Pace Claims Examiner/data Specialist

Job Summary: The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. Initiates check run and performs standard reporting and ensuring audit readiness. Downloads and uploads...

Job Summary: The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. Initiates check run and performs standard reporting and ensuring audit readiness. Downloads and uploads...

category office and administrative support occupations referenceAB_4522095 job details Randstad is looking to hire several Claims Specialists in Chandler, AZ. Weare seeking candidates with great attention to detail, advanced processing skills and the ability to quickly and efficiently navigate multiple systems at once. If you have previous experience working...

Summary The Voucher Examiner will report to the Beneficiary Travel Supervisor. The incumbent works closely with Chief Business Office (CBO), network, and facility leaders and staff to ensure the Beneficiary Travel, Special Mode Transportation, Fraud Prevention, Patient Funds, Ambulance billing, Review of Computerized Patient Record System (CPRS)...

Summary The Voucher Examiner will report to the Beneficiary Travel Supervisor. The incumbent works closely with Chief Business Office (CBO), network, and facility leaders and staff to ensure the Beneficiary Travel, Special Mode Transportation, Fraud Prevention, Patient Funds, Ambulance billing, Review of Computerized Patient Record System (CPRS)...

Overview: Do you have exceptional **customer skills** and consider yourself **highly organized**? If so, our Customer Service Specialist based out of our **Loma Linda, CA** office may be the role for you! The **Customer Service Specialist's** primary objective role is to establish and build long-term rapport with ordering clients. You will monitor and guide...

Overview: Are you looking to start an exciting career in the healthcare industry? **ABI **currently has an excellent opportunity for an ambitious **Field Support Specialist. **We are seeking a customer service-savvy professional who is keen to pick up on important details and looking to thrive in a fast-paced, growing environment. Our Field Support...

Overview: Do you have exceptional customer skills and consider yourself highly organized? If so, our Customer Service Specialist based out of our Loma Linda, CA office may be the role for you! The Customer Service Specialist's primary objective role is to establish and build long-term rapport with ordering clients. You will monitor and guide their orders...

Overview: Do you have exceptional customer skills and consider yourself highly organized? If so, our Customer Service Specialist based out of our Loma Linda, CA office may be the role for you! The Customer Service Specialist's primary objective role is to establish and build long-term rapport with ordering clients. You will monitor and guide their orders...

Overview: Are you looking to start an exciting career in the healthcare industry? ABI currently has an excellent opportunity for an ambitious Field Support Specialist. We are seeking a customer service-savvy professional who is keen to pick up on important details and looking to thrive in a fast-paced, growing environment. Our Field Support Specialists are...

Overview: Are you looking to start an exciting career in the healthcare industry? ABI currently has an excellent opportunity for an ambitious Field Support Specialist. We are seeking a customer service-savvy professional who is keen to pick up on important details and looking to thrive in a fast-paced, growing environment. Our Field Support Specialists are...

Boeing Distribution Services Inc. Supplier Quality Specialist (Aerospace) Chandler , Arizona Apply Now At Boeing, we innovate and collaborate to make the world a better place. From the seabed to outer space, you can contribute to work that matters with a company where diversity, equity and inclusion are shared values. We’re committed to fostering an...

Profectus Livestock Solutions LLC Purchasing Specialist Worthington , Minnesota Apply Now Profectus Livestock Solutions (PLS), a new company with a long history of helping farmers find solutions to grow their farm operation, is seeking a Purchasing Specialist to support our growing Company. Our Company is open to a hybrid work structure where employees can...

Boeing Distribution Services Inc. Quality Systems Specialist - Temp Chandler , Arizona Apply Now At Boeing, we innovate and collaborate to make the world a better place. From the seabed to outer space, you can contribute to work that matters with a company where diversity, equity and inclusion are shared values. We’re committed to fostering an environment...

Job Description Who We Are JDI Distribution is an industry leading manufacturer, distributor, exporter and wholesaler of premium food brands and consumer products supported by award winning customer support. We provide individuals (B2C) and companies (B2B) with products and services they want. We believe that all of our customers deserve the highest level of...

**Job Summary**:The Authorization Specialist-MVP tracks and initiates authorizations and re-authorizations. Accurately completes authorization requests, i. e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i. e. history/physical, physician/progress notes, prescription, etc. to support the authorization...

Job Summary: The Authorization Specialist-MVP tracks and initiates authorizations and re-authorizations. Accurately completes authorization requests, i.e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i.e. history/physical, physician/progress notes, prescription, etc. to support the authorization request....

Job Summary: The Authorization Specialist-MVP tracks and initiates authorizations and re-authorizations. Accurately completes authorization requests, i.e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i.e. history/physical, physician/progress notes, prescription, etc. to support the authorization request....

Summary The VA Loma Linda Healthcare System is currently recruiting one Supervisory Health System Specialist in the Office of the Chief of Staff in Loma Linda, CA. The incumbent oversees all functions related to healthcare providers' professional credentials supporting all divisions of the VAMC in accordance with VHA Credentialing and Privileging,...

Array Technologies, Inc Junior Talent Acquisition Specialist Chandler , Arizona Apply Now Here we believe that bringing in the right talent is essential to maintaining our culture and ensuring high engagement in our people. We’re looking for a Talent Acquisition Specialist to fill our candidate pipelines with people who can, not only DO the job well, but...