Healthcare Claims Integrity Specialist

Job SummaryInnova Solutions is seeking a skilled Healthcare Claims Integrity Specialist to join our team. As a key member of our payment integrity unit, you will play a crucial role in proactively identifying and investigating payment issues, working with stakeholders to develop mitigation strategies, and reviewing impacts holistically.Key...

Job Title: Claims SpecialistGreenlife Healthcare Staffing is seeking a Claims Specialist to fill an opening with a Non-profit organization located in Lake Success or Albany, New York.Key Responsibilities:Act as point-of-contact for appeal/dispute adjudication programs.Liaise with healthcare plans, providers, patients, and clients to coordinate requests,...

Job Title: Data Integration SpecialistLocation: Not specifiedDuration: Not specifiedKey Responsibilities: We are seeking a highly skilled Data Integration Specialist to join our team at TechnoGen. The ideal candidate will have extensive experience with relational database management systems, Oracle 10g or higher, and designing and implementing ETL...

Job Title:Data Integration SpecialistJob Summary:TechnoGen is seeking a skilled Data Integration Specialist to join our team. The ideal candidate will have experience with relational database management systems, Oracle 10g or higher, and designing and implementing ETL architecture using Oracle Data Integrator, Talon-D or IBI Data Integrator. The successful...

Job Title: Data Integration SpecialistLocation: Not specifiedDuration: Not specifiedKey Responsibilities: We are seeking a highly skilled Data Integration Specialist to join our team at TechnoGen. The ideal candidate will have extensive experience with relational database management systems, Oracle 10g or higher, and designing and implementing ETL...

Job Title: Claims SpecialistWe are seeking a skilled Claims Specialist to join our team at GreenLife Healthcare Staffing. As a Claims Specialist, you will be responsible for coordinating requests, correspondence, and submission of case documentation with healthcare plans, providers, patients, and clients.Responsibilities:Act as point-of-contact for...

Job SummaryThe Insurance and Claims Specialist will provide fiscal hotline and participant support, medical, dental, pharmacy, and home care claims processing, insurance premium processing, payment reconciliation, insurance billing, and account reconciliation. The specialist will also be responsible for recovery efforts and other related...

Job OverviewHancock Claims Consultants Technicians is seeking a skilled Roofing Specialist to join our dynamic field team. As an independent contractor, you will have the opportunity to work on a variety of assignments, including steep and high roof damage assessments, exterior and interior damage evaluations, and underwriting property inspections.Our...

Medicaid Support Specialist OpportunityWe are seeking a highly skilled and customer-focused Medicaid Support Specialist to join our team at ALTA IT Services.Key Responsibilities:Takes and processes transactions by telephone, internet, and correspondence from customers and representativesEnters and maintains database records of customer profiles and prepares...

Care for others is at the heart of everything we do, and we start by taking care of you, our valued colleague.It's about having support for your mental, physical, financial, and professional needs. And it means working in an environment that celebrates diversity and is fair and inclusive.PRIMARY PURPOSE:To process low-level workers' compensation claims to...

About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our mission is to help organizations protect their people, assets, and reputation while minimizing business interruptions.Job SummaryWe are seeking a highly skilled Claims Representative to join our team in Syracuse, NY. As a Claims...

Job OverviewDelta Group is a leading national investigative firm seeking a highly skilled SIU Investigator to join our team. As a SIU Investigator, you will play a critical role in identifying and preventing fraudulent claims, ensuring the integrity of our clients' insurance programs.Key ResponsibilitiesConduct thorough investigations of questionable claims,...

Job SummaryThe New York State Civil Service is seeking a highly skilled Medicaid Integrity Specialist 3 to manage the Administrative Remedies Unit and the Enrollment Unit within the Division of Medicaid Investigations (DMI). This role requires a strong understanding of the rules and regulations impacting enrollment and sanctions, including exclusion from...

Opportunity in NeurologyThis is a full-time position with Integrity Healthcare, where you will work alongside a board-certified general neurologist with extensive experience in the Capital Region.Key Aspects of the RoleThis position offers a comprehensive environment for professional growth and development in all aspects of neurology.We welcome...

Opportunity OverviewThis is a full-time position with Integrity Healthcare, where you will join a board-certified general neurologist with extensive experience in the Capital Region.Key ResponsibilitiesWork in all aspects of the field of neurology, providing an environment for significant professional growth for a motivated provider.Collaborate with a...

Job Title: Data Integration SpecialistKey Responsibilities:Develop and implement ETL architecture using Oracle Data Integrator, Talon-D, or IBI Data Integrator to ensure data export quality.Design and implement data structures to support business requirements.Provide data warehouse/data mart end-user support.Monitor ETL data loading process on a daily...

We are seeking a highly skilled Senior Integration Specialist to join our team at M.M. Hayes Co., Inc. as an Application Consultant/Integration Consultant. This full-time position will focus on implementing and supporting one or more of the UKG modules, including Timekeeper, HR, Payroll, Accruals, Scheduling, Attestation, Analytics, Leave, and Attendance.The...

Job Overview:We are seeking a highly skilled Senior Data Integration Specialist to join our team at Aloden, Inc. The ideal candidate will have 7 years of experience working with business subject matter experts to understand business needs and requirements, as well as vendors of commercial off-the-shelf products and ITS teams to determine and design data...

Medicaid Support Specialist OpportunityWe are seeking a highly skilled and customer-focused Medicaid Support Specialist to join our team at ALTA IT Services.Key Responsibilities:Provide exceptional customer service to Medicaid providers via phone and emailProcess and resolve billing and enrollment issues in a timely and efficient mannerDevelop and maintain...

Job Title: ODI DeveloperJob Summary:We are seeking a highly skilled Oracle Data Integrator (ODI) specialist to join our team at Veridic Solutions. The ideal candidate will have extensive experience in designing, developing, and implementing data warehouse ETL solutions using Oracle technologies.Key Responsibilities:* Design and develop ETL processes using...