Claims & Benefits Resolution Specialist - West Valley City

This role performs a variety of routine and non-routine accounts receivable related functions to ensure accurate billing and customer satisfaction. · ...

This role performs a variety of routine and non-routine accounts receivable related functions to ensure accurate billing and customer satisfaction. · Serves as the escalation point for disputed charges. · Researches and resolves non-routine billing questions and discrepancies. · ...

This role performs accounts receivable related functions to ensure accurate billing and customer satisfaction. · Serves as escalation point for disputed charges. · Researches and resolves non-routine billing questions and discrepancies. · ...

The MSO department seeks a PDR Specialist with strong verbal · written communication skills · handle provider disputes · and appeals related claims payments. · ...

Description · The MSO department seeks a PDR Specialist with strong verbal and written communication skills to handle provider disputes and appeals related to claims payments. This role involves researching, evaluating, and resolving claims disputes in line with regulations, poli ...

We are seeking a Collections Specialist to support our accounting and finance team with day-to-day accounts receivable and collections activities. The ideal candidate has experience in a professional services legal or corporate environment and brings strong communication skills e ...

We are seeking a Billing Specialist to support our accounting and finance team with day-to-day accounts receivable and collections activities. · You will play a key role in maintaining healthy cash flow and ensuring a positive client experience.Manage billing efforts for past-due ...

The Certified Access Specialist (CASp) position is a remote position that requires a connection to the internet and allows working from home. · ...

The Appeals & Quality Review Manager provides leadership and oversight of SFHP's quality review functions, ensuring timely and compliant resolution of clinical grievances, appeals, · PQIs. · ...

We re the first responder to customer queries across channels troubleshoot issues guide users across the platform and ensure high-quality resolutions while helping us scale support via documentation and automation. · ...

The Nurse Manager provides leadership and oversight of SFHP's quality review functions. They apply clinical judgment to complex cases guiding resolution strategies that balance regulatory requirements organizational standards member needs. · BSN required. · 2 to 4 years of relate ...

The Appeals & Quality Review Nurse Manager provides leadership and oversight of SFHP's quality review functions. · Provides subject matter expertise and high-level oversight of clinical grievances and appeals. · Apply clinical judgment to complex and high-value cases, ensuring ap ...

The Appeals & Quality Review Manager provides leadership and oversight of SFHP's quality review functions ensuring timely resolution of clinical grievances appeals potential quality issues provider dispute resolutions corrective action plans and member reimbursement reviews. · ...

+ Job summary: Reporting to the Sr Medical Director the Nurse Manager Quality Review provides leadership and oversight of SFHP's quality review functions ensuring timely and compliant resolution of clinical grievances appeals potential quality issues PQIs provider dispute resolut ...

One of Swoons top software clients out of San Francisco that's operating at the forefront of AI innovation is looking for a talented Senior Accounts Payable Specialist to join their team. · ...

The Web Portal Support Specialist provides technical training guidance and assistance to users of the Clipper Institutional Transit Benefit Program web portal. · ...

To be eligible for consideration of this role, your primary residence must be located within a 90 mile radius at the time of application from the approved branch sites listed below: Walnut Creek, Dublin, San Francisco, Marin/Larkspur, Berkeley,Burlingame. · Engage with customers ...

The Junior Specialist will provide research support to the investigators in the Laboratory for Brain Tumor Research Center. · This research entails biological and immunological studies of brain tumors in rodents and human tissues to discover novel effective treatments for patient ...

About GSPANN provides consulting and IT services to global clients ranging from mid-size to Fortune 500 companies. · We help our clients to transform and deliver business value by optimizing their IT capabilities practices and operations. · ...

This role supports the day-to-day coordination of food delivery and nutrition benefit programs ensuring members get right food in timely manner.Handles member and vendor communications investigates issues manages escalations collaborates cross-functionally with internal teams to ...

We are seeking a Senior Salesforce CRM Specialist to provide production support for our clients. · ...