UNKNOWN

FEED

ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS Coordinates response activities between appropriate departments, conducts necessary investigation by reviewing telecommunication tapes of related and pertinent calls, as well as any documentation or claims submitted by members or providers in order to verify correct pricing and analyze claim inquiry data to determine root cause of errors to ensure contracts and reimbursement policies and procedures are priced accurately. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Blue Cross and Blue Shield of Louisiana

Provider Dispute Specialist

FULL_TIME

OTHER

This is a bring your own device position which requires you to provide your own Smart Phone, personal computer, webcam, & headset with microphone (Tablets, iPads, and Chromebooks are not permitted.). If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com .

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

RN Health Specialist - CDC INFO (bilingual, remote, temporary)

equestftpin

Serves as a consultant and resource to hospital departments, participating in organizational initiatives and cross-functional teams to advance operational efficiency, regulatory compliance, documentation quality, and reimbursement performance in support of the mission, vision, and values of Womans Hospital. Partners with operational leaders, Information Systems, vendors, and end users to evaluate business needs, improve workflows, implement system enhancements, and maintain data integrity across integrated applications.

YEAR

Woman's Hospital

Sr Applications Specialist - Health Information Management - Full-Time

CityStateCountrySpartanburgSouth CarolinaUnited StatesCaryNorth CarolinaUnited StatesRaleighNorth CarolinaUnited StatesSanfordNorth CarolinaUnited StatesGreenvilleSouth CarolinaUnited StatesNashvilleTennesseeUnited StatesGreenvilleSouth CarolinaUnited StatesArlingtonVirginiaUnited StatesSouth CharlestonWest VirginiaUnited StatesHuntsvilleAlabamaUnited StatesBirminghamAlabamaUnited StatesMobileAlabamaUnited StatesOrlandoFloridaUnited StatesBaton RougeLouisianaUnited StatesGulfportMississippiUnited StatesGreenvilleSouth CarolinaUnited StatesBaton RougeLouisianaUnited StatesGreenvilleSouth CarolinaUnited StatesGreenvilleSouth CarolinaUnited States. Provide leadership and guidance in resolving in-progress issues, discrepancies, or disputes related to technical interpretation of drawings and specifications; clarifying and, when required, expediting home office/responsible engineer(s) response to meet project needs in a timely manner.

Jacobs Solutions Inc

CivilStructuralArch Construction Technical Services Lead Data Centers

CityStateCountrySpartanburgSouth CarolinaUnited StatesCaryNorth CarolinaUnited StatesRaleighNorth CarolinaUnited StatesSanfordNorth CarolinaUnited StatesGreenvilleSouth CarolinaUnited StatesNashvilleTennesseeUnited StatesGreenvilleSouth CarolinaUnited StatesArlingtonVirginiaUnited StatesSouth CharlestonWest VirginiaUnited StatesHuntsvilleAlabamaUnited StatesBirminghamAlabamaUnited StatesMobileAlabamaUnited StatesOrlandoFloridaUnited StatesBaton RougeLouisianaUnited StatesGulfportMississippiUnited StatesGreenvilleSouth CarolinaUnited StatesGreenvilleSouth CarolinaUnited States. Provide leadership and guidance in resolving in-progress issues, discrepancies, or disputes related to technical interpretation of drawings and specifications; clarifying and, when required, expediting home office/responsible engineer(s) response to meet project needs in a timely manner.

Document Specialist Jobs in Baton Rouge, LA

Provider Dispute Specialist Blue Cross and Blue Shield of Louisiana

RN Health Specialist - CDC INFO (bilingual, remote, temporary) Maximus

Sr Applications Specialist - Health Information Management - Full-Time Woman's Hospital

CivilStructuralArch Construction Technical Services Lead Data Centers Jacobs Solutions Inc

Mechanical Construction Technical Services Lead Data Centers Jacobs Solutions Inc

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