Healthcare Claims Denials Specialist

About the RoleWe are seeking a skilled Healthcare Claims Denials Specialist to join our team at CenterWell Home Health. As a key member of our care team, you will play a critical role in ensuring the timely reimbursement of receivables and resolving claims that have not passed payer edits.Key ResponsibilitiesCoordinate claim activities and designated...

RCIS Crop Claims Specialist Job DescriptionZurich NA is seeking a highly skilled RCIS Crop Claims Specialist to join our team. As a Crop Claims Specialist, you will be responsible for handling complex claims involving multiple causes of loss, multiple quality issues, and subrogation claims.Key Responsibilities:Exercise judgment to determine liability by...

Job SummaryWe are seeking a skilled Healthcare Liaison Specialist to join our team at Centene Corporation. This role will serve as a liaison between Tier I providers and the health plan, managing network performance and driving provider performance improvement.Key ResponsibilitiesAct as a liaison between Tier I providers and the health planManage network...

RCIS Crop Claims Specialist Job DescriptionZurich North America is seeking a highly skilled RCIS Crop Claims Specialist to join our team. As a Crop Claims Specialist, you will be responsible for working on complex claims, involving multiple causes of loss, multiple quality issues, and subrogation claims.Key Responsibilities:Exercise judgment to determine...

Job Summary:The GBD Personal Guide - Foster Care is a critical role within Elevance Health, responsible for delivering exceptional customer service to our members. As a trusted advisor, you will facilitate and coordinate resolution with internal and external contacts to satisfy a member's needs. Your expertise in interpreting plan benefit design and...

The Healthcare Resort of Topeka is seeking a dedicated and compassionate Registered Nurse to join our team. As a Nursing Care Specialist, you will be responsible for providing exceptional patient care and support to our residents.About the RoleOur ideal candidate will possess excellent communication skills, a caring attitude, and the ability to work...

As a valued member of the care delivery team at Stormont-Vail HealthCare, you will function under the direction of, and be assistive to, a Registered Nurse to provide delegated, direct patient care intervention, including the performance of sterile and non-sterile procedures.Key Responsibilities:Assist in the delivery of patient care, working collaboratively...

Job Title: Occupational Therapist - Inpatient Healthcare SpecialistJob Description:Cross Country Allied is seeking a skilled Occupational Therapist to work in an inpatient healthcare setting. As an Occupational Therapist, you will help patients regain quality of life by developing and implementing treatment plans, recommending equipment, and monitoring...

Job SummaryWe are seeking a skilled Registered Nurse to join our team at Interim HealthCare. As a Nurse Care Specialist, you will have the opportunity to work with a variety of patients and provide high-quality care in a dynamic and supportive environment.Key ResponsibilitiesCare for patients with a range of illnesses, injuries, and diseases in various...

Planet Healthcare is a global leader in clinical staffing, seeking a skilled Telemetry Nurse Specialist to join their team for an 8-week assignment in Kansas.Job RequirementsSpecialty: TelemetryDiscipline: RNDuration: 8 weeks48 hours per weekShift: 12 hours, daysEmployment Type: TravelThe pay package for this position is based on 12-hour shifts and 48 hours...

Job SummaryThe Outreach Care Specialist is a critical role at Elevance Health, responsible for ensuring that appropriate member treatment plans are followed on less complex cases. This involves proactively identifying ways to improve the health of our members and meet quality goals.Key Responsibilities Coordinates follow-up care plan needs for members by...

Quality Assurance Specialist Role OverviewAt Chili\u2019s Grill & Bar, we take pride in delivering the best experience to every Guest, every day. As a Quality Assurance Specialist, you will play a vital role in ensuring that our food meets the highest standards of quality and taste. Responsibilities Ensure food is prepared to company standards and...

OverviewAt UKHS St. Francis Campus, we're seeking a skilled Case Manager to join our team. As a key member of our healthcare team, you'll play a vital role in coordinating care for high-risk patients and families.Your ResponsibilitiesCollaborate with patients, families, physicians, and other healthcare professionals to identify needs and expedite appropriate...

Great companies need great teams to propel their operations. At Gainwell Technologies, we're solving business challenges and enhancing the way we work and grow. Join us in harnessing the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable.As a Healthcare Customer Service...

Job Title: Travel Nurse RN SpecialistGo Healthcare is seeking a skilled Travel Nurse RN Specialist to join their team.Job SummaryWe are looking for a dedicated and experienced Registered Nurse to fill a Telemetry position in Topeka, Kansas.ResponsibilitiesProvide high-quality patient care in a Telemetry settingCollaborate with healthcare teams to ensure...

Key Responsibilities:Provide exceptional customer service to patients and visitors by greeting them warmly and creating a welcoming atmosphere.Collect and verify patient and visit-related information in a courteous and efficient manner.Ensure accurate and timely processing of patient registration, including demographic and insurance...

Transforming Healthcare, One Patient at a TimeAt UKHS St. Francis Campus, we're committed to delivering exceptional patient care and outcomes. As a Case Manager, you'll play a vital role in coordinating care for high-risk patients and families, working collaboratively with our multidisciplinary team to identify needs and expedite effective care.Key...

RTG Medical-Nursing is seeking a medical-surgical nurse specialist for a travel nursing opportunity in a dynamic healthcare setting.Job Requirements:Specialty: Med SurgDiscipline: RNShift: 12 hours, daysEmployment Type: TravelThe ideal candidate will have a strong background in medical-surgical nursing and excellent communication skills. RTG Medical-Nursing...

Job Title: RN Homecare SpecialistMaxim Healthcare Services is seeking a skilled Registered Nurse (RN) to provide high-quality patient care in the comfort of their own homes.About the Role:As a RN Homecare Specialist, you will be responsible for assessing, planning, implementing, and evaluating patient care in a home healthcare setting. You will work closely...

Job DescriptionAt Valerie Peckham & Associates, LLC, we are seeking a highly skilled Licensed Customer Service Representative to provide exceptional customer experiences for potential and existing customers. This role involves identifying opportunities to cross-sell and coordinating with sales specialists for follow-up. The successful candidate will assist...