Senior Financial Analyst, Insurance Operations California Dental AssociationSenior Financial Analyst, Insurance OperationsSacramento, CARemote$120,000–$125,000 / yearThe largest of our subsidiaries, TDIC, is an insurance company founded in 1980 by a small group of California Dental Association members in response to skyrocketing malpractice premiums that impacted dentists’ ability to practice productively and patients’ ability to access care. This position prepares quarterly and annual financial reports, regulatory filings, and works with third parties to facilitate the estimation and analysis of insurance loss reserves, ensure adequate reinsurance coverage, and track and administer insurer investments.
Revenue Cycle Insurance Spec| Revenue Cycle Team 8 - Neuro/NS/ Psych| Days | Remote UF HealthRevenue Cycle Insurance Spec| Revenue Cycle Team 8 - Neuro/NS/ Psych| Days | RemoteJacksonville, FloridaRemoteFull timeFollow all Managed Care guidelines using the UFJPI Payor Claims Matrix and Managed Care Matrix for each contracted plan Identify and enter affected invoices on the MES (Monthly Escalation Spreadsheet) using Excel, ESM or separate spreadsheets that may be needed Inform Team Leader on the status of work and unresolved issues. Overview: Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and Telehealth locations while maintaining timely claims submissions.
Revenue Cycle Insurance Specialist | Revenue Cycle - Team 9- Radiology | Days | Full-Time | REMOTE FL, GA, NC, NH, TN, Residents ONLY UF HealthRevenue Cycle Insurance Specialist | Revenue Cycle - Team 9- Radiology | Days | Full-Time | REMOTE FL, GA, NC, NH, TN, Residents ONLYJacksonville, FloridaRemoteFull timeKnowledge of CPT and ICD Coding and Medical terminology of most current versions - required Education: High School Diploma or GED equivalent - required Bachelors Healthcare, Finance, IT or Education - preferred Certification/Licensure: Certified Professional Coder (CPC) required Additional Details: CPC Certification completed within 18 months of employment. Revenue Cycle Departments, Cash Posting Department, Refunds Department, Managed Care, Referral Department, Clinics and the CDQ Department to resolve coding and billing.
Commercial Insurance Account Executive, Mid-Market (Remote) Aon PlcCommercial Insurance Account Executive, Mid-Market (Remote)South Burlington, VTRemote$65,000–$94,000 / yearKeep clients informed of appropriate industry trends and events, including all state and federal regulatory issues Knowledge, Skills, and/or Abilities: Excellent written communication skills - writes clearly; edits work for spelling and grammar; varies writing style to meet needs; presents numeric data effectively Self-confident to make sound independent decisions Ability to successfully interact with a variety of people/personalities Strong leadership skills Able to read, analyze and reconcile financial reports Possess technical expertise plus good analytical and problem-solving skills Ability to handle situations in a calm and professional manner. The Account Executive prepares and oversees new business submissions, renewal strategies, marketing efforts, coverage analyses, and policy negotiations, collaborating with internal teams and carrier representatives to deliver exceptional service.
Commercial Insurance Account Executive, Mid Market (Remote) NFP CorpCommercial Insurance Account Executive, Mid Market (Remote)Morrisville, VTRemote$65,000–$94,000 / yearKnowledge, Skills, and/or Abilities: Excellent written communication skills - writes clearly; edits work for spelling and grammar; varies writing style to meet needs; presents numeric data effectively. The Account Executive prepares and oversees new business submissions, renewal strategies, marketing efforts, coverage analyses, and policy negotiations, collaborating with internal teams and carrier representatives to deliver exceptional service.
Commercial Insurance Account Executive, Mid-Market (Remote) NFP CorpCommercial Insurance Account Executive, Mid-Market (Remote)South Burlington, VermontRemote$77,200–$95,000 / yearFull timeKnowledge, Skills, and/or Abilities: Excellent written communication skills – writes clearly; edits work for spelling and grammar; varies writing style to meet needs; presents numeric data effectively. The Account Executive prepares and oversees new business submissions, renewal strategies, marketing efforts, coverage analyses, and policy negotiations, collaborating with internal teams and carrier representatives to deliver exceptional service.
OCIP / Insurance Program Administrator (Remote, EST/CST) NFP CorpOCIP / Insurance Program Administrator (Remote, EST/CST)Virtual, ConnecticutRemote$70,000–$80,000 / yearFull timeThis role ensures all contractors and subcontractors are accurately enrolled or excluded, aligned with program requirements, and that accurate records are maintained within the database systems for reporting and auditing. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location.
OCIP / Insurance Program Administrator (Remote, EST/CST) Aon PlcOCIP / Insurance Program Administrator (Remote, EST/CST)CTRemote$70,000–$80,000 / yearThis role ensures all contractors and subcontractors are accurately enrolled or excluded, aligned with program requirements, and that accurate records are maintained within the database systems for reporting and auditing. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach.
