Reimbursement Specialist II
Jobtailor
Responsibilities Track, report, and resolve complex outstanding claims Appeal non-covered or underpaid claims through external review channels Follow up on unpaid claims to ensure timely resolution Drive positive coverage determinations through external appeals Requirements 2+ years’ experience in a healthcare reimbursement role Solid understanding of health plan regulations Organized with strong attention to detail Self-starter capable of working independently Moderate proficiency in Excel Familiarity with laboratory billing and payer portals #J-18808-Ljbffr Jobtailor
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Reimbursement Specialist II in California, MO vacancy
$24 - $33 per hour
## Reimbursement Specialist IIApplylocations: Remote-USA-CAtime type: Full timeposted on: Posted Todayjob requisition id: R-101020**Company Description... ...Facebook.**Position Summary:**As a Reimbursement Specialist II, Follow Up & Appeals, you will play a vital role in ensuring...ReimbursementWork at officeRemote workWork from homeGuardant Health
California, MO19 hours ago- ...Mobile Crisis Specialist II Job Title: Mobile Crisis Specialist II Home Location: Sedalia, MO Department: Crisis Services Employment... ...Program (EAP) ~ Employee Discount Program ~ Mileage Reimbursement/Company Vehicle Key Responsibilities Serve as an...ReimbursementFull timePart timeLocal areaImmediate startFlexible hoursShift work
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...Position Overview Alcohol and Drug Treatment Specialist (ADTS) – a behavioral health role that provides educational, counseling, and treatment... ...substance use. Three levels exist: Level I (entry), Level II (journey), and Level III (lead). Each level requires increasing...SuggestedHourly payFull timeCounty of Ventura
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...credits monthly through June 2027. Salaries do not reflect the recent changes. This advertisement is for a Correctional Counselor II (Specialist) position located at California Health Care Facility in Stockton, San Joaquin County. Please indicate the position number on...SuggestedPermanent employmentFull timeWork at officeRemote workCA Department of Corrections & Rehabilitation
California, MO4 days ago$9,609 per month
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...and revenue recovery functions, ensuring accurate and timely reimbursement from commercial and government payors. This individual will work... ...to apply or learn more? Submit your resume today and one of our healthcare recruiting specialists will be in touch! #J-18808-Ljbffr...ReimbursementWeekly payContract workMonday to FridayAddison Group
California, MO1 day ago- ...industries in which we operate. As a Workplace Health & Safety Specialist (WHSS), you'll be at the forefront of transforming workplace... ...Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave...ReimbursementLocal areaFlexible hoursShift workNight shiftWeekend work
Amazon
California, MO3 days ago $21.47 - $29.61 per hour
...Fiscal Specialist – San Bernardino County San Bernardino County is recruiting Fiscal Specialists to perform complex fiscal duties. Responsibilities... ...documents; processing payments, invoices, billings, reimbursements, credit card statements, and claims; maintaining accounting...ReimbursementHourly payFull timeWork experience placementWork at officeSAN-Bernardino-Count
California, MO1 day ago$22 per hour
...Maven Wise, LLC is recruiting for an Insurance Reimbursement Specialist to support insurance reimbursement for pre-sales and post-sales service functions with a globally recognized medical devices manufacturer in Valencia, CA. About Maven Wise Maven Wise is dedicated...ReimbursementHourly payFull timeContract workTemporary workWork at officeRemote workMonday to FridayShift workMavenwise
California, MO4 days ago- JOB SUMMARY The Provider Dispute Resolution Specialist is responsible for the accurate, timely, and compliant review and resolution of... ...disputes and appeals related to claims adjudication, reimbursement, coding, and authorization determinations. This role ensures...ReimbursementContract workWork experience placementWork at office
$21 - $26 per hour
...Explanation of Benefits (EOB) documents Preferred Qualifications Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) credential Experience with pre‑authorization and insurance eligibility verification processes Knowledge of...ReimbursementDaily paidWork at office- ...Cedars-Sinai is seeking a Clinical Research Finance Coordinator II (Pre-Award) to join our dynamic research team. In this role,... ...Responsible for invoicing sponsors, patient research billing, reimbursement to ancillary departments, and payment tracking. Issues and submits...ReimbursementContract workWork at officeLocal areaRemote work
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California, MO3 days ago - Overview We are seeking a highly skilled IT Project & Portfolio Manager to oversee and optimize the Infrastructure Branch’s project portfolio. In this leadership role, you will ensure all projects align with statewide and departmental standards, manage high-priority initiatives...
