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Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will ...

The Claim Dispute & Strategy Analyst is responsible for researching state and payor protocols and analyzing eligible claims that receive under payment or non-payment. This position oversees the billing vendor and process of dispute resolution, claim submission and payment requests with payors and third-party dispute resolution entities. Translate data into meaningful information and knowledge t...

NTT DATA is seeking a Remote Provider Dispute Resolution Specialist to review written dispute requests received from providers of denied or incorrect payments based on contractual arrangements with providers and non-contractual providers.
Responsibilities:
Reviews, investigates and completes the resolution of Provider Disputes in writing as set forth in laws pertaining to AB1455 for Commercia...

Reporting to the Supervisor - Provider Disputes, this position is responsible for the review of provider disputes submitted by providers, the analysis of claims and disputes to determine ownership for resolution and the review of disputes versus member appeals for timely reassignment to appropriate stakeholders.
* Performs administrative tasks, included but not limited to, Fax Managemen...

Job Description
Job Summary
Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid
Knowledge/Skills/Abilities
• ...

Mercury is building a banking* stack for startups. We work hard to create the easiest and safest banking* experience possible to simplify entrepreneurs' and business owners’ financial lives.
We’re looking to hire a Senior Disputes Specialist - Dispute Processing, to deliver magical customer experiences all while balancing risk. Senior Disputes Specialist - Dispute Processing, you will serve as...

Mercury is building a banking* stack for startups. We work hard to create the easiest and safest banking* experience possible to simplify entrepreneurs' and business owners' financial lives.
We're looking to hire a Senior Disputes Specialist - Dispute Processing, to deliver magical customer experiences all while balancing risk. Senior Disputes Specialist - Dispute Processing, you will serve as ...

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!
Modivcare is looking for an experienced Litigation Paralegal IV to join our team! This position is responsible for supporting our in-house legal team with document review and production, contract review and editing, and paymen...

The Customer Disputes Specialist is responsible for overseeing wholesale and/or enterprise accounts, including the approval of credit terms, collection efforts, dispute resolution, and general billing support. This role ensures the timely and efficient handling of customer disputes while maintaining a positive customer experience. The specialist will investigate claims, analyze transactions, ...

Mercury is building a banking* stack for startups. We work hard to create the easiest and safest banking* experience possible to simplify entrepreneurs' and business owners’ financial lives.
As a Senior Disputes Specialist - Strategic Projects, you will serve as a disputes subject matter expert and be responsible for driving strategic projects, focusing on regulatory compliance, process develo...

Mercury is building a banking* stack for startups. We work hard to create the easiest and safest banking* experience possible to simplify entrepreneurs' and business owners' financial lives.
As a Senior Disputes Specialist - Strategic Projects, you will serve as a disputes subject matter expert and be responsible for driving strategic projects, focusing on regulatory compliance, process develop...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Support the Independent Dispute Process (IDR) under the No Surprise Act (NSA). Ensure comp...

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at https://www.baptistfirst.org.
The Denial Management Specialist shall be responsible to validate dispute reasons, escalate paymen...

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at https://www.baptistfirst.org.
The Denial Management Specialist shall be responsible to validate dispute reasons, escalate payment ...

Mercury is building a banking* stack for startups. We work hard to create the easiest and safest banking* experience possible to simplify entrepreneurs' and business owners' financial lives.
We're looking to hire a Senior Disputes QC Specialist to support consumer and business banking dispute quality control. As a Senior Disputes QC Specialist, you will be responsible for implementing and execu...

About the Team/Role
This position is responsible for two distinct functions - administration of exception checks (voids and re-issues) and managing customer or merchant dispute claims - through multiple channels. Responding to requests from customers and merchants with appropriate urgency, within deadlines and with minimal errors or follow-up issues. The role has a direct impact on both custom...

Job Description
JOB DESCRIPTION
Job Summary
Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid
KNOWLEDGE/SKILLS/ABILITIES
* Responsible for the comprehensive research and resolution of...

Location: USA/Canada (Remote/Hybrid)
Company Overview:
Bellesa Boutique is the premier destination for all things sexual wellness. A by-women company and the largest online pleasure product retailer in North America, Bellesa is on a mission to close the pleasure gap. With thousands of creator partners across North America, BBoutique is committed to empowering its community to embrace, explore a...

As a global leader in cybersecurity, CrowdStrike protects the people, processes and technologies that drive modern organizations. Since 2011, our mission hasn’t changed — we’re here to stop breaches, and we’ve redefined modern security with the world’s most advanced AI-native platform. Our customers span all industries, and they count on CrowdStrike to keep their businesses running, their commu...

Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
Under the direction of the Provider Claims Resolution & Recovery Supervisor, the Claims Specialist I - Provider Claims is responsible for evaluating professional, high dollar and outpatient/in...