Health Insurance Revenue Mgmt. Risk Adjustment Analyst III (Remote) - Health Alliance Plan Henry Ford HospitalHealth Insurance Revenue Mgmt. Risk Adjustment Analyst III (Remote) - Health Alliance PlanSouthfield, MIRemoteAnnual financial reporting activities including CMS bid filings, HCR Premium Development, RFP on financial Risk Adjustment projects, Employer Group Rate Renewals, financial audits, CMS Attestations, premium and member revenue budgets, Medical Loss Ratio reporting. Premium reconciliation reports for monthly financial close; file payment issues with CMS and monitor response; monitor MMR accruals; estimate risk adjustment premium impact for final reconciliation with CMS; allocation of premium to at-risk provider networks.
Claims Specialist Allied TechClaims SpecialistAustin, TXRemote$48,000–$60,000 / yearGreat claims processing support is about more than processing paperwork -- it's about helping clients keep claims accurate, organized, and on-track and helping policyholders experience a smooth filing process. Familiarity with Google Workspace, Microsoft Office, Microsoft Teams, Slack, Zoom, project management tools, and AI productivity tools.
Attorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyAttorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote)CARemoteAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Claims - Workers Compensation Specialist Cincinnati Financial CorporationClaims - Workers Compensation Specialistthoreau, NMRemote$53,500–$90,000 / yearShare your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. Our Claims Workers' Compensation department seeks an experienced workers' compensation specialist l-lV to service the territory surrounding: New Mexico.
Bilingual Associate Claims Examiner (English/French) Assurant IncBilingual Associate Claims Examiner (English/French)Los Angeles, CARemote$17.34–$30.53 / hourA Fortune 500 company with a presence in 21 countries, Assurant supports the advancement of the connected world by partnering with the world's leading brands to develop innovative solutions and deliver an enhanced customer experience through mobile device solutions, extended service contracts, vehicle protection services, renters insurance, lender-placed insurance products, and other specialty products. Named a Best/Great Place to Work in 14 countries and awarded the Fortune America's Most Innovative Companies recognition, we bring together top talent around the world.
Claims Resolution Specialist Ultimate Staffing ServicesClaims Resolution SpecialistRoseville, MinnesotaRemote$67,000–$75,000 / hourThis role is responsible for investigating claim issues, managing appeals, conducting payer follow-up, resolving reimbursement discrepancies, and dri. Are you an expert at resolving denied claims, overturning payer denials, recovering revenue, and navigating complex insurance requirements?.
Claims Examiner Remote NTT DATA Group CorpClaims Examiner RemotePlano, TXRemoteNTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools.
ABA Billing Specialist (REMOTE) - (Texas ONLY) Must have Central Reach Experience Little Spurs Pediatric Urgent CareABA Billing Specialist (REMOTE) - (Texas ONLY) Must have Central Reach ExperienceRemoteHigh school diploma or equivalent required; Associates or bachelor’s degree in Finance, Accounting, Business Administration, or related field preferred. Determines and performs appropriate collection efforts to resolve accounts, to include follow-up online, by phone and written correspondence.
Senior Project Manager - Data and Analytics ConsultNetSenior Project Manager - Data and AnalyticsBranchville, NJRemote$60–$75 / hourThe ideal candidate brings strong agile experience, is comfortable operating as a project manager, product owner, or scrum master depending on what the team needs, and has enough data literacy to communicate credibly with engineers and analysts. Day-to-day, you will work directly with technical and business stakeholders to keep initiatives moving, translate business needs into user stories and epics, and ensure delivery teams stay aligned and unblocked.
Senior Geologist/Senior Environmental Scientist/Professional Engineer HYDRO-ENVIRONMENTAL TECHNOLOGIES INCSenior Geologist/Senior Environmental Scientist/Professional EngineerPhiladelphia, PARemoteFull timeFounded in 1986, HETI is a full-service, nationwide environmental services company specializing in environmental and indoor air quality site assessment, site remediation, risk characterization, occupational health and safety services, and litigation/expert witness support. The candidate should have experience managing consulting assignments, must work effectively in multi-disciplinary teams, is expected to be proficient in the analysis and communication of information, and must be able to work cooperatively with agencies, organizations, and individuals to guide decision-making.
Data Scientist III - Temporary Veracyte IncData Scientist III - TemporarySan Diego, CARemote$63–$72 / hourOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. This position offers a unique opportunity to work with experienced professionals to carry out AI/ML modelling and analysis of the world's largest database of cancer patients, encompassing multi-platform digital pathology, genomic and clinical outcome data.
AWS Backend/Salesforce Integration Rules Engine Developer ATR, LLCAWS Backend/Salesforce Integration Rules Engine DeveloperRemote$150,000–$165,000 / yearFull timeOur work depends on an AWS Backend/Salesforce Integration Rules Engine Developer joining our team to develop a flexible business rules engine that automates decision-making, ensures data integrity through validation and audit logging, and seamlessly integrates business outcomes back into Salesforce, enabling more accurate, traceable, and efficient case processing. Expert-level experience in Python programming, including the implementation of concurrent processing techniques for high-throughput batch workloads; all solutions must ensure processing results are fully auditable and traceable.