Building Automation Systems (BAS) Specialist Pinnacle Technical ResourcesBuilding Automation Systems (BAS) SpecialistMobile,, Alabama$60,000–$75,000 / yearThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.
NewSr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteALRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
NewSubrogation Claims Specialist Davies Group LtdSubrogation Claims SpecialistAL$60,000–$68,000 / yearPossess strong verbal, writing, and analytical skills; Possess strong attention to detail; Possess strong organizational skills; Is proficient in MS Word and MS Excel; Possess the ability to work independently; Function equally within a collegial group depending upon the project or data; Possess appropriate interpersonal skills; and. Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee's primary work location.
Senior Claims Specialist, Remote - CA Workers Compensation Great American Insurance Group (DBA)Senior Claims Specialist, Remote - CA Workers CompensationTexas, ALRemote$110,000–$120,000 / yearAlthough we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.
Claims Specialist/Senior Claims Specialist Great American Insurance Group (DBA)Claims Specialist/Senior Claims SpecialistTexas, ALMid-Continent Group, a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other industries. Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S. Lead investigations, evaluate coverage and liability, and drive resolution strategies.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistALRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Sr. Claims Specialist, Medical Malpractice | Professional Liability Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Medical Malpractice | Professional LiabilityALIdeal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Catastrophe Field Claims Specialist AAA Southern New EnglandCatastrophe Field Claims SpecialistBirmingham, ALBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
Lost Time Claims Specialist, Workers' Compensation EncovaLost Time Claims Specialist, Workers' CompensationPennsylvania, ALOur current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. Consults with assigned claim director, return to work specialists, nurse case managers, internal/external medical, and legal on current and/or recommended treatment, litigation or rehabilitation plans to ensure claims outcomes are achievable and appropriate.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistMontgomery, ALThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistBirmingham, ALThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claim Specialist FCCI Insurance GroupClaim SpecialistBirmingham, AL$91,389–$140,737 / yearResponsibilities include maintaining an inventory of claims handled within departmental guidelines, following best practices policies and procedures and budgetary guidelines, field investigations, negotiating limited settlements, setting reserves, attending mediations, and documenting all file activity. At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedHuntsville, AL$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
NewRisk & Claims Manager Chugach Government Solutions, LLCRisk & Claims ManagerHUNTSVILLE, ALThe Manager works collaboratively with Safety, Human Resources, Legal, Contracts, Finance, Business Development, and operational leadership to evaluate exposures, develop mitigation strategies, maintain appropriate insurance coverage, and support compliance with contractual and regulatory requirements. The position supervises assigned staff and provides technical guidance to senior leadership and operational teams regarding risk identification, risk transfer, insurance compliance, loss prevention, claims management, and bonding requirements.
NewClaim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionTroy, AL$63,089.65–$90,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 36005 36010 36016 36017 36027 36029 36034 36035 36048 36052 36053 36079 36081 36089 36310 36311 36317 36373 36374 36860 36871. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Catastrophe Field Claim Specialist AAA Southern New EnglandCatastrophe Field Claim SpecialistBirmingham, ALBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Work Environment: This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities are specified by leadership.
NewRisk & Claims Manager Chugach Government SolutionsRisk & Claims ManagerHUNTSVILLE, AlabamaFull timeThe Manager works collaboratively with Safety, Human Resources, Legal, Contracts, Finance, Business Development, and operational leadership to evaluate exposures, develop mitigation strategies, maintain appropriate insurance coverage, and support compliance with contractual and regulatory requirements. The position supervises assigned staff and provides technical guidance to senior leadership and operational teams regarding risk identification, risk transfer, insurance compliance, loss prevention, claims management, and bonding requirements.
Medicaid Claims Operations Manager GD Information TechnologyMedicaid Claims Operations ManagerMontgomery, AlabamaTo ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. Required Skills and Abilities: Medicaid Operations Leadership Support, Project Management Skills, Provider Enrollment Management Skills and Experience, NCQA CVO knowledge and experience.
Medicaid Claims Operations Manager General Dynamics Information TechnologyMedicaid Claims Operations ManagerMontgomery, AlabamaTo ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. Required Skills and Abilities: Medicaid Operations Leadership Support, Project Management Skills, Provider Enrollment Management Skills and Experience, NCQA CVO knowledge and experience.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteALRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Insurance Claims Representative Alabama OncologyInsurance Claims RepresentativeBirmingham, ALReceives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments. Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries.
