40 billing services representative jobs found in Springfield

Company : Highmark Inc. Job Description : JOB SUMMARY This job provides front line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to evaluate, educate and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL RESPONSIBILITIES Communicate effectively with physician and pharmacy network providers to ensure that the needs of the...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a...

Vehicle Remarketing Auction Representative This position will manage relationships and inventory at vendor auction locations. The Vehicle Remarketing Auction Representative is responsible for the sale of vehicles at auction. This independent role requires digital representation or physical travel to city of auction site to inspect vehicle inventory prior to sale, ensuring accuracy of condition reports and validating appropriate reconditioning has been completed. Responsibilities include inventory and expense management in conjunction with auction oversight of adherence to Capital One guidelines and policies. Auction representatives are expected to manage relationships with auction management and report sale performance and metrics. The position is 100% remote with weekly travel. Travel may support multiple regions and will be determined by business need. Responsibilities: - Digital representation or travel to various auction locations representing Capital One...

Property Condition Assessor Vice President Job ID 252118 Posted 19-Dec-2025 Service line Advisory Segment Role type Full-time Areas of Interest Building Surveying/Consultancy Location(s) Remote - US - Remote - US - United States of America About The Role: As a CBRE Property Condition Assessment Vice President, you'll provide and evaluate the quality control of reports written by assessors. This job is part of the Valuation function. They are responsible for inspecting and determining values of land, property, and businesses. What You'll Do: Interact with clients to ensure the achievement of goals and objectives. Develop action plans as needed. Addresses clients' needs and concerns. Review reports completed by assessors to meet protocols. Audits content for accuracy before delivery to clients. Provide guidance to staff assigned to projects. Run portfolios such as bidding, cost management, and work orders. Assign field staff,...

Consulting Sr Manager - Organizational Design & Transformation Job ID 252348 Posted 19-Dec-2025 Service line Advisory Segment Role type Full-time Areas of Interest Consulting Location(s) Remote - US - Remote - US - United States of America About The Role: CBRE is seeking a Consulting Sr Manager - Organizational Design & Transformation to join our high-performing Americas Consulting team. This role is ideal for a strategic advisor with deep expertise in organizational design, process mapping/governance, and enterprise transformation-ideally within the corporate real estate (CRE) domain. As a CBRE Consulting Sr Manager - Organizational Design & Transformation, you will own the design and delivery of client-centric solutions across high-impact projects. You'll work closely with Fortune 500 clients, CRE leaders, and cross-functional teams to guide transformations that optimize structures, processes, and operating models. This role blends the...

Senior Principal Relationship and Business Development Manager (Remote-Eligible) We are currently looking for a Senior Principal Relationship and Business Development Manager to join our International Markets team. This strategic role will focus on business development for our international clients, managing a robust pipeline of new sales opportunities, and cultivating complex external relationships. The Senior Manager will act as the lead representative to identify and drive opportunities to expand business targets within the portfolio. This role is key to increasing network transaction volume and revenue generation by selling new programs, projects, and promotions, and requires actively managing and escalating risk and customer-impacting issues. Responsibilities *: * Strategic Growth: Strategically identifying leads, developing proposals and negotiating agreements to maximize network growth Business Development: Identifying and creating business cases for new...

Job Description Data Platform Sales Representative, Higher Education - Florida Overview: Are you a creative problem solver who thrives on challenges? Do you have a passion for technology innovation and driving customer success? Join Oracle as a Software Data Platform Sales Executive and help transform Higher Education institutions across Florida with industry-leading data platform solutions. Oracle is a global technology leader changing the way the world does business. We're seeking an experienced, self-motivated sales professional with a drive for results and a passion for building trusted customer relationships. If you want to make an impact in the Higher Education sector with transformative cloud and data platform solutions, we encourage you to apply! Role Summary: As a Software Data Platform Sales Representative dedicated to the Higher Education market in Florida, you will identify, qualify, and close new business for Oracle's data platform offerings,...

