- Louisiana Department of State Civil Service (Baton Rouge, LA)
- WORKERS' COMPENSATION DISPUTE RESOLUTION SPECIALIST 1/2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4543846) Apply WORKERS' ... COMPENSATION DISPUTE RESOLUTION SPECIALIST 1/2 Salary $2,602.00 - $4,682.00...the state's Workers' Compensation procedures as they relate to resolution of disputed claims . Researches, examines, and… more
- Trinity Health (Farmington Hills, MI)
- …, Interprets data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment ... Serves as part of a team of clinical payment resolution colleagues at an assigned PBS location responsible for...reimbursement based upon services delivered and ensuring that the claim is paid/settled in the most timely manner possible:… more
- Trinity Health (Farmington Hills, MI)
- …and variances, make corrections, and take appropriate corrective action to ensure timely claim resolution . + Proactively follows up on payment delays and ... offs, transfers, allowances, and reversals. + Makes recommendations regarding complexity of claim resolution and the appropriateness of transferring account to… more
- Trinity Health (Farmington Hills, MI)
- …as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new systems and processes ... and variances, make corrections, and take appropriate corrective action to ensure timely claim resolution . + Proactively follows up on payment delays and… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... and CPT-4 procedural codes for CMS-1500 outpatient or inpatient claims , or other coding reasons and processing charge corrections...all aspects of Payment Resolution Specialist role to support progressive responsibility.… more
- Penn Medicine (Radnor, PA)
- …the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution . Responsibilities: + Responsible ... Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Oral Surgery Location:...position will work out of assigned work queues handling claim edit work queue resolution as well… more
- Magellan Health Services (Albuquerque, NM)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... level of detailed quality and professionalism. + Assists with claim dispute resolution through research and facilitating...+ Completes data entry for tracking and reporting of claim disputes. + Adjudicates claims and adjustments.… more
- State of Indiana (Indianapolis, IN)
- Resolution Specialist Date Posted: Jun 6, 2024...of this role could include: + Serves as a claims specialist and subject matter expert for specific ... thrive in a changing economy. Role Overview: As the Resolution Specialist , you will review and determine...applicant's entitlement to benefits related to UI and TRA claims . Communicates and collaborates with claimants, employers, federal and… more
- Penn Medicine (Philadelphia, PA)
- …expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution . They may assist with ... Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Entity:**...PBO. This position will investigate and follow up on claim edits and work denials and underpayments by insurance… more
- Centers for Independence (Milwaukee, WI)
- ** Claims Resolution Specialist ** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Description** **_Job Purpose_** : The Claims Resolution ... Specialist is responsible for verifying, resolving, and entering various documents accurately by the required deadlines. This position is responsible for making sure iLIFE is compliant with all contractual and regulatory requirements. **_Essential Job… more
- Hormel Foods (Willmar, MN)
- **DEDUCTION RESOLUTION SPECIALIST - FOODSERVICE - CORPORATE OFFICE (AUSTIN OR WILLMAR, MN)** Relocation is not eligible for this role. **RESPONSIBILITIES:** + ... overall process efficiencies of the total suspense dollars, promotional activity, audit resolution individually and within a team. + Works directly with external… more
- MaineGeneral Health (Waterville, ME)
- …Come be with us. Job Description: Join Our Team as an Accounts Receivable Resolution Specialist The Opportunity: This role presents an exciting opportunity to ... as per departmental and payer guidelines. Review and edit claims for accuracy before submission to payers, ensuring the...the correct diagnosis and procedure codes are used. + Claim Resolution : Review and address claim… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …+ Experience with Salesforce preferred + Bilingual- Spanish preferred Dividend, Loan Resolution Specialist LOCATION -- Cincinnati, Ohio 45227 Fifth Third Bank, ... banking at Fifth Third Bank. GENERAL FUNCTION: The Loan Resolution Specialists work hand-in-hand across multiple departments including legal,...that spans more than 150 years. We've staked our claim on looking at things differently to make banking… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...insurance companies, patients and the departments to ensure the claims are processed and followed up to meet the… more
- Ally (Austin, TX)
- …- 5PM CST Top 3 things we're looking for: experience with working insurance claims , able to follow up with documents needed and manage call volume, effective ... communicator that is detailed oriented. We prefer experience with insurance industry, someone who is able to manage collections, escalations and call transfers. And an analytical person with the ability to pay attention to details. **The Work Itself** * Act as… more
- Travelers Insurance Company (Hunt Valley, MD)
- …player with extensive industry experience to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent ... May supervise claim professionals handling their own inventory of complex claims , building knowledge of those matters. Provide guidance and expertise in forging… more
- Travelers Insurance Company (Hunt Valley, MD)
- …team player with industry experience to join our Strategic Resolution Group Claim team as a Sr. Technical Specialist handling complex toxic tort, latent ... claim and coverage determination or in handling severe, highly complex liability claims and litigation, or comparable claim litigation or legal experience, OR… more
- The Hartford (Hartford, CT)
- …we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Construction (CCU-CD) and is a ... Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after ... plan to manage the claim to final resolution . The Complex Claim Specialist ...policyholder's reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- Entergy (Russellville, AR)
- …the RFx processes, supporting supplier negotiations, and providing supplier management support for claims , invoice resolution , etc. The specialist will have ... Site Procurement Specialist (Nuc) **Date:** Jun 6, 2024 **Location:** Russellville,...with stakeholders to analyze and develop company position on claims and disputes; + Establish/maintain relationships with suppliers/partners, based… more