- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Claims Resolution Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to ... prioritizes its employees, explore our current job opportunities below. Job Title: Claims Resolution Specialist Department(s): Customer Service Reports to:… more
- UHS (Reno, NV)
- …the patient experience. Learn more at: https://prominence-health.com/ Job Summary: T he Resolution Specialist is responsible for handling all aspects of ... degree preferred. Minimum 3 years related experience health plan experience, in claims or customer service, 3-5 years' experience with Medicare Advantage, HMO, PPO,… more
- Curative HR LLC (Monrovia, CA)
- Claims Negotiation Specialists are needed to combat rising healthcare costs and empower health plans! Until recently, surprise medical bills were a leading cause of ... that health plans and providers must follow to resolve billing disputes. The Claims Negotiation Specialists primary goal will be to maximize cost savings through… more
- Truist (Arlington, TX)
- …track all unresolved issues accurately, to ensure timely follow up and resolution . Servicing specialists act as client advocates to track client complaints and ... executing on the Truist Purpose, Mission and Values. 2. Investigate and provide resolution to clients' requests to Care Center, branches and other lines of business,… more
- Progressive Casualty Insurance Company (Concord, CA)
- …begun. Apply today and take the first step to Destination: Progress. As a claims adjuster specialist , you'll play a critical role managing attorney represented ... Analyze and interpret medical reports, follow-up with no-fault parties, and manage claims process to ensure efficient resolution Interview, collect and document… more
- The Salvation Army Central Territory (Chicago, IL)
- …Central Illinois Division POSITION DESCRIPTION POSITION TITLE: Property Accounting Specialist LOCATION/DEPT: DHQ/Property PAY GRADE: 403 PAY RANGE: 18.11-21.73 ... the territory. Insurance Responsible for insurance functions including monitoring insurance claims , facilitating receipt of insurance claims payments from… more
- UHS (Wayne, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... underpaid claims by assigned payer/s and defined aging criteria to...enhance front end claim edits to facilitate first pass resolution . Identifies uncollectible accounts and performs accurate and timely… more
- Aston Carter (Miami, FL)
- …of two years experience in accounting operations, customer service, hospitality, or claims resolution Work Environment The position requires working Monday to ... Chargebacks Specialist Job Description The Chargebacks Specialist is responsible for managing, researching, and resolving credit card disputes and chargeback… more
- PhyNet Dermatology LLC (Atlanta, GA)
- …Specialists to join our team. If you excel at insurance follow-up, denials management, and claims resolution , we encourage you to apply today. As a Denials ... Specialist , you will play a critical role in ensuring timely claims resolution and maintaining compliance with payer guidelines. Location: Atlanta, GA Hybrid… more
- AdaptHealth LLC (Des Moines, IA)
- …click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire ... Meet quality assurance requirements and other key performance metrics Facilitate resolution on customer complaints and problem solving Pays attention to detail… more
- UF Health (Jacksonville, FL)
- …inquiries from payors, patients and/or clinics to provide the needed information for claims resolution . Respond and send emails to all levels of management ... portals and or websites to insurance companies for status and resolution of outstanding claims . Review and interpret electronic remits and EOB's to work… more
- NAFI Connecticut (Hartford, CT)
- …We are exploring candidates for a full-time, detail-oriented, experienced Medical Billing Specialist to join our business team! As our Medical Billing Specialist ... our services. You will handle claim preparation, remittance processing, and problem resolution while working closely with internal teams and external partners to… more
- Mount Sinai Hospital (New York, NY)
- …requests Interaction with plan representatives regarding enrollment audits; problems and claims resolution ; identify fee schedule issues; and addressing ... Job Description Remote Medical Staff Services Health Care Specialist (Delegation/Enrollment) The Medical Staff Services Health Care Specialist is responsible for… more
- Cedars Sinai (Los Angeles, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... conflicting demands on time and attention. Superior decision-making, conflict resolution and critical thinking skills. Demonstrated ability to interact effectively… more
- EverStaff (Cleveland, OH)
- …claim rejections. Respond to payer correspondence. Draft appeals for denied claims . Research requests for insurance payment retractions. Research overpayments and ... communicate to Treasury for resolution . Monitor and notify management of payer trends and/or claim processing issues. Investigate electronic claim rejections.… more
- Republic Finance (Marietta, GA)
- …in the financial services industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides excellent… more
- Experity (Machesney Park, IL)
- …Employee Assistance Program - This robust program includes counseling, legal resolution , financial education, pet adoption assistance, identity theft and fraud ... resolution , and so much more. Flexibility - Experity is...status, follow-up on denials or partial payments Analyze denied claims to find the root cause and take necessary… more
- VetJobs (Tampa, FL)
- …claimants or their legal representatives. Recognize and implement alternate means of resolution . Manages litigated claims . Develop litigation plan with staff or ... negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Crossroads Treatment Centers (Greenville, SC)
- …environment for all employees and patients. Day in the Life of an AR Specialist Performs all duties and responsibilities in accordance with local, state, and federal ... by working various account types, including but not limited to professional claims , governmental and/or non-governmental claims , denied claims , aged… more
- Cox Communications, Inc. (San Antonio, TX)
- …make things right, pronto. That's where you come in. We're looking for an Auto Claims Specialist I to learn the ropes of resolving customer complaints and ... to sellers to dealers in coordinating and validating customer returns and claims . With Guidance, responsibilities include: Reviews customer claims to verify… more
