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Sr Claim Specialist
ACS Auto Club Services, Inc.
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
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Rebate Account Specialist II
Navitus Health Solutions, LLC
…This individual will work closely with the Manager of Rebate Operations to ensure complete, accurate and timely audit of eligible claim data for rebate invoicing. In addition, the Rebate…
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Manager, Revenue Integrity
Ensemble RCM LLC
…deadlines, ensure compliant charge capture practices, ensure claims timely filing, & reduce denials. Additionally, they will work with all departments within the Revenue Cycle to manage…
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RN Medical Reviewer II - Palmetto GBA-13
Palmetto GBA
Performs medical claim reviews for one or more of the following: claims for medically complex services, services that require preauthorization/predetermination, requests for appeal or…
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Supervisor, Contact Center
Accuserve
…the things they treasure most. As an integrated community of claims and restoration experts, we're redefining how smart, unified, and human the experience can be to fix what matters most to…
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Manager, Insurance Product Management
Humana Inc.
You’ll lead a team of Insurance Product Managers who provide critical quality, validation, testing and delivery support across our regional Medicare Advantage portfolios. Your team serves…
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Commercial Lines Account Manager
Keystone Agency Partners LLC
The primary function of this role is to manage an assigned book of commercial insurance business, support new client implementation, and ensure a high level of client service and retention.…
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Health Information Specialist
University of Arkansas for Medical Sciences
Responsible for reviewing the insurance remits and determining what medical records the insurance company needs to adjudicate the patient claims.
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Sr. Dir., Regulatory & Assc. General Counsel
HUMACYTE GLOBAL INC
The Senior Director Commercial Regulatory Affairs & Associate General Counsel serves as the primary legal and commercial regulatory advisor supporting the commercialization of SYMVESS. This…
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Appeals & Grievances Specialist
The Harbor Health Team Inc
…case investigations, collaborating with internal clinical and claims teams, ensuring adherence to statutory turn-around times (TAT), and drafting clear, compliant determination letters.…
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Patient Safety Territory Manager - OR, WA & AL
TIDI PRODUCTS LLC
Conduct product demonstrations, in-services, and clinical training in accordance with approved product claims and instructions for use.
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Supervisor Provider and Member Service
PHH Peak Health Holdings
2. Associate’s degree AND Two (2) years of experience working in a customer service call center environment AND Three (3) years working in Commercial/ACA, CMS, Medicare healthcare…
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Performance Measurement Specialist
Sentara Health Administration, Inc.
…the development and oversight of the Quality Program Provider Operations Department as well as other departments as applicable. Additional responsibilities include but are not limited to…
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Senior Process Improvement Professional
Humana Insurance Company
Identify operational risks and develop solutions that improve responsiveness while minimizing impacts to clinical, claims, finance, and enrollment operations.
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Senior Process Improvement Professional
Humana Insurance Company
Familiarity with enrollment, eligibility, claims, care management, provider operations, or member services.
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Assistant General Counsel
AMERICAN FARMLAND TRUST
The Assistant General Counsel is a member of a three-person Legal Department consisting of General Counsel, Associate General Counsel, and Assistant General Counsel. The Assistant General…
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Intake Specialist
AdaptHealth LLC
Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
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Intake Specialist
AdaptHealth LLC
Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
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Intake Specialist
AdaptHealth LLC
Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
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Intake Specialist
AdaptHealth LLC
Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
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Intake Specialist
AdaptHealth LLC
Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
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Intake Specialist
AdaptHealth LLC
Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
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Senior Legal Counsel (Employment)
TCS Education System
Negotiating settlements, managing insurance claims, and partnering with outside counsel as appropriate to support effective case resolution.
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Intake Specialist
AdaptHealth LLC
Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
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Intake Specialist
AdaptHealth LLC
Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service preferred but not required
