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
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
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
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
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
Claims HMO - Cost Containment Specialist 140-1003 Tulsa, OK, USAJob Description Posted Thursday, August 6, 2026 at 6:00 AM JOB SUMMARY: The Cost Containment Specialist is responsible for ensuring CommunityCare receives appropriate reimbursement of payment on claims.
CommunityCare is seeking a Cost Containment Specialist in Tulsa, OK to ensure proper reimbursement of claim payments. The role involves identifying overpayments, recovering refunds, handling third party liability, coordinating benefits, and reporting on reinsurance. You will
Job DetailsJob Location: Crestview in Bryan - Bryan, TX 77802Methodist Retirement Communities (MRC), with a mission to honor and serve older adults as an expression of Christ’s love, does so with eight continuing-care retirement communities in
Automation Engineer — Network Partner Data Platform About the Role Clients global network infrastructure relies on thousands of external partners — internet service providers (ISPs), colocation facilities, hardware vendors, and managed service providers. Were building a
Posting Date07/16/2026 1717 S J St, Tacoma, Washington, 98405-4933, United States of America DaVita is currently seeking a Regional Operations Manager for Patient Pathways in Oakland, Reno and the Pacific Northwest Market. Patient Pathways is the
Job DetailsLevel: ExperiencedJob Location: Roxbury - Roxbury, MA 02119Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $75,000.00 - $75,000.00 SalaryJob Shift: DayJob Category: EducationTitle/Position: B3 Grant Project Manager Location: Roxbury, MA Reports to: Executive Director
We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you
Overview Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond.
Job DetailsJob Location: Riverside HQ - Riverside, CA 92507Position Type: Full TimeEducation Level: High SchoolSalary Range: $22.00 - $26.00 HourlyJob Shift: DayJob Category: MarketingTitle: Category Content Coordinator Reports To: eCommerce Site Experience ManagerDepartment: MarketingHours Required: Full-time,
Job Description It’s about helping others establish a financial foundation and build their dreams. Are you passionate about teaching others the basics of financial planning and making a positive difference in their lives? Do you have