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Reposted 5 Days AgoSaved
In-Office
Nashville, TN, USA
Mid level
Mid level
Insurance
The Analyst, Financial III is responsible for creating and analyzing financial reports, ensuring data accuracy for financial decisions, and supporting senior management with complex financial analyses and projects.
Top Skills: ExcelMS Office
Junior
Insurance
Conduct quality audits across operations, document findings, recommend improvements, and train new employees. Develop quality control programs and monitor corrective actions.
Top Skills: MS Office
Reposted 8 Days AgoSaved
In-Office
Florence, SC, USA
Junior
Junior
Insurance
Responsible for maintaining healthcare provider files, supporting directories and claims processing, and contributing to special projects.
Top Skills: Db2MS OfficeSQL
8 Days AgoSaved
In-Office
Jacksonville, FL, USA
51K-98K Annually
Senior level
51K-98K Annually
Senior level
Insurance
Audit and authorize reimbursement of medical stop loss claims, mitigate client claims, ensure compliance, and provide customer service. Responsibilities include claims analysis, vendor communication, and report generation.
Top Skills: Claims Processing Software
8 Days AgoSaved
In-Office
Jacksonville, FL, USA
51K-98K Annually
Senior level
51K-98K Annually
Senior level
Insurance
Audit and authorize medical stop loss claims, ensuring proper reimbursement and effective claims mitigation while providing customer service.
Top Skills: Claims Management SystemsData Processing Applications
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8 Days AgoSaved
Remote
South Carolina, USA
Junior
Junior
Insurance
The Utilization Management Coordinator I reviews medical services for authorization, educates clients on coverage, and documents decisions while supporting care coordination.
Top Skills: AccessDatabase SoftwareExcelMS Office
8 Days AgoSaved
In-Office
Columbia, SC, USA
Senior level
Senior level
Insurance
The Accountant III-CDS reconciles general ledger accounts, processes complex transactions, ensures compliance with regulations, and trains junior accountants at BlueCross BlueShield of South Carolina.
Top Skills: ExcelMS Office
9 Days AgoSaved
In-Office
Columbia, SC, USA
Junior
Junior
Insurance
The role involves developing training materials, conducting workshops, and providing education support for network providers and medical staff. Requires strong communication, organizational skills, and experience in provider relations or healthcare-related fields.
Top Skills: Microsoft AccessMS Office
9 Days AgoSaved
In-Office
Columbia, SC, USA
Senior level
Senior level
Insurance
Lead a team of Provider Enrollment Analysts, handle complex enrollment applications, provide guidance, and ensure quality services in the provider enrollment process.
Top Skills: MS Office
Reposted 9 Days AgoSaved
In-Office
Springfield, IL, USA
30K-38K Hourly
Entry level
30K-38K Hourly
Entry level
Insurance
Assist in executing financial, compliance, and operational audits, evaluate internal controls, and prepare reports on audit results. Conduct special audits and support other auditors to enhance efficiency.
Top Skills: MS Office
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