The Claims Specialist is responsible for performing timesheet audits and ensuring the timely resolution of claims. They must prioritize work accurately and perform detailed follow-up activities for assigned patients and centers.
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INTERNAL ONLY Claims Specialist
Action Behavior Centers
·
Full Time
·
3 Weeks Ago
Action Behavior Centers
The Claims Specialist performs follow-up activities on timesheet audits and ensures the timely resolution of claims. They are responsible for managing assigned patients and centers accurately and efficiently within the Revenue Cycle Management department.
Administers employee leaves of absence including FMLA, state, and military leaves while ensuring accurate communication between employees and management. Manages leave cases within the HRIS and provides guidance on leave policies and compliance.
Produce complete design packages for commercial solar and solar-plus-storage projects ranging from 50 kW to 500 kW. Collaborate with internal teams and external vendors to ensure code compliance and high-quality project execution.
Review medical records and claims documentation to ensure coding accuracy and compliance with Indiana Medicaid and CMS standards. Identify billing discrepancies and prepare detailed audit reports and appeals documentation.
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The Project Manager is responsible for implementing Lumin Digital's online banking platform for financial institutions by managing complex, multi-phase projects. This includes consulting with clients to define requirements and coordinating with vendors and partners to ensure successful delivery.
The Case Coordinator assigns service requests to healthcare professionals and monitors files to ensure adherence to service standards and operational procedures. They act as a primary liaison between internal and external clients, resolving complaints and managing professional healthcare provider networks.
The Case Coordinator assigns service requests to healthcare professionals and monitors files to ensure adherence to service standards and operational procedures. They act as a primary liaison between internal and external clients, resolving complaints and managing professional healthcare networks within a specific region.
Lead the end-to-end design and operationalization of health plan products for Individual and Family Plans and employer lines of business. Act as the primary liaison between internal teams and external vendors to align product intent with operational execution.
Responsible for designing pre-sale technical solutions for voice, data, mobile, and IoT services to drive revenue growth. Acts as a trusted advisor to translate complex technical concepts into business value for clients and partners.
Lead the end-to-end execution and strategy of B2B events, trade shows, and sponsorships to drive brand awareness. Collaborate with Sales and Marketing teams to identify high-impact opportunities and manage all logistical coordination and vendor relationships.
The Operations Specialist handles merchant onboarding, billing configurations, and technical troubleshooting to resolve system errors. They collaborate with Product and Engineering teams to improve internal workflows and document common solutions in a knowledge base.
Design and develop dynamic, responsive, and interactive web applications using modern front-end technologies. Collaborate with UI/UX designers and backend developers to integrate APIs and optimize performance for a seamless user experience.
Recreate English title images and logos into Norwegian or Danish for a global streaming service. Ensure localized designs are visually compelling, culturally appropriate, and maintain brand consistency.
Design and implement secure, scalable cloud-native solutions on AWS, focusing on AI/ML integration and automation. Lead the development of DevSecOps pipelines and ensure compliance with federal security frameworks like NIST and FedRAMP.
Manage end-to-end merchant relationships to drive account growth through retention, upselling, and performance optimization. Coordinate cross-functionally with technical and legal teams to ensure seamless onboarding and service delivery.
Manage end-to-end merchant relationships to drive account growth through retention, optimization, and upselling. Coordinate cross-functionally with technical and legal teams to ensure seamless service delivery and business development.
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Manage end-to-end merchant relationships to drive account growth through retention, upselling, and performance optimization. Coordinate cross-functionally with technical and legal teams to ensure seamless onboarding and service delivery.
Oversee the company's financial strategy, reporting, and operational efficiency while managing Finance, Treasury, Reconciliation, and Analytics departments. Lead the consolidation of financial statements and coordinate annual audits in compliance with Cypriot and international standards.
Oversee the company's financial strategy, reporting, and operational efficiency while managing Finance, Treasury, Reconciliation, and Analytics departments. Lead the consolidation of financial statements and coordinate annual audits in compliance with Cypriot and international standards.
Oversee the company's financial strategy, reporting, and operational efficiency while managing Finance, Treasury, Reconciliation, and Analytics departments. Lead the consolidation of financial statements and ensure compliance with Cypriot and international accounting standards.
Own the day-to-day administration, governance, and operational performance of the HubSpot CRM. Focus on CRM hygiene, automation, reporting, and integrating the platform with the broader sales technology stack.
Own the day-to-day administration, governance, and operational performance of the HubSpot CRM across US, Brazil, and Mexico operations. Manage sales tech integrations and develop reporting dashboards to support sales leadership decision-making.
Vice President - Diagnostic Partnering
Caris Life Sciences
·
Full Time
·
3 Weeks Ago
Caris Life Sciences
Lead biopharma partnerships and diagnostic strategy across oncology, focusing on NGS- and IHC-based collaborations. Act as a technical and strategic advisor for the full companion diagnostic lifecycle from development to commercialization.
The Program Coordinator manages clinical education operations by processing student documentation and ensuring faculty credentialing across hospital partner sites. The role focuses on maintaining compliance with university and hospital requirements to support student progression and success.
The role involves partnering with existing customers to architect and deliver complex, scalable data center solutions. You will act as a trusted advisor to C-suite executives, translating business objectives into technical requirements and multi-year strategies.
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Manage day-to-day payroll production, including labor distribution, leave accruals, and tax preparation. Act as the primary interface for payroll matters and develop timekeeping procedures and policies.
The role involves managing complex fiscal, budgetary, and procurement transactions for the Department of Computer Science. Key duties include monitoring revenue and expenses, processing graduate assistantship contracts, and ensuring compliance with University and government policies.
The Account Executive manages the full sales cycle from prospecting and lead generation to negotiating and closing deals. They are responsible for delivering tailored product demos and collaborating with internal teams to meet client requirements and hit sales quotas.
Acts as a strategic consultant to leadership in Lab and Corporate divisions to design and execute people strategies aligned with business goals. Manages complex employee relations, organizational design, and ensures regulatory compliance within the healthcare industry.
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