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Claim specialist • jackson ms

Last updated: 15 hours ago

Network Reimbursement Specialist

Blue Cross & Blue Shield of MississippiFlowood, MS, United States
Full-time

Network Reimbursement Specialist.The Network Reimbursement Specialist is responsible for the implementation, coordination and maintenance of all routine provider reimbursement updates, including up... Show more

Operations Specialist

Highlands Vista GroupJackson, MS, United States
Full-time

Travel between Highlands Vista Group properties in Prattville/Montgomery, AL, and Jackson, MS as needed.Company Overview: Highlands Vista Group ("HVG") was formed in 2018 with a long-term investmen... Show more

 • New!

Onboarding Specialist

Quanta ServicesRichland, MS, United States
Full-time

Introduce new workers to the company through an orientation process.HR Onboarding Specialist will communicate company and position details to new hires before their start date, gathering necessary ... Show more

Commercial Specialist

AutozoneJackson, US
Full-time +1

Job Description As a Commercial Specialist, you'll be a key player in AutoZone's commercial sales and service operations.You'll drive WOW! customer service, increase commercial sales, and en... Show more

Evaluation Specialist

Jackson State UniversityJackson, MS, United States
Full-time

The Department of Mississippi Urban Research Center (MURC) at Jackson State University is accepting applications for its Evaluation Specialist position.Assist in conducting desktop and field-based ... Show more

Billing (AR) Specialist

Staffers Inc.Flowood, MS, US
$16.00 hourly
Temporary
Quick Apply

The Billing (AR) Specialist is responsible for generating invoices and credit memos for customers as well as reviewing and handling errors related to invoicing.This role supports operational effici... Show more

Remote Excel Specialist

Micro1Clinton, Mississippi, US
$20.00 hourly
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

Remote Powerpoint Specialist

Micro1Flowood, Mississippi, US
$20.00 hourly
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

Remote Powerpoint Specialist

Micro1Jackson, Mississippi, US
$20.00 hourly
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

Engineering Support Specialist

ReNuke ServicesJackson, MS, US
Full-time

ReNuke Services is seeking an Engineering Support Specialist for our client"s site in Jackson, MS! Job Description: Job Summary: Responsible for providing technical support, troubleshooting, an... Show more

Remote Travel Specialist

HJB TravelsJackson, MS, United States
Full-time

Jackson, Mississippi, United States.As a Remote Travel Specialist, you will be an essential part of our team, guiding clients through every stage of their journeyfrom the moment they plan their tri... Show more

Junk Removal Specialist

College Hunks Hauling Junk & MovingClinton, MS, US
$14.00 hourly
Full-time +1

Previous experience in general labor, loading, unloading, landscaping, construction, production, manufacturing, assembly, or warehouse work is helpful.PART TIME + FULL TIME OPPORTUNITES.SCHEDULE: M... Show more

Acquisition & Utilization Specialist

US Department of Veterans AffairsJackson, MS, United States
Full-time

Acquisition & Utilization Specialist.The duties for this position include, but are not limited to: As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor... Show more

 • New!

Remote Powerpoint Specialist

Micro1Pearl, Mississippi, US
$20.00 hourly
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

Financial Specialist

Department of JusticeJackson, MS, United States
Full-time

As a Financial Specialist at the GS-0501-9/11 level, some of your typical work assignments may include:.Overseeing the District financial management program.Analyzing the District's financial oblig... Show more

Credentialing Specialist

One Federal SolutionJackson, MS, US
Permanent
Quick Apply

One Federal Solution is seeking Credentialing Specialists to support a large federal identity credentialing program.The Credentialing Specialist will perform credential enrollment, issuance, activa... Show more

Compliance Specialist

Tower LoanFlowood, MS, United States
Full-time

We take pride in what we do! Deciding to come grow with us is an exciting opportunity to enhance your career success stories.You are the center to what we do.We would love to have you here!.The Com... Show more

Specialist-Employment

Mississippi Baptist Health SystemsJackson, MS, United States
Full-time

Gathers and coordinates all applications and their required employment paperwork.Processes all new hires and collects needed documents to ensure file integrity.Screens applicants as needed to provi... Show more

To Go Specialist

LongHorn SteakhouseFlowood, MS, US
Full-time

Legendary food and service begins with legendary people.We believe in earning the loyalty of our Team Members with our strong, diverse culture, well-done benefits and growth opportunities.It takes ... Show more

Materials Management Specialist

EntergyJackson, MS, United States
Full-time

Materials Management Specialist.Job Title: Materials Management Specialist Work Place Flexibility: Onsite Legal Entity: Entergy Mississippi, LLC.The Supply Chain (SC) organizational model includes ... Show more

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Network Reimbursement Specialist

Network Reimbursement Specialist

Blue Cross & Blue Shield of MississippiFlowood, MS, United States
30+ days ago
Job type
  • Full-time
Job description

Network Reimbursement Specialist

The Network Reimbursement Specialist is responsible for the implementation, coordination and maintenance of all routine provider reimbursement updates, including updates to professional and allied fee schedules, updates to facility reimbursement rates, pricing rule changes, and the development, execution and completion of test plans and related claims testing when implementing new or modifying existing reimbursement functionality. The Network Reimbursement Specialist is required to be (or become) the subject matter expert in Network reimbursement as it pertains to the functionality within the medical claims processing system. This position also serves as a technical consultant for medical claim reimbursement related inquiries received from other departments or external sources.

Job-Specific Requirements:

  • Bachelor's degree required.
  • Logical thought process in order to interpret and apply contract benefits.
  • Ability to work with a high degree of accuracy and attention to detail to ensure work products are of high quality
  • Good analytical skills and proven ability to independently research, document and present solutions to problems
  • Strong documentation and organizational skills required
  • Strong interpersonal, communication and facilitation skills required
  • Ability to multi-task and handle concurrent projects
  • Knowledge of Microsoft Excel and Word is required

Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.