The specialist is responsible for identifying and resolving insurance claim denials and processing errors to settle accounts. This involves using proprietary software, contacting insurance carriers, and reviewing medical documentation to ensure claim resolution.
Work From Home Jobs (224,501)
Patient Services Specialist
Converge Medical Technology
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Full Time
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Yesterday
Converge Medical Technology
The specialist manages insurance verification and prior authorizations for veterans and injured workers to ensure access to medical devices. They serve as a primary liaison between patients, insurance companies, and internal sales teams using Salesforce.
Conduct detailed on-site vehicle condition inspections for dealer clients to ensure marketplace transparency. Build and maintain strong relationships with dealers to grow participation in mobile inspection services.
Engenharia de Dados | Remota - 134797
GFT Technologies SE
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Full Time
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Yesterday
GFT Technologies SE
Reconstruct legacy Data Warehouse pipelines into an Enterprise Lakehouse using PySpark and Spark SQL within Databricks. Implement medallion architecture layers and ensure data parity between legacy environments and the new ecosystem.
Fleet Client Services & Billing Specialist II
Cox Enterprises
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Full Time
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Yesterday
Cox Enterprises
Manage the billing process and maintenance transaction lifecycle from origination to technician custody. Coordinate service scheduling and preventative maintenance while maintaining professional rapport with internal and external customers.
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The specialist will handle client communications via phone, email, and text while providing compassionate guidance through their legal journey. They will collaborate with legal staff to maintain organized records and ensure timely case updates.
The Siding Estimator is responsible for preparing accurate quantity takeoffs, material estimates, and bid proposals for U.S.-based exterior construction projects. They collaborate with project managers, sales teams, and suppliers to ensure competitive and profitable bids.
The Siding Estimator is responsible for preparing accurate quantity takeoffs, material estimates, and bid proposals for U.S.-based exterior construction projects. They collaborate with project managers, sales teams, and suppliers to ensure competitive and profitable bids.
Develop and execute go-to-market strategies and messaging to position Disputes solutions as industry-leading offerings. Collaborate with internal teams to create client-facing collateral and deliver high-impact presentations for leadership and industry events.
UM Coordinator, Inpatient (Remote | Part-Time | Weekends | Pacific Time Required)
Alignment Health
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Full Time
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Yesterday
Alignment Health
The UM Coordinator manages inpatient census and admissions by retrieving medical records and entering referral requests using ICD-10 and CPT coding. They support discharge planning and maintain member records while collaborating with the Case Management leadership team.
Velocity Sales Associate-Northern Lakes/Chicago
Siemens Healthineers
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Full Time
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Yesterday
Siemens Healthineers
The Velocity Sales Associate generates qualified leads through outbound prospecting and manages the top-of-funnel pipeline for non-hospital customers. They partner with field Account Executives to provide sales support and ensure the conversion of leads into commercial opportunities.
The processor assists insurance companies with the procurement of vehicle titles and paperwork while coordinating with financial institutions and owners. Key tasks include managing call queues, creating total loss packets, and ensuring document compliance per state guidelines.
Collaborate with Clinical Account Executives to gain and retain clients while driving the adoption of algorithmic tests and online ordering tools. Build and maintain relationships with physicians and pathology departments to ensure clinical orders and specimen procurement.
Regulatory Affairs Specialist
Sarah Cannon Research Institute
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Full Time
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Yesterday
Sarah Cannon Research Institute
Manage and plan regulatory affairs compliance for industry sponsors and sites to ensure adherence to FDA and GCP standards. Responsibilities include maintaining regulatory documentation, managing IRB submissions, and updating informed consent forms.
Clinical Documentation Specialist (Remote)
Memorial Hermann Health System
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Full Time
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Yesterday
Memorial Hermann Health System
Perform concurrent reviews of inpatient medical records to improve physician documentation quality and accuracy. Collaborate with healthcare teams and physicians to ensure complete records that support accurate and timely coding.
