to Medicare/Medicaid and/or managed care contract guidelines and processes at each work step to facilitate accurate and timely... or more years as a Billing Adjustment Specialist, or comparable insurance, accounting, and/or health care billing experience...
: U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract. Security... Clearance: None/Not Required Raytheon Company, Managed by Collins Aerospace This position is RAY Collins supporting Heritage...
Specialist works alongside other members of the Legal Services team in the day-to-day management of legal issues associated... operated and managed in compliance with applicable federal, state and local laws. Researches and analyzes facts presented...
adjustment of claims. Ensures compliance to Medicare/Medicaid and/or managed care contract guidelines and processes...: · Two or more years as a Billing Adjustment Specialist, or comparable insurance, accounting, and/or health care billing...
for the more than 24,000 people serving the world's leading brands in OMG agencies around the globe. The Specialist, Creator... Activation is an integrated role tasked with driving Influencer activation within OMG's dedicated managed service product, Creo...
with reimbursement programs, government programs, managed care, formulary and contract negotiation Geography: Dallas, TX... asthma, and atopic dermatitis. A typical day might include the following: The Ophthalmology Medical Specialist...
for a claims project Communicate with key personnel within managed care organizations, such as nurse case managers, to streamline...The Reimbursement Specialist II is responsible for executing core reimbursement processes to confirm medical necessity...
in large group practices, hospitals, or managed care organizations preferred. Strong organizational and analytical skills... Dermatology Health & Science Specialist is responsible for launching new products, deciding upon best strategies to manage...
Responsibilities The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications 1...
for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans... care contracts. Qualifications: 1. Minimum of four years hospital managed care/commercial collector experience...
and compassionate care with outstanding service, every patient, every time”. As a Provider Relations Specialist at HealthTexas we expect... Provides support to the Strategic Development and Managed Care department for both value based programs and FFS contracts...
Sales teams. Responsibilities: The Customer Deal Desk (CDD) Specialist creates, validates and processes contract...Job Category: Finance Job Description: The Customer Deal Desk (CDD) Specialist leads and manages the contracting...
Stop Loss, Fully Insured, and Managed Care claims adjudication. A firm understanding of insurance and reinsurance... for candidates taking part in the selection process. Reinsurance Claim Specialist Job Description Job Family Grouping...
D.C., London and Amsterdam. This Marketing Event Specialist will play a critical role in bringing Plaid's most important... to onsite and live production, ensuring every detail is thoughtfully managed and flawlessly delivered. Partnering closely...
compensation, and professional liability insurance. Job Description: Here is a list of some of the mental health care managed... specialist for short-term counseling, the center’s medical staffs, and Wellness staff. Role Description This is a contract...
compensation, and professional liability insurance. Job Description: Here is a list of some of the mental health care managed... specialist for short-term counseling, the center’s medical staffs, and Wellness staff. Role Description This is a contract...
, and Abilities: Knowledge of contract-managed services or the ability to quickly learn and put this knowledge into practice.... Job Summary: Reporting to the Manager of Nutrition Operations, the NSS Compliance Specialist serves as a strategic field leader...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
, utilization review, managed care organization quality review, and quality assurance for programs serving individuals...Medical Review RN / Nurse Specialist II Work from Home within the Continental United States @Orchard LLC...
institutional and professional claims Experience in a managed care environment helpful. Commercial, Exchange, and Medicare... Covered California Claims (CCA) Manager, the CCA Claims Specialist is responsible for analyzing, managing, and investigating...