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Claims Integrity Specialist Jobs

Claims Specialist Jobs
By Innova Solutions At Alpharetta, GA, United States
• Assists Management in reviewing existing and future processes to ensure best practices are implemented and followed
Work Arrangement: - Hybrid (3 days onsite and 2 days remote)
• Four (4) or more years claims clerical experience required.
• Excellent communications (telephone, e-mail and interpersonal) skills as required.
• Strong analytical and organizational skills
• Knowledge of various claim systems and claim processing.
Records & Data Integrity Specialist
By Department of Juvenile Justice At , Richmond Up to $80,000 a year
Knowledge of Virginia-specific court service unit, juvenile residential services, juvenile reentry services, and/or educational operations;
Working knowledge of data systems and data utilization;
Demonstrated effective oral and written communication skills;
Training and/or experience in research methods, information systems, public policy, criminal justice, or juvenile justice;
Demonstrated ability to prepare and conduct workplace training;
Demonstrated ability to work on multiple tasks within tight deadlines;
Claims Specialist Jobs
By Safely At Atlanta, GA, United States
Educate clients on best practice techniques and other underwriter requirements for smooth claim processing
Manage complex ambiguous client situations that require cross-departmental collaboration
At least 2 years of experience in a B2B Customer Success and claims processing experience
Software skills: web-based databases, Microsoft Word and Excel, and HubSpot or a similar CRM
Strong business acumen and communication skills, both written and verbal
Friendly, patient and personable demeanor with excellent phone skills
Claims Specialist Jobs
By UnifyWork At , Cleveland
Click "Apply Now" to get started.
*Career coach available during business hours only (EST).
*Our employer partners are equal opportunity employers.*
Health Insurance Specialist (Program Integrity)
By US Centers for Medicare & Medicaid Services At , Woodlawn, 21244, Md $59,319 - $92,429 a year
If you are relying on your education to meet qualification requirements:
Qualified - for those who only meet the minimum qualification requirements
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.
You will be evaluated for this job based on how well you meet the qualifications above.
Resume showing relevant experience; cover letter optional.
College Transcripts and Foreign Education:
Payment Integrity Claims Administrator
By 6 Degrees Health Dx At Portland, OR, United States
Manages incoming manual claims from multiple clients to our secure server
Other responsibilities or projects as assigned
3-5 years of healthcare experience
Excellent verbal and written communication skills
Strong internal and external communication skills, both verbal and written
Must be able to operate computers and phones to support position requirements
Claims Specialist Jobs
By UnifyWork At , Cleveland, Oh
Click "Apply Now" to get started.
*Career coach available during business hours only (EST).
*Our employer partners are equal opportunity employers.*
Claims Specialist Jobs
By Veterans of Foreign Wars (VFW) At Yakima, WA, United States

This position involves conducting in person and telephone interviews with military veterans about required elements and supporting evidence to file a disability claim to the Department of Veterans ...

Claims Specialist Jobs
By Veterans of Foreign Wars (VFW) At Seattle, WA, United States

This position involves conducting in person and telephone interviews with military veterans about required elements and supporting evidence to file a disability claim to the Department of Veterans ...

Reimbursement Integrity Specialist Jobs
By GenesisCare At United States
Maintains current knowledge of third-party payor reimbursements and managed care contracts.
Meets department production standards consistently as defined by department management.
Ensures systems are accurately updated and maintained with the payer requirements. This will include the billing system, EHRs and clearinghouse/EDI systems.
Coordinates updates or creation of rules according to payer requirements that eliminate avoidance of denials and loss revenue.
Prepares communication for all stakeholders on significant changes in payer requirements.
Maintains knowledge and is familiar with physician billing, accounts receivable, and EHR systems.
Claims Specialist Jobs
By MATRIX Resources At California, United States
Please See Posting for Hourly Rate + Benefits Offered
Processes special claims payments specifically accident benefits and orthodontic.
Must come with Medi-Cal / Denti-Cal Billing experience OR experience working with other dental or medical claims.
A high school diploma or GED is preferred, but candidates with proven experience will not be excluded from consideration.
A minimum of 2 years' experience in a dental office.
Strong analytical, organizational and multi-tasking skills.
Csv Data Integrity Specialist
By LS Solutions At United States
CSV/DI Consultant that has experience with Data Integrity
Authoring and executing technical commissioning and qualification documentation
System requirements and description (URS)
Maintaining clear, detailed records of qualification, and change control activities for future compliance audits.
Direct experience authoring/editing/executing validation documents for equipment/facilities/utilities including FAT, IQ, OQ, PQ and change controls
Intermediate knowledge of FDA regulations, ISPE guidelines and ISO standards including:
Data Integrity Specialist Jobs
By Compliance Group Inc At New York City Metropolitan Area, United States
· Experience with quality management systems including change control, incident management, and deviation management.
· Assist in resolution of inspection management concerns as it relates to process, procedures, and data integrity
· Strong knowledge of Data Integrity, System Development Life Cycle (SDLC) validation methodology and Software Quality requirements.
· Understanding of root cause analysis and risk management techniques
Job Responsibilities include, but are not limited to, the following:
· Excellent technical writing and communication skills
Revenue Integrity Specialist Jobs
By Privia Health At United States
Experience working in Trizetto EOB resolve tool or equivalent use of contract management/software
Advanced Microsoft Excel skills (ex: pivot table, VLOOKUP, sort/filtering and , formulas)
3+ years of experience in a medical billing office preferred
AthenaOne software system experience is preferred
athenaOne software system experience is preferred
Auditing across all systems to ensure new provider and care center information is accurate
Ad Review & Integrity Specialist
By Snapchat At , Los Angeles, 90291, Ca $66,000 a year
Experience working with Zendesk, JIRA, or other ticket management systems
Review all Snap Ad submissions to ensure the ads abide by our creative policies and technical requirements
Manage the approval tool queue and prioritize all Snap Ad reviews within the identified team SLAs
Collaborate with the Sales team to create a consistent review experience for our Snapchat partners
Customer Service or Customer Support experience
Bachelor’s degree or equivalent work experience
Research Integrity Specialist (Expression Of Interest)
By Office of the Assistant Secretary for Health At Rockville, MD, United States
Conducting education and outreach related to fostering research integrity and the responsible conduct of research;
conducting education and outreach related to fostering research integrity and the responsible conduct of research;
funds by contributing to education and outreach activities, internal program-related initiatives, compliance activities, and regulatory matters.
Oversight of research misconduct inquiries and investigations (including review of institutional activities for compliance with 42 C.F.R. Part 93);
Making findings of research misconduct and proposing administrative actions in connection with research conducted or supported by the PHS.
Research Integrity Specialist (Expression of Interest)
Data Integrity Specialist Jobs
By ResourceWise At Charlotte, NC, United States
Education Benefit after 1 year
Must have advanced Microsoft Excel experience (pivot tables, vlookup, and macro usage)
Established organizational, analytical, and problem-solving skills
Ability to prioritize multiple assignments and responsibilities to meet deadlines
Basic to Advanced Knowledge of other Microsoft products (Word, PowerPoint, Access)
Compensation is commensurate with experience