UNKNOWN

FEED

Working in close partnership with Provider Recruiters, this role is responsible for converting engaged provider prospects into contracted network participants through effective negotiation, relationship management, and consultative problem-solving. The ideal candidate combines healthcare industry knowledge, strong negotiation skills, provider relations experience, and the ability to build trust with practice owners, administrators, and healthcare leaders.

NationsBenefits LLC

Provider Contracting Specialist

5+ experience in healthcare industry and 1+ years of supervisory experience/leading a team, in healthcare revenue management cycle roles encompassing all phases of the revenue cycle management. The Senior Insurance Collections Specialist works closely with management to support strategic RCM goals, ensure compliance with policy changes, and drive continuous operational excellence within the AR team.

Gastro Health LLC

Insurance Collections Specialist

Guest Services Liaison: Coordinate effectively between shoreside and shipboard teams to ensure guest special requests, medical and dietary needs, inquiries and pre and post voyage guest relations matters are handled in a timely manner. This role serves as a key liaison between shoreside, shipboard, and concierge teams and plays an integral part in delivering an exceptional, highly personalized guest journey—from the initial reservation through post-voyage support.

Shoreside Positions

Guest Services Specialist

ea_via_bold

FULL_TIME

Overview: The primary purpose and function of the Regional Collections Specialist is to effectively assist in collections; coach and train Operation Managers (OM) on the Aging Collection Report to ensure that claims are properly billed to the patients and insurance companies, and ultimately paid. Request for Information (RI), and Credit and Claims) to ensure that any missing information is obtained, so that the claims are billed properly; review and take necessary action in the credit portal to ensure meeting Company's credit goals, review and take necessary action in the claims portal for any past due adjustment requests from CBO.

YEAR

PDS Health

Regional Collection Specialist

[AW]-iCims

The specialist supports new provider enrollment, system updates, reporting, and pulling data as needed, working primarily within Medisys (an internal/homegrown system), Jira ticketing, and the eHealth Deck for provider access and eligibility. This is a behind-the-scenes role responsible for provider and claims configuration, including loading and maintaining provider payments, new fee schedules, rate changes, and benefit configurations to ensure accurate claims processing.

Sunrise Systems was founded in 1990 with a clear vision to deliver world-class staffing service solutions in all labor categories, including IT consulting and solutions; all with the commitment to provide service that exceeds expectations and become the most trusted name in the industry. More than two and a half decades later, we pride ourselves on being at the forefront of the staffing industry. Combining our deep industry expertise, insights, and global resources, we have partnered with our clients to connect them with top professionals across several different industries.
We provide cost-effective Managed Staffing Solutions, Information Technology and Information Technology Consulting Services to several Fortune 500 companies and U.S. Government agencies. We provide our clients with flexible engagement models and customized products that are budget and time specific. Understanding the challenges that every business faces, we offer our services either on-site at the clients' site or from one of our globally distributed technology centers. Our onshore and offshore development capabilities ensure that we excel at meeting customer requirements every single time.
Our collective business experience spans over two and a half decades and ranges from:
<ul>
<li>Business, management, and technical fields</li>
<li>Information technology consulting and software solutions.</li>
<li>Providing strategic support for the development and long-term growth of new business ventures across several industries including but not limited to; accounting, banking, finance, and recruitment.</li>
<li>Motivating technology staff and establishing partnerships with Fortune 500 companies</li>
</ul>
Sunrise Systems has a vast range of competence in:
<ul>
<li>Design, development, and support of cloud-based solutions from simple to highly complexed</li>
<li>Database administration of multi-platform applications, complex databases, and web-based environments that include all aspects of installation, planning, maintenance, and monitoring.</li>
<li>Data processing and data migration</li>
<li>Application re-engineering and platform migration</li>
<li>Working with the Information Systems and end-user communities at all levels to resolve issues and establish consensus.</li>
</ul>

Sunrise Systems Inc

Provider Network Configuration Specialist

The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

Centrum Health

Billing Specialist

While performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.

HOUR

LUX Infusion

NationsBenefits, LLC

POSITION SUMMARY: The AR Appeals Specialist is responsible for managing denied insurance claims, preparing and submitting reconsiderations & appeals, and ensuring accurate reimbursement for healthcare services. While performing the duties of this job, the employee is frequently required to stand, sit, use hands to handle or feel objects, tools or control, reach with hands and arms and talk or hear.

US Eye

US Eye Accounts Receivable (AR) Appeals Specialist

We grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. Our services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia.

Collectors Universe, Inc.

Customer Relations Specialist II, PSA

You will serve as a subject matter expert on non-clinical case resolution, focusing on sensitive member issues such as claims concerns, access barriers, benefits concerns and complex service inquiries. Use workflows to reconstruct complex event timelines involving prior authorizations, claims processing, and system-based adjudication edits to determine the cause of member or provider issues.

Oscar Health

Specialist, Admin Complaints, Grievances & Appeals

GreenHouseAPI

Responsible for working/editing daily download of assigned Managed Care/HOM claims, optimizing the timely transmittal of accurate and clean claims daily Billing Specialist I is responsible for identifying and obtaining invalid/missing claim data by communicating with other depts. to secure and/or correct the data which prevents claim transmission Protects payer filing deadlines by utilizing all available resources to resolve held claims assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support.

