The specialist is responsible for submitting medical billing to payers and following up to ensure the adjudication and payment of individual claims. This includes performing comparative analysis for accuracy and communicating with insurance providers and patients to manage accounts receivable.
Remote Jobs & Work From Home Opportunities (202,214)
Lead deep architectural discussions and design data security solutions for customers across public, private, and hybrid clouds. Collaborate with internal teams to provide technical recommendations for product enhancements and deliver cybersecurity workshops.
The Trauma Registrar is responsible for collecting, abstracting, and reporting data from trauma patient medical records. This role ensures accurate data management and validation within the trauma registry system.
Acts as the initial point of contact for patients and physicians, handling scheduling, registration, and billing follow-ups. Ensures exceptional customer service while managing patient demographics and insurance eligibility in the EMR system.
Lead large-scale complex projects for the New Equipment business, ensuring timelines, profitability, and customer expectations are met. Coordinate design efforts, material procurement, and partner with international teams to drive strategic planning and process improvements.
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Drive revenue growth by promoting U.S. Bancorp Asset Management capabilities to local government prospects and clients in New York State. Manage existing accounts and interface directly with the program's Board of Directors and sponsoring associations.
The Director provides therapeutic area expertise and executes medical strategies by engaging external medical stakeholders within an assigned territory. They serve as a scientific resource, lead advisory boards, and collaborate with internal teams to improve patient care and support clinical research.
The Director provides therapeutic area expertise to external medical stakeholders and executes independent medical strategies within an assigned territory. They serve as a scientific resource, lead advisory boards, and collaborate with R&D to identify clinical trial sites.
Manager, Customer Experience & Payment Integration Operations
VSP Vision Care
·
Full Time
·
14 hours ago
VSP Vision Care
Lead strategic operations for Customer Experience and Payment Integration to ensure platforms meet business needs and operational efficiency. Manage a team to drive system implementations, intake prioritization, and cross-functional coordination for scalable service delivery.
The Senior Security Advisor designs tailored cybersecurity solutions and strategic roadmaps to help clients build scalable security programs. They drive business growth by identifying cross-sell opportunities and maintaining trusted advisor relationships with client stakeholders.
The specialist will assess and resolve employee relations matters, conduct investigations into policy violations, and provide guidance on performance management. They will also manage labor union relations and ensure compliance with Brazilian employment legislation.
Evaluate and determine the approval or rejection of product performance claims using technical expertise and data analysis. Partner with Legal and vendors to ensure claims are compliant with regulatory standards and improve substantiation quality.
Drive sales of the Zoom Workplace Platform to large organizations with over 5,000 employees in the LATAM region. This involves identifying new business opportunities, managing strategic sales campaigns, and building trusted relationships with C-suite stakeholders.
Execute sales strategies to maximize performance and meet quotas within the assigned geography for the US Petcare Division. Build strong relationships with veterinary hospitals and implement territory business plans to drive product growth.
Drive revenue growth within the Retail and Consumer Goods sector across the UK and Ireland by identifying and qualifying new sales opportunities. Collaborate with cross-functional teams to execute strategic sales plans and manage the full sales lifecycle from prospecting to closing.
The Technical Analyst supports global sales teams by managing technical tasks and coordinating cross-functional teams to progress the sales cycle. Responsibilities include completing scoping documentation, analyzing contracts for pricing, and managing deal approvals through company applications.
Monitor legal developments to update and add legislation across print and online publications. Ensure content accuracy through quality reviews and manage the production of service issues and bound volumes.
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Lead editorial and subject matter expert teams to deliver AI-enabled case law content initiatives aligned with product strategy. Design, pilot, and scale new AI-driven capabilities while ensuring legal accuracy and editorial quality.
Lead editorial and subject matter expert teams to deliver AI-enabled case law content initiatives that support research and product strategy. Design, pilot, and scale new AI-driven capabilities while ensuring legal accuracy and editorial quality across multiple jurisdictions.
The Account Executive is responsible for generating new business opportunities and retaining existing customer relationships through consultative selling to C-level executives. Key duties include conducting cold calls, delivering high-level presentations, and collaborating with internal teams to close deals.
The specialist reviews clinical documentation to assign diagnoses and procedure codes for inpatient hospital-based claims. They are also responsible for validating MS-DRG and APC calculations and mitigating claims scrubber edits.
Review clinical documentation to assign and sequence diagnostic and procedural codes for various patient types to ensure accurate billing and reimbursement. Validate MSDRG and APC calculations while performing documentation reviews to meet regulatory and compliance requirements.
The associate is responsible for expediting the customer service claims application process and ensuring correct case assignment. They act as a liaison to assist customers with inquiries and maintain accurate data entry in the claims management system.
Sr. Claims Specialist | Professional Liability | Remote
Sedgwick
·
Full Time
·
14 hours ago
Sedgwick
Analyze and resolve complex professional liability claims, including errors and omissions and directors and officers cases. Manage total claim costs and coordinate legal defense while maintaining high levels of customer service and client relationships.
The Growth Marketing Manager will drive revenue growth within the existing customer base by executing full-funnel marketing campaigns for SaaS products. This includes managing end-to-end campaigns to increase product adoption, upsell, and cross-sell opportunities through data-driven insights.
Lead the identification, valuation, and execution of strategic acquisitions, divestitures, and joint ventures to drive corporate growth. Partner with business leadership to analyze market landscapes and manage the end-to-end M&A approval process.
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Lead a team of Sales Executives to achieve sales and profitability targets for healthcare customers in the Western US. Develop growth plans, manage regional performance via KPIs, and collaborate with distributors to deliver value-added solutions.
Assist in implementing security architecture methodologies across network, cloud, endpoint, and email domains. Support the development of global security technical standards and research emerging technologies and threats.
Support attorneys in intellectual property disputes by managing case calendars, drafting legal filings, and coordinating court submissions. The role involves organizing electronic case files and preparing exhibits for hearings, depositions, and trials.
Oversee a caseload of students to remove barriers to academic success through regular conferences and parent contact. Serve as a liaison between students, teachers, and administration to monitor progress and initiate support interventions.
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