Property Claims Supervisor - Northeast (Remote) Davies Group LtdProperty Claims Supervisor - Northeast (Remote)ALRemote$79,000–$85,000 / yearIn addition, you will provide leadership, technical guidance, and performance oversight for property claims adjusters while supporting effective claim resolution, cost management, and strong client relationships. As the Property Claims Supervisor, you will be responsible for overseeing a team of claims professionals handling property-related claims, including commercial property losses and other first-party property exposures.
Claim Counsel - D&O/Professional Liability Davies Group LtdClaim Counsel - D&O/Professional LiabilityAL$110,000–$135,000 / yearThe successful candidate will manage a portfolio of complex claims that may involve seven-figure exposures, securities claims, shareholder disputes, derivative actions, regulatory investigations, fiduciary allegations, professional negligence, excess implications, allocation issues, and significant mediation or settlement activity. This role requires strong technical claims expertise, coverage analysis capability, litigation management experience, and the ability to partner effectively with carriers, insureds, brokers, defense counsel, coverage counsel, monitoring counsel, mediators, and internal stakeholders.
Billing Specialist Community Health Systems IncBilling SpecialistBirmingham, ALThe Billing Specialist II is responsible for managing complex billing functions, ensuring timely and accurate claims processing, and resolving issues related to insurance payments and account balances. Reviews and corrects claim filing edits in electronic health record (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med).
Billing Specialist - ON SITE - Flowers Medical Group Community Health Systems IncBilling Specialist - ON SITE - Flowers Medical GroupDothan, ALThis position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement.
OPTOMETRIC SPECIALIST University of Alabama at BirminghamOPTOMETRIC SPECIALISTBirmingham, AL$19.80–$32.15 / hourUniversity'',''University'','''','''','''','''','''','''','''','''',''Clerical & Administrative'',''Clerical & Administrative'',''332000000 Optometry Clinical Services'',''332000000 Optometry Clinical Services'',''Regular'',''Regular'','''','''','''','''',''Day/1st Shift'',''Day/1st Shift'',''Onsite'',''Onsite'',''false'',''320317'',''320317'',''true'',''320317'',''false'',''Submission for the position: OPTOMETRIC SPECIALIST - (Job Number: T236755)'',''false'',''320317'',''false'',''true''. Clinical Dispensing Integration: Perform daily activities of the dispensary, assisting patients in selecting and ordering eyewear as the contact lens and optical departments transition into a single unified unit.
Denials Specialist II DCH Health SystemDenials Specialist IIClinics in Millport Fayette Tuscaloosa, AlabamaThis role is critical to optimizing revenue recovery by investigating, correcting, and resubmitting denied claims while working closely with the Revenue Cycle Management (RCM) team to identify and address patterns in denials. Psychological: Contact with Others, Deal with external customers/clients, sometimes dealing with unpleasant people, occasionally coordinating letters/memos, working with work groups or as a Team constantly/consistently.
Billing Specialist Carastar HealthBilling SpecialistMontgomery, AlabamaThe Billing Specialist is responsible for managing accounts receivable, billing, and collection of payments for Medicaid, Medicare, and commercial payers. High school diploma plus 5 years of experience as a Medical Biller, with direct medical billing experience with Medicaid, Medicare, and commercial insurance.
["Billing Specialist","Billing Specialist"] Ascend Plastic Surgery Partners["Billing Specialist","Billing Specialist"]TuscaloosaAt our state-of-the-art surgical facility on Commons North Drive in the North River section of Tuscaloosa, we are proud to offer a wide range of procedures, including spa-like treatments, nonsurgical treatments, and surgical or more invasive treatments. Founded on a commitment to excellence, innovation, and patient care, Ascend PSP brings together a network of highly accomplished plastic surgeons and their practices to advance aesthetic medicine, helping our patients feel more confident in their own bodies.
Billing F/U Specialist, FT, Day Shift Huntsville Hospital Health SystemBilling F/U Specialist, FT, Day ShiftDecatur, AlabamaFamiliarity with healthcare billing systems such as Meditech, preferred, Strong analytical, organizational, and communication skills, Ability to work independently and manage multiple accounts effectively, Proficient computer and data entry skills. Communicates repetitive or unusual errors to manager and/or others to resolve problematic actions or activities which may be user or system driven affecting clean claim accuracy.4Research claim edits, coding issues, authorization requirements, and filing deadlines.
Sr. Litigation Specialist -Remote CSAA Insurance GroupSr. Litigation Specialist -RemoteALRemote$89,865–$99,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
NewClinical Support Specialist Workplace Options LLCClinical Support SpecialistBirmingham, ALBHS operates one of the nation's largest specialty preferred provider organizations (PPO), which is comprised of psychiatrists, psychologists, social workers, EAP providers as well as facility networks including hospitals, rehab/residential treatment centers, partial hospitalization programs and intensive outpatient programs. The Clinical Support Specialist ensures accurate documentation, maintains positive working relationships with internal departments (Claims, Provider Relations, Customer Success) and external stakeholders (providers, facilities), and contributes to operational efficiency and patient satisfaction through organized, detail-oriented work.
