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Confidential
A company is looking for a Medical Appeals Coder for a remote position in the healthcare industry. Key Responsibilities: Research denials and provide correction suggestions to other departments for resubmission Complete contractual adjustments...
Confidential
A company is looking for a Compensation Analyst. Key Responsibilities: Provide support for compensation areas including job classification, salary setting, internal equity, and regulatory compliance Collaborate with HR to design, implement, and...
Confidential
A company is looking for an Appeals and Grievances Analyst. Key Responsibilities: Process Appeals and Grievances by evaluating initial decisions against CMS guidelines and enrolee benefits Prepare detailed summary statements and research to...
Confidential
A company is looking for a Workers Compensation Claims Specialist. Key Responsibilities: Billing worker?s comp insurance carriers on behalf of medical providers Reviewing medical provider account notes, resolving disputed and denied accounts,...
Confidential
A company is looking for an Analyst, Compensation. Key Responsibilities: Respond to compensation, equity, and recognition requests from teammates Collaborate with HR and hiring managers to determine appropriate compensation Evaluate job...
Confidential
A company is looking for a Compensation (HR) Analyst. Key Responsibilities: Demonstrate financial management and budgeting skills Interpret federal and state laws and regulations pertaining to compensation Consult with business leaders and HR...
Confidential
A company is looking for a Compensation Analyst. Key Responsibilities: Support deferred compensation programs and the annual incentive plan including modeling, grant and vesting events, and communications Coordinate job descriptions and drive...
Confidential
A company is looking for a Compensation Analyst. Key Responsibilities: Support the annual compensation planning process Maintain bonus and long-term incentive target data in the HRIS Contribute to market intelligence by monitoring and...
Confidential
A company is looking for a Senior Appeals Analyst for a fully remote position. Key Responsibilities: Receive, review, and address appeals from providers, ensuring compliance with regulations Analyze provider counteroffers on claims and engage...
Confidential
A company is looking for a Senior Appeals and Negotiation Analyst. Key Responsibilities: Receive, review, and address appeals from providers in compliance with industry guidelines and regulations Analyze provider counteroffers on claims to...
Confidential
A company is looking for a Workers? Compensation Underwriter. Key Responsibilities: Evaluate workers? compensation insurance applications and assess risk factors to determine insurability Analyze underwriting data and develop underwriting...
Confidential
A company is looking for a Compensation Financial Analyst to join their team. Key Responsibilities: Prepare, calculate, and reconcile commission expenses Provide financial forecasting and commission data to leadership Assist in the design and...
Confidential
A company is looking for an Appeals Specialist. Key Responsibilities: Analyze and research denied medical claims and lead efforts to resolve claims issues on behalf of the member Process appeals within federally mandated timeframes Establish...
Confidential
A company is looking for a Workers? Compensation Claims Associate. Responsibilities: Floater assistance with claim set ups and forms Perform claims operations functions on claims: Perform electronic indexing, coverage verification, claims...
Confidential
A company is looking for a Workers Compensation Subrogation Specialist. Key Responsibilities: Navigate through proprietary database and electronic documents to process and resolve claims with subrogation potential Handle workers compensation...
Confidential
A company is seeking a Senior Compensation Financial Analyst for their Finance & Administration team. Key responsibilities: Prepare, calculate, and reconcile commission expenses in accordance with established plans Analyze and report on...
Confidential
A company is looking for a Quality Assurance Provider. Key Responsibilities: Conduct quality assurance audits on employees or sub-contracted staff Present findings to the auditee and summarize them for management Develop training materials and...
Confidential
A company is looking for a Dispute and Appeals Lead to manage a team responsible for processing EAP claim appeals and resolving charge disputes. Key Responsibilities: Manage charge dispute resolution program and develop standardized processes...
Confidential
A company is looking for a Workers Compensation Bilingual Care Coordinator I. Key Responsibilities: Serve as initial contact for basic inbound/outbound client inquiries, addressing routine questions and inquiries Manage inquiries and resolve...
Confidential
A company is looking for a Workers Compensation Claims Examiner. Key Responsibilities: Analyze and process claims to determine benefits and negotiate settlements Communicate claim activity and processing with claimants and clients Report...
Confidential
A company is looking for a Provider Correspondence Coordinator I. Key Responsibilities: Responds to provider appeals and related correspondence Interacts with physician/provider offices to gather additional information regarding claim disputes...
Confidential
A company is looking for a Customer Service Provider. Key Responsibilities: Consistently meet production and quality assurance standards for inbound and outbound calls Provide excellent customer service by following company policies and...
Confidential
A company is looking for a Provider Enrollment Manager. Key Responsibilities: Ensure compliance with rules and regulations regarding provider enrollment Manage maintenance of provider files and conduct monthly reviews Train and supervise...
Confidential
A company is looking for a Scheduling Coordinator Contractor to support the Care Operations team in managing time off requests for coaching and clinical teams. Key Responsibilities: Manage time off requests for Coaching and Clinical teams...
Confidential
A company is looking for a Director, Global Compensation. Key Responsibilities: Design and implement global compensation plans and programs to attract and retain top talent Oversee base pay, commission and incentive bonus plans, equity-based...
Confidential
A company is looking for an Engineering Principal Compensation Partner. Key Responsibilities: Provide strategic direction and operational support on compensation design to the Engineering organization Act as a strategic business advisor to...
Confidential
A company is looking for a Medical Coder to work remotely. Key Responsibilities: Assemble and maintain patients? health information in medical records Review and classify adverse events using MedDRA codes Provide feedback to improve coding...
Confidential
A company is looking for a Clinical Care Provider - BCBA who can provide therapy and support to families affected by autism. Key Responsibilities: Implement clinical programming using Applied Behavior Analysis principles to improve behaviors of...
Confidential
A company is looking for a Certified BCBA Clinical Care Provider who can provide remote therapy and support to families affected by autism. Key Responsibilities: Implement clinical programming using Applied Behavior Analysis principles to...
Confidential
A company is looking for a Claims Resolution Analyst. Key Responsibilities: Reprice and process claims based on contractual rates and guidelines Conduct comprehensive reviews and evaluations of claims to ensure adherence to coding standards,...