Job Description About Auris Auris is the payroll and HR partner built for small and medium-sized business who can’t afford to get it wrong. Trusted by over 50,000 business nationwide, Auris pairs easy-to-use technology with real human services to give leaders the confidence that every detail is done right - so they can focus on growing their team and their business. Acquired by Acrisure in 2025, Auris formerly Heartland Payroll is accelerating its vision to deliver seamless human-centered technology to help small businesses thrive. Job Summary Responsible for prospecting and running Auris Payroll presentations both in person and over the phone to small and mid-sized merchants and businesses to ultimately close deals within a fast sales cycle. As a Field Sales Representative you will report to a Payroll Division Manager and receive coaching from a Territory Manager. Activities include explaining our value proposition to clients via Atlas CRM, upselling current...

Calling all innovators – find your future at Fiserv. We’re Fiserv, a global leader in Fintech and payments, and we move money and information in a way that moves the world. We connect financial institutions, corporations, merchants, and consumers to one another millions of times a day – quickly, reliably, and securely. Any time you swipe your credit card, pay through a mobile app, or withdraw money from the bank, we’re involved. If you want to make an impact on a global scale, come make a difference at Fiserv. Job Title Relationship Manager What does a successful Relationship Manager do at Fiserv? In your role as a Relationship Manager at Fiserv, you will focus on building strategic partnerships with Enterprise clients to secure new business for Fiserv's wide range of products and solutions in relation to Merchant Acquiring. Success in this position requires a proven background in identifying and engaging new accounts, driving complex solution sales, and promoting...

The Legislative Unit of the Office of the Speaker provides direct, one-on-one legislative support to Democratic members of the Illinois House of Representatives. Successful candidates show a willingness to handle both large and small tasks, demonstrate an ability to thrive in a professional, fast-paced work environment, and can manage a heavy and diverse workload. Each Legislative Coordinator is generally assigned to staff several members of the House of Representatives. The Legislative Coordinator reports directly to a Senior Legislative Coordinator. The position is based in Springfield, Illinois. This is not a remote or hybrid position. Essential Functions Develop members’ legislative agendas and work through the bill drafting process in coordination with, Research and Legal Units, and Senior Legislative Coordinators; Maintain files on members’ legislation, track bill status, and provide bill preparation (such as talking points); Staff legislative committees and...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description This is a temporary extra help position until position ID # SMS.CS.N7830.007 is replaced Examples of Duties Invoice Analyst 70% Establishes a process for identifying under-allowed claims using Experian Health Contract Manager and other available tools. Reviews and analyzes Payer EOB/Remit information to ensure appropriate payment posting. Verifies Payer member information, patient ID card and/or eligibility to ensure appropriate registration. Compiles and submits appeals to Payers using various methods. Identifies and compiles batch appeals by payer or network, by CPT/HCPCS/Revenue code/DRG code combination, by error type or by provider. Uses Contract Manager to track appeals and recoveries. Uses feedback and experience to continuously improve communication skills for use in preparing written and telephone...

The Manager, Contracts (Non-HCP SOWs) is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role is responsible for end-to-end management of contracts that support Global Medical Affairs operations, excluding those with healthcare professionals or organizations. This includes agreements with vendors, consultants, technology platforms, contract research organizations (CROs), publication and medical education vendors, and other third-party service providers. This role will support the Global Medical Affairs team to ensure efficient operations, compliant contracting that align with global and regional regulations, Otsuka policies and GMA goals. This role reports directly into the Vendor Contracts and Management Lead who reports into the Executive Director, Medical Excellence and Operations. Job Description Key Responsibilities Include: Contract Development and Management Expertise Lead drafting, reviewing,...

