range: $19.00 - $24.00 HourlyREAL Journey Academies (RJA) is a non-profit charter school management organization designed to significantly increase college entrance
Posting number: 26-SC256-07 Department: Oakland Public Library Job classification: Archivist Posting type: Open & Promotional Categories: Library, Records Management, Museum, Historic Preservation, Research, Education, Training & Library SummaryThe City of Oakland is an equal opportunity employer
What this Job Entails: The Hardware Support Technician Supervisor role is responsible for supporting and maintaining technology equipment and IT assets. This includes installing, configuring, diagnosing, repairing, and upgrading all hardware and equipment while ensuring its
Senior Electrical Engineer IV - Communications Why join OTTO Engineering? At OTTO, we don’t just manufacture products—we engineer mission-critical solutions with precision and pride. Our Communications Division designs and manufactures ruggedized, application-specific communication systems built to
Description Join a company that has been voted Top Workplaces, Best Places to Work, Healthiest Employers and Best Workplaces in Ohio! Click on the link to our video below to learn more about us! https://www.youtube.com/watch?v=SdY7gWpaQ0o This
Description JOB PURPOSE: The customer care specialist is responsible for ensuring excellent customer satisfaction through timely, accurate, and professional follow-up and resolution to customer complaints, issues, and general inquiries. Identification, validation and assignment of patient medical