Specialist, Claims Recovery

**JOB DESCRIPTION** **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding...

Job Description Job Summary Thorough knowledge of processing professional, outpatient facility, and inpatient facility claims for Medicare, Medicaid, and Marketplace plans. Assists Molina departments with reviewing and conducting analysis of claims to ensure regulatory requirements are appropriately applied. Clearly documents claims research results and...

Benefits: Competitive salary Health insurance Opportunity for advancement Paid time off Training & development Wellness resources Introduction Roots Through Recovery has been providing comprehensive, trauma-focused addiction and mental health services in the Long Beach community since 2017. We are actively seeking an Admissions and Intake Specialist within...

Job DescriptionJob DescriptionBenefits:Competitive salaryHealth insuranceOpportunity for advancementPaid time offTraining & developmentWellness resourcesIntroductionRoots Through Recovery has been providing comprehensive, trauma-focused addiction and mental health services in the Long Beach community since 2017. We are actively seeking an Admissions and...

Welcome, we are excited you are here. Take a peek at what our beautiful County has to offer - Indian River County, Florida - Chamber of Commerce. MITIGATION & RECOVERY SPECIALIST - This Emergency Management (EM) position is responsible for identifyin Recovery, Mitigation, Specialist, Management, Healthcare

Job DescriptionJob Description The focus of this position will be research and root cause analysis of claims / config issues with direct provider interaction and collaboration with our provider relations team. Additionally, the role will help with overpayment recovery, claims payment and adjustment projects, and reviewing proposed SAI concepts from PI and...

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0. * $500 will be awarded in the first paycheck. * $1,000 will be awarded upon completion of the six (6) month interim performance evaluation with an overall rating of "Meets...

**Do you envision working for a dynamic, mission-driven organization which supports the community while fostering an employee culture of appreciation and fun? If your answer is yes, then an employment opportunity at AMS of Delaware may be a great fit for you!** AMS of Delaware is a Member of Addiction Medical Solutions, a comprehensive addiction treatment...

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0. * $500 will be awarded in the first paycheck. * $1,000 will be awarded upon completion of the six (6) month interim performance evaluation with an overall rating of "Meets...

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0. $500 will be awarded in the first paycheck. $1,000 will be awarded upon completion of the six (6) month interim performance evaluation with an overall rating of "Meets...

Job Description: Position is fully remote and will be a temp role through 3/31/23. Position has the option to go perm based on positive work. Candidates can sit anywhere in the US and schedule will be M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST. Daily responsibilities will include the following: Candidates will be reviewing medical...

The City of Virginia Beach Department of Human Services is eagerly seeking to hire an experienced Peer Recovery Specialist to provide a peer-based bridge service for the Permanent Supportive Housing (PSH) Program in the Behavioral Health division. This is a strength-based service that provides and cultivates hope for people in psychiatric facilities. The...

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0. $500 will be awarded in the first paycheck. $1,000 will be award Recovery, Specialist, Peer, Care Coordinator, Evaluation, Healthcare, Support

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0. $500 will be awarded in the first paycheck. $1,000 will be award Recovery, Specialist, Patient Services, Peer, Evaluation, Healthcare, Support

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0. $500 will be awarded in the first paycheck. $1,000 will be award Recovery, Specialist, Peer, Case Manager, Evaluation, Healthcare, Support

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0. * $500 will be awarded in the first paycheck. * $1,000 will be awarded upon completion of the six (6) month interim performance evaluation with an overall rating of "Meets...

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0.* $500 will be awarded in the first paycheck.* $1,000 will be awarded upon completion of the six (6) month interim performance evaluation with an overall rating of 'Meets...

A $3,000 hiring bonus is being offered for this position. Hiring bonuses shall only be for new hires of original employment or reemployment as defined in Human Resources Policy No. 5.0. $500 will be awarded in the first paycheck. $1,000 will be awarded upon completion of the six (6) month interim performance evaluation with an overall rating of "Meets...

The Accounts Payable (A/ P) Specialist is responsible for centralized accounts payable functions for Moran Environmental Recovery (MER) and its subsidiaries. Reporting directly to the A/ P Supervisor, the A/ P Specialist is responsible for the effici Accounts Payable, Specialist, Accounting, Operations, Construction

Job DescriptionJOB DESCRIPTIONJob Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...