Job Summary The Associate Director, R&D HCP Engagement CoE is a critical change agent and system implementer responsible for designing the operating model and overseeing the execution of a unified, compliant, and exceptional service model for all Healthcare Professional (HCP) engagement and contracting within R&D. This role will seek to transform an inconsistent process into an audit-ready, "white glove" service, providing necessary direction to a direct report responsible for day-to-day execution. While initially focusing on Medical Affairs, the vision is to cover all R&D HCP engagement over time. This position reports into the Medical Excellence & Operations Vendor and Contracts Management Lead and directly manages the Manager, HCP Engagement Lead. This position will lead the transformation of how Otsuka plans, governs, and executes interactions with healthcare professionals; ensuring all engagements are conducted with the highest standards of integrity,...

Job Summary The Manager, LMS Operations & Administration position works as part of the U.S. Ethics & Compliance Training & Documentation team to lead all components of our Learning Management System (LMS) including all non-GxP assignments and audience management, curriculum management, reporting, and tier one trouble shooting. The Manager, LMS Operations & Administration will partner with all levels of Management in both business and technology groups to advance and deliver a variety of planned and ad-hoc training initiatives. This position will have direct oversight of two Contracted Workers. Job Description Responsible for the operational oversight of all LMS activities including but not limited to: Partner with internal LMS Support Team to perform needs assessments and analysis on platform operations to ensure organizational needs are being met. Leads the incorporation, socialization, and training of resulting LMS improvements. Owns...

Job Description We are seeking a dynamic Business Development Lead to drive revenue growth by building relationships with greenfield Private Equity firms. The ideal candidate will have a strong understanding of PE investment strategies, excellent relationship-building skills, and a proven track record of developing strategic partnerships within the PE ecosystem. Key Responsibilities: Identify and build relationships with Private Equity firms. Present NetSuite value prop to PE firms Collaborate with internal teams to align offerings with PE firm needs. Track and analyze sales performance, pipeline activity, and client feedback to optimize strategies. Understand PE firms' investment strategies and value-creation goals to tailor sales pitches. Act as a trusted advisor, providing insights and solutions tailored to PE firms and their portfolio companies. Track industry trends, competitive landscape, and emerging opportunities within private equity....

Director, Technical Program Management - Capital One Software (Remote) Ever since our first credit card customer in 1994, Capital One has recognized that technology and data can enable even large companies to be innovative and personalized. As one of the first large enterprises to go all-in on the public cloud, Capital One needed to build cloud and data management tools that didn't exist in the marketplace to enable us to operate at scale in the cloud. And in 2022, we publicly announced Capital One Software and brought our first B2B software solution, Slingshot, to market. Building on Capital One's pioneering adoption of modern cloud and data capabilities, Capital One Software is helping accelerate the data management journey at scale for businesses operating in the cloud. If you think of the kind of challenges that companies face - things like data publishing, data consumption, data governance, and infrastructure management - we've built tools to address these various needs...

Full Stack Developer Anywhere Type: Permanent Category: Development Industry: Government Workplace Type: Remote Reference ID: JN -122025-104713 Date Posted: 12/10/2025 Shortcut: http://careers.eliassen.com/1rEllu Description Recommended Jobs Description: We have an immediate opening for a talented Software Developer II (Full Stack) to join our team. As a full stack developer, you'll deliver end-to-end solutions in a fast, agile environment-building software that makes a real impact. If you're excited to go beyond coding to shape systems, influence architecture, and continuously learn, we want you on our team. You'll collaborate across disciplines to design, develop, and deploy production-ready software and systems. You'll help clients overcome complex challenges using modern architectural approaches, tools, and technologies. You'll ensure solutions align with the current operating environment while anticipating future...

The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. After you click Apply Now and complete your application, you'll be invited to create a profile, which will let you see your application status and any communications. If you already have a profile with us, you can log in to check status. Need Help? (https://pp-cdn.phenompeople.com/CareerConnectResources/prod/TBJTBFUS/documents/Career\ site\ FAQ-1758133253710.pdf) If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (careers@truist.com?subject=Accommodation%20request) (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st shift (United States of America) Please review the following job description: Responsible for providing an industry leading...

