- ValorVIP (Wichita, KS)
- …to complete account management tasks Accurately document and process customer claims in appropriate systems Follow all required scripts, policies, and procedures ... customer issues to the appropriate staff and managerial for resolution as needed. Ensure first call resolution ...cars! Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
- Curative HR LLC (Monrovia, CA)
- …with medical providers to negotiate optimal discounts on out-of-network claims submitted. *Maintain daily dispute reporting, keeping track of strict deadlines. ... Claims Negotiation Specialists are needed to combat rising...healthcare costs and empower health plans! Until recently, surprise medical bills were a leading cause of financial distress… more
- Unknown (Lakewood, NJ)
- Workers' Compensation Claims Servicing Specialist Location: Lakewood, NJ Compensation: $50,000 - $60,000 annually (based on experience) Position type: Contract ... solutions in the healthcare industry, is seeking a detail-oriented Workers' Compensation Claims Servicing Specialist for a contract position. This role plays… more
- Progressive Casualty Insurance Company (Sherman Oaks, CA)
- …and interpret medical reports, follow-up with no-fault parties, and manage claims process to ensure efficient resolution Interview, collect and document ... take the first step to Destination: Progress. As a claims adjuster specialist , you'll play a...Benefits 401(k) with dollar-for-dollar company match up to 6% Medical , dental & vision, including free preventative care Wellness… more
- PruittHealth (Norcross, GA)
- …MINIMUM EXPERIENCE REQUIRED: *Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate size and complexity, ... billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and...billing and are skilled at problem solving and account resolution . They work well within a team and help… more
- Berkley (Houston, TX)
- …The company is an equal opportunity employer. Responsibilities The Technical Claims Specialist position will be responsible for handling, negotiating ... visits to agents, policyholders, prospective accounts and other groups related to claims resolution , service or technical issues. Successfully complete relevant… more
- Progressive Casualty Insurance Company (Silver Spring, MD)
- …and interpret medical reports, follow-up with no-fault parties, and manage claims process to ensure efficient resolution Interview, collect and document ... take the first step to Destination: Progress. As a claims adjuster specialist , you'll play a...Benefits 401(k) with dollar-for-dollar company match up to 6% Medical , dental & vision, including free preventative care Wellness… more
- Progressive Casualty Insurance Company (Virginia Beach, VA)
- …and interpret medical reports, follow-up with no-fault parties, and manage claims process to ensure efficient resolution Interview, collect and document ... take the first step to Destination: Progress. As a claims adjuster specialist , you'll play a critical...Benefits 401(k) with dollar-for-dollar company match up to 6% Medical , dental & vision, including free preventative care Wellness… more
- Experity (Atlanta, GA)
- …Benefits - Comprehensive coverage starts first day of employment and includes Medical , Dental/Orthodontia, and Vision. Ownership - All Team Members are eligible for ... Employee Assistance Program - This robust program includes counseling, legal resolution , financial education, pet adoption assistance, identity theft and fraud … more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- …its employees, explore our current job opportunities below. Job Summary The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution ... providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, and pharmacy and vision… more
- Trinity Health (Howell, MI)
- …insurance, or managed care industries is highly preferred. Experience performing medical claims processing, financial counseling and clearance, or accounting ... for claims processing and maintenance of an accurate electronic medical record. Registers and checks-in patients and determines preliminary patient and insurance… more
- Astrana Health, Inc. (Houston, TX)
- Risk Adjustment Coding Specialist II (Houston, TX) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 19500 HWY 249, Suite 570 Houston, TX ... are currently seeking a highly motivated Risk Adjustment Coding Specialist . This role will report to a Sr. Manager...You'll Do Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable… more
- Skoog Co (Burnsville, MN)
- …the problem; expediting correction or adjustment; following up to ensure resolution Process customer payments and adjustments Receive customers' requests by ... a weekly roster of insurance to underwriter Contact underwriter to open claims for customers Various administrative tasks and other tasks as assigned Additional… more
- AdaptHealth LLC (Denver, CO)
- …AdaptHealth Opportunity - Apply Today! At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best ... click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire… more
- UHS (Riverside, CA)
- …of payer requirements and regulations to maximize the likelihood of successful resolution . 8. Resubmit corrected claims with the appropriate documentation and ... the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and… more
- Hospital for Behavioral Medicine (Worcester, MA)
- …to the overall success of our Business Office team. The Hospital Billing Specialist ensures claims are processed, corrected, and reimbursed in accordance with ... working collaboratively to reduce outstanding A/R and support timely claim resolution . Primary Responsibilities Submit claims through third-party intermediaries… more
- Veo - Corporate Careers (Santa Monica, CA)
- …new solutions to these exciting challenges. Job Summary As Veo's People Operations Specialist , you will play a critical role in supporting the company's rapid ... systems, and general HR policies. Workers' Compensation Manage workers' comp claims and reporting; serve as liaison between employees, managers, and third-party… more
- Quadax (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...Ability to maintain confidentiality. Working knowledge of coding and medical terminology. Excellent written and verbal communication skills. Strong… 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
- Biodesix, Inc. (Louisville, CO)
- … Specialist will be responsible for obtaining necessary patient information to submit on medical claims sent to insurance plans. They will make phone calls to ... and appeals to insurance on behalf of patients. Billing Specialist I will work closely with Client Services and...dynamic and growing reimbursement team to prepare and send medical claims to insurance companies, follow-up on… more
