- 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)
- …, 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)
- …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 UB-04 outpatient or inpatient claims , or other coding reasons and processing charge corrections...all aspects of Payment Resolution Specialist role to support progressive responsibility.… more
- Acosta Group (Hillsborough County, FL)
- **DESCRIPTION** The Claims Resolution Specialist is responsible for validating and clearing claims against promotional offers, analyzing claims to ... with Acosta, client and customer policies and procedures. The Claims Resolution Specialist will communicate...claims processing. "/> **RESPONSIBILITIES** + Trains and mentors Claim associates on validating and clearing claims … more
- Penn Medicine (Philadelphia, 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
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible...various health insurances, including knowledge of hospital and professional claim forms required. + Experience with revenue codes, CPT,… 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
- Pilgrim's (Greeley, CO)
- Accounting Resolution Specialist Purpose and Scope/General Summary: We are looking for an Accounting Resolution Specialist for Pilgrim's who responds to ... and plants via phone and email. + Investigate root cause of claims /deductions (transportation, plant, sales, customer error etc.) + Acquire required documentation… 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
- Acuity Brands (Conyers, GA)
- …entry, simple to medium order management, intake of all customer inquiries and resolution of any small task , regardless of domain. Candidate should continually seek ... a customer does not have to repeat information * Diagnose issue/need; Submit RFA/ claim /CFA form on behalf of the customer per company policy **Company Initiatives:**… more
- Bob's Discount Furniture (CT)
- …individuals who respond to concerns relative to furniture purchases, deliveries and warranty claims . The Customer Support Supervisor ensures that his or her own work ... is in compliance with applicable laws, regulations and guidelines, as detailed in policies located on the Company intranet. As a member of our Customer Support team, they must display a positive attitude and a passion for helping our internal and external… 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 (Houston, TX)
- …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
- Travelers Insurance Company (Richardson, TX)
- …motivated and enthusiastic team player to join our Strategic Resolution Group Claim team as a Technical Specialist handling complex toxic tort, latent ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...injury, sexual misconduct and/or environmental claims that may present significant financial exposures. With general… more
- The Hartford (Penn, PA)
- …as we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Bodily Injury (CCU BI) and ... 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