- Fairview Health Services (Hibbing, MN)
- …and procedural codes to medical records for purposes of data retrieval, analysis and claims processing . The coding specialist is responsible for effectuating ... **Job Overview** **Fairview Range is hiring** **a Concurrent Inpatient Coding Specialist ** **in** **Hibbing, MN (REMOTE)** **.** As a Concurrent Inpatient Coding … more
- CVS Health (Augusta, ME)
- …- Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Robert Half Accountemps (Alhambra, CA)
- … for acute care facilities, using your expertise in UB-04 claims processing . The Hospital Medical Insurance Collections Specialist must be proficient with ... in Los Angeles is currently seeking a Hospital Medical Insurance Collections Specialist to join our client's team. The Hospital Medical Insurance Collections … more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Medical Support Specialist - Claims Augusta, Maine | Community... and claims data from the MaineCare claims processing system and the accuracy of ... oversight necessary to ensure accountability and efficient and effective administration. The Claims Adjustment Division oversees the re- processing of claims … more
- Kelly Services (Ontario, CA)
- …fits your lifestyle isn't always easy. That's where Kelly(R) comes in. We're seeking ** Claims Specialist - Workers Compensation** to work in a leading provider ... your life. Why you should apply to be a ** Claims Specialist - Workers Compensation** : Opportunity...a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional… more
- Adecco US, Inc. (Youngtown, AZ)
- …now! Adecco is currently assisting one of its clients in their search for a ** Claims Specialist ** working **remotely (must reside in AZ or MST time zone)** Pay ... click on Apply Now and upload your resume.** The Claims Specialist works on the full range...and productivity * Contributes subject area expertise to determine processing guidelines and assess if standards have been met… more
- Acosta Group (Tampa, FL)
- …to provide high quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** + Trains and mentors Claim associates on ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...procedures for assigned clients and adheres to them when processing claims + Makes the final decision… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Risk and Claims Specialist RISK MANAGEMENT (BILLINGS ... $23.92 - 29.90 Under general supervision, the Risk & Claims Specialist is responsible for providing administrative,...Management Plan that organizes both risk prevention measures and claims processing and management systems for Billings… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....Set up No-fault claim files which includes issuing and processing NF2 application, confirming the City's involvement on the… more
- Cognizant (Columbus, OH)
- …ensuring all mandated government and state regulations are consistently met + Processing claims for multiple plans with automated and manual differences ... ** Claims Process Specialist (remote)** **JOB PURPOSE**...Minium of two-three years of Medicaid and or Commercial claims payer processing experience. Technical Competencies: +… more
- Adecco US, Inc. (Dublin, OH)
- …click on Apply Now and don't forget to upload your resume!** **Responsibilities:** The Claims Specialist works on the full range of claims , correspondence, ... of the goals and priorities of the team. The Claims Specialist also does their part to...be looking at 100s of data points * Email processing - Claims submitted by brokerages with… more
- Equitable (Charlotte, NC)
- Quality Review Specialist , Disability Claims ( 25000069 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED ... Specialist to join our Disability and Paid Leave Claims organization. The Quality Review Specialist is...review of Short Term Disability and Paid Leave claim processing . Ideal candidates will have a creative mindset for… more
- Axis (New York, NY)
- …NY office following in person orientation, provided performance is satisfactory. The Reinsurance Claims Specialist is a key contributor to the reinsurance team ... Specialist - Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York...collaborate with team members to ensure timely and efficient processing of claims * Evidence based problem… more
- Pike Corporation (Fort Mill, SC)
- Position Overview: The primary purposed of the Claims Specialist is to manage claims made related to Workers' Compensation and possibly Auto, General ... Liability and Property damage. This Specialist position requires a good working knowledge of Workers...database. . Handles multiple functions related to business operations, claims processing , and office workflows. . Recognizes… more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purposed of the Claims Specialist is to manage claims made related to Workers' Compensation and possibly Auto, General ... Liability and Property damage. This Specialist position requires a good working knowledge of Workers...database. + Handles multiple functions related to business operations, claims processing , and office workflows. + Recognizes… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Axis (Alpharetta, GA)
- …is available upon request for candidates taking part in the selection process. Cyber Claims Specialist - Salary Grade I This is your opportunity to join ... ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting Ensure file set up… more
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