Insurance AR Specialist - Remote Surgical Information SystemsInsurance AR Specialist - RemoteBirmingham, ALRemoteFor ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
Insurance Accounts Receivable Specialist Surgical Information Systems LLCInsurance Accounts Receivable SpecialistBirmingham, ALRemoteFor ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
Prior Authorization Specialist Personnel ResourcesPrior Authorization SpecialistDothan, ALThis role requires experience with diagnosis coding, claim follow-up, and working with insurance providers to ensure timely and accurate reimbursement. Enter charges accurately and apply appropriate diagnosis/procedure codes (ICD-10, CPT, HCPCS).
NewInsurance Specialist DCH Health SystemInsurance SpecialistTuscaloosa, AlabamaOverview: Responsible for managing and performing efficient and effective Accounts Receivable functions for DCH Regional Medical Center, Northport Medical Center, Fayette Medical Center, DCH Home Health and Home Medical Equipment. To reach lower areas requires kneeling by bending the legs at the knee or crouching by bending the body downward and/or forward by bending the legs and spine.
Workers Compensation Specialist Career StrategiesWorkers Compensation SpecialistTrussville, AlabamaThe Workers’ Compensation Rep will serve as the primary liaison between employees, medical providers, insurance carriers, and internal departments to facilitate claims, monitor cases, and support injured employees through the process. We are seeking a knowledgeable and detail-oriented Workers’ Compensation Representative to manage workers’ compensation claims and ensure timely, accurate processing in compliance with state and federal regulations.
Cash Posting Specialist Career PersonnelCash Posting SpecialistPrattville, ALRESPONSIBILITIES: Performs the duties of a Cash Poster to include maintaining and working unapplied cash and posting legacy cash, reviewing adjustments for accuracy, obtain approvals where appropriate. The Cash Posting Specialist posts all payments received, balancing to deposit and remittance advices.
Estimate Review Specialist Sr. (Repair Solutions) Sedgwick Claims Management Services, Inc.Estimate Review Specialist Sr. (Repair Solutions)AL$55,000–$57,000 / yearPRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using Xactimate, Symbility, and other estimating applications; to ensure estimates follow client and regulatory requirements and meet Sedgwick Repair Solutions' guidelines while replacing a field adjuster if needed, and to serve as a subject matter expert on property restoration scope. Required/Preferred Experience: Candidates should have experience in one or more of the following areas: interior and exterior property restoration, roofing, water mitigation, mold remediation, fire and smoke damage restoration.
Medical Billing & Collection Specialist - HCM Practice Support - USA Health Physicians Group USA HealthMedical Billing & Collection Specialist - HCM Practice Support - USA Health Physicians GroupMobile, AlabamaFull timeThe Medical Billing & Collections Specialist communication responsibilities: Communicates and uses appropriate customer relations skills with physicians, patients, families and USA personnel in person and via telephone. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms.
NewBusiness Office Specialist - Restricted Funds Alabama Community College SystemBusiness Office Specialist - Restricted FundsDeatsville, AL$52,707–$70,896 / yearThe Business Office Specialist - Restricted Funds at Ingram State Technical College (ISTC) is responsible for the administration and oversight of all aspects of restricted fund accounting and for assisting the Director of Accounting in maintaining restricted fund financial records in compliance with applicable federal, state, and sponsoring agency regulations, policies, and procedures. The wellness premium applies only to the Blue Cross Blue Shield Hospital Medical Group #14000 plan for non-Medicare eligible active and retired members, non-Medicare-eligible members on LOA or COBRA, and non-Medicare-eligible spouses on active or retired contracts.
Pharmacy Technician Insurance Specialist SeniorCareRxPharmacy Technician Insurance SpecialistNorthport, ALServes as the Communication liaison regarding medication or resident coverage issues with; Administrators, DON’s, Admissions, Social Services, Consultant Pharmacists, Internal Pharmacists, Data Entry, Business Office staff, Resident’s, Responsible Parties, Physicians, Medical Directors and PDP’s/Insurance plans. To provide knowledge of Medicare, Medicaid, Prescription Drug Plans (PDP’s) and Third Party Insurances to appropriate health care professionals, advising resident and appropriate parties on PDP options available, enrolling and applying for low income subsidy if applicable.
