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
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 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
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
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
Accounts Receivable HMO Billing Specialist A healthcare financial services company is seeking an experienced Accounts Receivable HMO Billing Specialist to handle billing and receivables for a group of skilled nursing facilities. This role will be responsible for HMO billing
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
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
The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and guidelines are met; provided quality
The Account Representative provides administrative support to the Consolidated Billing Office (CBO). Provide support, data entry, research and projects in assigned unit. Work as a member of the billing team to provide smooth operational flow resulting
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
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We Are Inspired to Serve. Join us!The Central Office of a nation wide family of Continuing Care Retirement Communities is seeking a Third Party Reimbursement Specialist. This position will provide third party billing services to one
Job DetailsJob Location: LIBERTY Dental Plan Corp. - Tustin, CA 92782Position Type: Full TimeJob Category: OperationsConfigure Systems. Improve Accuracy. Strengthen Outcomes.Do you thrive at the intersection of claims expertise, system configuration, and cross‑functional collaboration? Are you
Scope: Follows established procedures on routine work Requires detailed instructions Your Roles and Responsibilities: Hardware picking according to FIFO policies. Staging and packing of orders. Assist with inventory, hardware management and e-recycling. Use ticketing systems to