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $42.24 - $48.55 - $57.41 INPATIETN PHYSICAL THERAPIST Baystate Health, a nationally recognized leader in healthcare quality and safety, and home to the only Level 1 trauma center for complex spine and spinal cord injuries and conditions and traumatic brain injuries (TBIs) and home to Baystate Rehabilitation, a comprehensive rehab program providing services throughout western Massachusetts is looking for a per diem Physical Therapist...

Project Management Consultant Job ID 251290 Posted 11-Dec-2025 Service line Corporate Segment Role type Full-time Areas of Interest Project Management Location(s) Remote - US - Remote - US - United States of America About the Role: As a CBRE Project Management Consultant, you will be responsible for providing consulting services to an assigned market or client account to help achieve the company's strategic business objectives. This job is part of the Project Management function. They are responsible for the management of projects from initiation through completion. What You'll Do: Project manage the design, implementation, and deployment of a global supplier risk management platform across multiple regions and business units. Act as the primary liaison between global and regional stakeholders, including Procurement, HSE, Privacy, D&T, and Finance teams and work with them to prepare all elements of the project. This includes the...

Welcome to Gordon Food Service! We are excited that you are thinking about opportunities with us, and we have an amazing story to share. See below for a quick glance of who we are and the impact you could have on the food service industry. There's a seat at our table for you... Position Summary: Manage and develop Gordon Food Service business relationships with profitable regional multi-unit chain customers. Defines project scope and assumes ownership of all prime vendor presentations. Essential Functions: Manage the development of new and existing multi-unit business within assigned region, defines project scope and assumes ownership of all prime vendor presentations and participates in the regions long range planning process. Acquires new business through development of a key account prospect list and implementing business plans accordingly. Collaborates with key decision-makers and executives of accounts and prospective accounts to build and...

Cybersecurity Analyst Job ID 248917 Posted 10-Dec-2025 Service line Corporate Segment Role type Full-time Areas of Interest Digital & Technology/Information Technology Location(s) Remote - US - Remote - US - United States of America About the role Executes on Cybersecurity governance, risk and compliance activities to evaluate and reduce information technology (IT) risk. Supports with the identification, management and mitigation of risk. This individual is learning the Cybersecurity space, and building a knowledge base of risk controls, analysis, assessments, methodologies, and mitigation strategies. Receives direction from management and takes action with manager review and approval. Individuals in this role are exploring niche spaces to specialize in, including: cyber risk management, controls, policies and standards, disaster recovery, vulnerability management, vendor risk management, assessments and control testing. What you'll do...

Data Quality Control Specialist Job ID 250946 Posted 08-Dec-2025 Service line PJM Segment Role type Full-time Areas of Interest Building Surveying/Consultancy Location(s) Remote - US - Remote - US - United States of America About the role We at the Facility Condition Assessments (FCA) Team at CBRE are currently seeking a Data Quality Control Specialist who is involved ensuring that the Building Consultancy's data is accurate, consistent, and reliable for facility condition assessments, capital planning, and asset management. Primary duties include identifying data issues, developing and enforce quality standards, and collaborating with various teams to provide client deliverables in a timely manner. We are only reviewing candidates with Architecture or Engineering Technology, or Construction experience at this time. What you'll do Key duties of data quality control professionals include: Data Profiling and Assessment: Analyze...

Workplace Strategy & Occupancy Planning Manager Job ID 250685 Posted 08-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Workplace Strategy Location(s) Mountain View - California - United States of America, Remote - US - Remote - US - United States of America About The Role: As a CBRE Workplace Strategy & Occupancy Planning Manager, you will play a crucial role in optimizing our real estate portfolio, ensuring the efficient use of space, and developing a workplace environment that improves employee efficiency, collaboration, and engagement. The ideal candidate will blend strong data analysis skills with a forward-thinking approach to workplace design and policy. Role requires candidate to be in Pacific/Mountain/or Central time zones, working on Pacific Coast hours and be willing to travel to the Bay Area once a month for a week at a time. What You'll Do: Develop and analyze short-term and long-term occupancy...