- Job Overview Cal OES is seeking a detail‑oriented technology professional to support the California AI Safety Reporting Program as a Cyber Policy and Strategy Planner within the Homeland Security Division’s California Cybersecurity Integration Center (Cal‑CSIC). Key Responsibilities...Permanent employmentLocal areaRemote workFlexible hours1 day per week
$4,482 per month
Counselor - Outreach Specialist (SSP IB) Apply now Job no: 556233 Work type: Staff Location: East Bay Categories: Unit 4 - APC - Academic... ...(CalPERS), 401k, 457, 403(b), dependent and health care reimbursement accounts, life insurance, vacation and sick, 14 paid holidays...ReimbursementFull timeTraineeshipFlexible hoursAfternoon shift$48.96 - $53.97 per hour
...Human Resources Technician II Under general supervision, performs a variety of responsible technical and administrative support... ...copy, file, and organize all office files. Review and process reimbursements and payment request vouchers for completeness and policy compliance...ReimbursementHourly payTemporary workWork at officeShift workOrange County Sanitation District
California, MO2 days ago- ...Position Behavior Intervention Specialist – 5 positions available. 7 hours per day, 5 days per week, 9.5 months per year. Benefits provided... ...employees may qualify if they have been a Instructional Assistant II for at least three years or a Behavior Support Assistant for at...Work from homeTrial period
City of Santa Fe Springs
California, MO2 days ago - ...Through partnership with assigned business locations the Sr. Safety Specialist takes all steps necessary to ensure the safety of the company... ..., nsafe driving, dangerous goods, Canada Labour Coden Part II and WHIMIS. Provides leadership and guidance to junior staff as...Work at officeShift work
Federal Express Corporation
California, MO3 days ago $5,663 - $7,097 per month
...become permanent. This advertisement is for a Senior Personnel Specialist position for Sierra Conservation Center located in Jamestown, Tuolumne... ...317-002 Under the general direction of the Personnel Supervisor II, the Senior Personnel Specialist serves as the expert staff...Permanent employmentFull timeWork at officeRemote workCA Department of Corrections & Rehabilitation
California, MO3 days ago$30 - $40 per hour
...Support Ticketing Systems (ServiceNow/Jira/Remedy) Customer Service & End User Support POSITION OVERVIEW The Desktop Support Technician II is responsible for providing Level 1 and Level 2 desktop support to end users by troubleshooting hardware, software, network...Contract workWork at officeRemote workRelocation package$5,663 - $7,097 per month
Senior Personnel Specialist $5,663.00 - $7,097.00 per Month New to State candidates will be hired into the minimum salary of the classification... ...Specialist, Range D, or a Personnel Services Specialist II. Desirable Qualifications Willingness to create and promote an...Permanent employmentWork at office- ...Rules and Regulations Adapting to Change Controlling Emotions Working Energetically Deductive Reasoning Reading Comprehension PART II An Evaluation of Training and Experience, weighted at 35%, assessing competencies gained in the following areas: Experience performing...
- ...Voucher department as a Housing Program Specialist. This position is crucial to caseload management... ...2 weeks of vacation per year. Tuition Reimbursement up to $5,250/year: SHRA is also a... ...distinguished from the Housing Program Technician II classification in that it is responsible...Interim roleWeekend work
- ...Lottery is looking to fill the exciting role of a Labor Relations Specialist ! If this opportunity would be a good fit for you, we encourage... ...the people who make it all happen. Reporting to the Supervisor II, Labor Relations Manager, the Labor Relations Specialist plays a...Work at officeLocal areaRemote workMonday to FridayWeekend work
- ...experience and/or training in related job category is required, including valid licenses and/or certifications, if applicable. Level II – Extensive work experience and/or training that is directly related to job category is required, including valid licenses and/or certifications...Temporary workWork experience placement
Coast Community College District
California, MO1 day ago - ...SummaryUnder the general supervision of the Controller, the Payroll Specialist is responsible for all aspects of the payroll function... ...payroll.stipends.Per Capita Distributions.Tribal health insurance reimbursements.Must be able to, in a tribal environment, understand, apply,...ReimbursementWork experience placementWork at office
Tuolumne Me-Wuk Tribal Council
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...Position : DISTRICT SERVICES MANAGER / SENIOR PARK AND RECREATION SPECIALIST Salary : $9,114.00 - $10,350.00 per month Final Filing Date : 7/... ...CA. Under the general direction of the District Superintendent II, you will be a key member of the District Core Management Team,...Permanent employmentFull timeTemporary workWork at officeRemote workWeekend work- Under the general supervision of the Information Technology Supervisor II (IT Sup II). The incumbent performs at the expert specialist level of this career series to analyze, design, develop, and implement the most complex software systems for the Bureau of Firearms (BOF...Work at office
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...Overview The Packaging Producer Responsibility Communications Specialist works under the direction of the Information Officer II to help Californians and stakeholders understand and participate in the state’s transition to a circular economy for single‑use packaging....Local areaState of California
California, MO1 day ago
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