Sr. Business Intelligence Analyst (Remote)
Memorial Hermann Health System
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Full Time
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Yesterday
Memorial Hermann Health System
The Senior BI Analyst creates advanced intelligence deliverables and dashboards to support critical business decisions across clinical and operational domains. They serve as a key liaison between stakeholders and technical teams to translate complex data into actionable insights.
Director, Small Market Business Development – National Networks (Commercial Lines)
Nationwide
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Full Time
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Yesterday
Nationwide
Drive profitable growth and results within a territory by managing strategic partnerships with networks, aggregators, and market access providers. Lead a team of territory managers and collaborate with internal underwriting and claims functions to optimize small commercial business performance.
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Director of System Physician & APP Services
MultiCare Health System
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Full Time
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Yesterday
MultiCare Health System
Leads the planning and administration of compensation programs and contracting for physicians and Advanced Practice Providers. Collaborates with executive leadership, HR, finance, and legal teams to resolve complex confidential issues and facilitate consensus.
Acts as a strategic partner to the U.S. COO and senior leaders by leading the preparation of high-visibility executive content and driving alignment across cross-functional stakeholders. Oversees complex business management functions, focusing on long-range planning, operational efficiency, and regulatory priorities.
Leads a team of Issue Managers to identify and resolve risks across lending, credit, treasury, and operations. Focuses on root cause analysis and control design to prevent recurrence of regulatory findings and process failures.
Conduct end-to-end investigations into complex financial crimes, including money laundering and terrorist financing. Lead project workstreams to enhance investigative processes and collaborate with law enforcement and other financial institutions to mitigate risk.
Provide technical leadership in developing and enhancing AML/CTF models and AI solutions to comply with regulatory requirements. Translate complex business problems into viable data science solutions and communicate insights to stakeholders at all levels.
Clinical Account Manager (Des Moines, IA)
Travere Therapeutics
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Full Time
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Yesterday
Travere Therapeutics
The Clinical Account Manager is responsible for maximizing sales of Filspari by calling on Nephrology prescribers and positioning the company as a leader in rare kidney disease. They provide educational support to healthcare professionals and assist with patient access, reimbursement, and testing procedures.
Lead the development and architecture of secure enterprise software applications and frameworks for the DHI Information Technology team. Partner with stakeholders to define technical direction and maintain robust CI/CD pipelines and third-party integrations.
Design, develop, and operationalize enterprise-scale Machine Learning and Generative AI solutions on Google Cloud Platform. Collaborate with cross-functional teams to deliver AI-enabled capabilities such as forecasting, anomaly detection, and intelligent automation.
Part-time Faculty, Sociology (Remote)
National University
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Full Time
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Yesterday
National University
The faculty member will provide substantive feedback on student assessments and maintain a student-centric online learning environment. They are also responsible for collaborating with student services to support at-risk students and providing feedback on course content.
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The Commercial Finance Analyst leads cross-functional teams to develop accurate clinical trial contract proposals and budget modifications. They manage the bid process, negotiate budgets with clients, and ensure all documents comply with contract requirements.
Lead the talent agenda and HR strategy across five Integrated Electronics manufacturing sites and the program management function. Direct all HR activities including employee relations, performance management, and regulatory compliance in alignment with business objectives.
Psychology Studies, Department of Applied Sciences and Professional Studies - Adjunct Faculty
University of Maryland Global Campus
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Full Time
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Yesterday
University of Maryland Global Campus
Adjunct faculty will remotely teach psychology courses, actively engaging adult learners through frequent interaction and project-based learning. They are responsible for providing constructive feedback using rubrics and suggesting curricular improvements to the program chair.
Internal Medicine Health & Science System Specialist - Phoenix N, AZ
Pfizer
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Full Time
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Yesterday
Pfizer
Drive sales performance of the Primary Care portfolio through strategic customer engagement and compliant promotional activities. Build relationships with healthcare providers and collaborate across the matrix to reduce access barriers and improve patient outcomes.
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