Baptist Health South Florida is once again one of the 2020 Fortune 100 Best Companies to Work For! This is the 20th time Baptist Health has been recognized on the list. We have also been recognized for being among the best healthcare providers in the nation by U.S. News & World Reports in its 2020-2021 Best Hospitals and have been honored as one of PEOPLE's 2020 50 Companies that Care by PEOPLE magazine and Great Place to Work. Baptist Health South Florida is the region's largest not-for-profit healthcare organization with more than 23,000 employees working across 11 hospital campuses and more than 100 outpatient facilities throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In 2016 we welcomed the newest weapon in the fight against cancer, the world-class Miami Cancer Institute and proton therapy center. Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why this is the best place to be your best!

Baptist Health South Florida Inc

Billing Specialist, Revenue Cycle, FT, 8A-4:30P

Collectors Holdings, Inc.

Senior Customer Relations Specialist, PSA

The selected candidate will play an important role in ensuring employees are paid accurately and on time, benefits and leave programs are administered effectively, and employee information remains accurate and consistent across systems. This individual should be equally comfortable working through detailed data and reconciliations, navigating multiple systems and vendors, and providing timely, thoughtful support to employees.

ExtendMyTeam

Payroll and Benefits Specialist

Crelate

In this role, you will serve as a trusted customs expert, managing complex exceptions, government agency examinations, and high-impact shipment issues while delivering exceptional service and operational excellence. Your individual base pay within this range is determined by work location, which takes into account geographic cost of labor, and additional factors, including job-related skills, experience, and relevant education or training.

C.H. Robinson Worldwide, Inc.

Customs Specialist

We are partnering with a growing company in the food industry seeking a Quality Control Specialist to support compliance and product quality across a global network of vendors and farms. This role is ideal for someone detail-oriented who understands FDA regulations and enjoys working in a fast-paced, cross-functional environment.

CAREERXCHANGE, Inc.

Quality Control Specialist/Vendors

HaleyMarketing

Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support.

OMH HealthEdge Holdings Inc

Insurance Follow-up Specialist

Conduct various assessments, including but not limited to, pre-demolition/renovation hazardous building surveys (e.g., asbestos, lead-based paint, PCBs, etc.), indoor air quality (IAQ) assessments, moisture/mold damage assessments, worker exposure monitoring, and radon testing. Hands-on experience with various exposure monitoring and sampling devices (e.g., moisture meter, high volume and personnel pumps, handheld direct-read devices, etc.).

Gallagher, a global insurance brokerage and risk management services firm, helps clients address risk, protect assets and recover from losses. The products and services we provide keep businesses and institutions running, and enable individuals and families to rebuild their lives. Gallagher is the only insurance broker recognized by the Ethisphere Institute as a World's Most Ethical Company.
 
Gallagher provides retail and wholesale property and casualty brokerage, alternative risk transfer services, employee benefit consulting, and actuarial services. Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services.

Gallagher

Project Specialist Associate

OTHER

Utilize the designated system to complete employee status change forms; support the intake, review, routing, and execution of status change requests including transfers, promotions, title changes, schedule changes, pay adjustments, and other employment changes; ensure all forms are completed accurately, approved by the appropriate parties, and processed in the HRIS in a timely manner; and maintain accurate and up-to-date employee records in the HRIS system related to status changes, contingent workforce activity, training completion, policy acknowledgments, and drug testing documentation. Utilize the appropriate system to support contingent workforce activity, including temporary agency employees; complete intake steps for new temporary hires, coordinate onboarding activities, ensure all required documentation is completed and on file, track assignment status and extensions, and support the offboarding process upon assignment end or termination.

Parts Manager Jobs in Denver, CO

Provider Contracting Specialist NationsBenefits LLC

Insurance Collections Specialist Gastro Health LLC

Guest Services Specialist Shoreside Positions

Regional Collection Specialist PDS Health

Provider Network Configuration Specialist Sunrise Systems Inc

Billing Specialist Centrum Health

Billing Specialist LUX Infusion

Provider Contracting Specialist NationsBenefits, LLC

US Eye Accounts Receivable (AR) Appeals Specialist US Eye

Customer Relations Specialist II, PSA Collectors Universe, Inc.

Specialist, Admin Complaints, Grievances & Appeals Oscar Health

Billing Specialist, Revenue Cycle, FT, 8A-4:30P Baptist Health South Florida Inc

Senior Customer Relations Specialist, PSA Collectors Holdings, Inc.

Payroll and Benefits Specialist ExtendMyTeam

Customs Specialist C.H. Robinson Worldwide, Inc.

Quality Control Specialist/Vendors CAREERXCHANGE, Inc.

Insurance Follow-up Specialist OMH HealthEdge Holdings Inc

Project Specialist Associate Gallagher

HR Compliance Specialist Sonny's Enterprises LLC

Guest Services Specialist Aman at Sea

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