Senior HR Compliance Specialist Yulista SolutionsSenior HR Compliance SpecialistHuntsville, AlabamaThis position provides direct support to the Senior Labor Relations & HR Compliance Manager, Labor Relations Manager, Senior HR Leadership, and operational management teams by coordinating compliance activities, maintaining critical labor relations records, supporting investigations, tracking collective bargaining agreement obligations, monitoring regulatory requirements, and preparing executive-level reports and presentations. The HR Compliance Specialist serves as a critical member of the Human Resources team responsible for supporting enterprise labor relations administration, HR compliance initiatives, workforce reporting, audit readiness, and regulatory compliance activities across a complex, multi-site organization.
Benefits Specialist Lee Hecht HarrisonBenefits SpecialistChandler, AL$85,000–$95,000 / yearLHH Recruitment Solutions is partnering with a well-established company near Chandler that is seeking a Benefits Specialist to oversee the administration of comprehensive employee benefit programs for a workforce of several thousand employees. This is an excellent opportunity for someone who thrives in a fast-paced HR environment, has strong analytical skills, and enjoys providing exceptional employee support.
HME Intake Specialist (reports to supervisor) DCH Health SystemHME Intake Specialist (reports to supervisor)Tuscaloosa, ALPhysical Activities: walking, talking, hearing, bending, twisting, stooping, lifting, kneeling, standing, sitting, crouching, or stooping with good balance for extended periods of time, grasping, pushing, pulling, repetitive motion, using hands to handle, control, or feel objects, tools or controls. Performs data entry of patient information into the HME software Performs verification of the patient's health insurance coverage for the requested items Generates and tracks all Certificates of Medical Necessity (CMN) insuring timely signature by the Physician, as required, according to guidelines.
CAH Biller - Epic (Critical Access Hospital Billing Specialist) CPSICAH Biller - Epic (Critical Access Hospital Billing Specialist)ALThe ideal candidate has hands-on experience billing for CAHs, understands the nuances of Medicare reimbursement methodologies, and is proficient in Epic billing workflows. We are seeking an experienced Critical Access Hospital (CAH) Biller with strong Epic expertise to support full-cycle facility billing and reimbursement.
Field Remote Provider Engagement Specialist (Wake County, North Carolina) Alignment HealthcareField Remote Provider Engagement Specialist (Wake County, North Carolina)Carolina, North CarolinaRemote$54,434–$81,651 / yearPartner with providers to improve performance on key performance indicators (KPIs), including but not limited to growth, retention, Annual Wellness Visits (AWVs), HEDIS gap closures, hospital and ER utilization, risk adjustment and other quality indicators. Conduct initial provider onboarding and provide support for ongoing provider education on Alignment tools, clinical programs, PCP incentives, Member benefit offerings, Model of Care and other compliance requirements, and Alignment initiatives.
Underwriting Specialist - Technology (Remote - Southeast) Onebeacon Professional Insurance IncUnderwriting Specialist - Technology (Remote - Southeast)Birmingham, ALRemote$151,000–$177,000 / yearSome of the Underwriting Specialist duties include but are not limited to: Maximizes opportunities for underwriting profitable new and renewal business, as appropriate based on market conditions, by leveraging business relationships, product knowledge and underwriting acumen. Manages financial performance of assigned territory including: accident year loss ratio, premium plans (new business, retention, and rate/exposure increases), and commission targets.
Medication Access Specialist DCH Health SystemMedication Access SpecialistTuscaloosa, AlabamaOverview: The medication access specialist will be primarily responsible for the following tasks: proactively reviewing and verifying patients’ drug benefit information to ensure reimbursement requirements are met, processing test claims for medications, conducting third party prior authorization requests, educating patients on DCH retail pharmacy services, proactively obtaining payment information for patients using the DCH retail pharmacy, identifying opportunities for improving reimbursement from payers, documentation of activities on all applicable software platforms, and obtaining accurate patient medication histories. Prior computer experience using Microsoft Office systems required, Strong communication skills required, Excellent interpersonal skills required, Must be able to work under pressure and meet deadlines, Must be detail oriented with strong follow-up skills, Must have strong telephone presence/etiquette, Must have better than average layman's knowledge of various medications and medication classes.
Posting Specialist I DCH Health SystemPosting Specialist IClinics in Millport Fayette Tuscaloosa, AlabamaResponsibilities: Payment Posting: Accurately post payments and adjustments from various sources (insurance payments, patient payments, electronic remittances, manual check postings) to appropriate patient accounts. Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA): Efficiently manage EFT and ERA processes, identifying missing or misallocated payments and working with insurers or patients to resolve issues.