- Monster (Lake Success, NY)
- …follow-up calls investigating medical claims Submitting appeals Researching denied claims Experience processing surgical claims preferred Background ... Job Overview We are seeking a detail-oriented and knowledgeable Specialist to join our team. The ideal candidate will...cycle - who thrive on solving problems and getting claims paid. The Opportunity Join our collaborative team handling… more
- PharmaCord (Jeffersonville, IN)
- …a plus. Knowledge of the specialty drug product marketplace, health insurance claims processing , and commercialization of products and working with manufacturers ... The Quality Specialist is responsible for performing various types of...documentation, and reporting for operational quality. Responsibilities: The Quality Specialist responsibilities include, but are not limited to the… more
- Monster (Wendell, NC)
- Accentuate Staffing is currently seeking an AR/Rebates Specialist for our client in Wendell, NC 27591. The ideal candidate will have some experience in one or more ... of the following: banking, rebate processing , account management or accounts receivable. Candidates must be...and statement request. Review and process marketing co-op advertising claims . Review and process sales program and sales bonus… more
- Monster (Cary, NC)
- …Locate and enter accurate prescription insurance information on patient's profile by processing eligibility checks and adjudicating pharmacy claims . * Adjudicate ... 9am - 6pnm Patients Benefits Representative Overview: The Patient Access Specialist , Rare/Orphan will be responsible for benefits investigation, prior authorization… more
- Monster (Pittsburgh, PA)
- …all organizational accounts. With guidance from more senior staff, responsible for processing basic mandatory and voluntary corporate action claims , ... Genesis10 is seeking a Corporate Actions Specialist with our financial services client in Pittsburgh, PA. This is a 7-month contract to hire onsite position… more
- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... claim reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** ... System + 2 years retirement related experience and 2 years of claims processing experience, or 4 years customer service experience in retirement related field… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in ... files for clients for audit purposes. + Monitor accuracy/timeliness of payment processing . + Enter budget information and verify that invoices received are… more
- 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
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance...have knowledge of compliance issues as they relate to claims processing and ability to identify and… more
- AIG (Atlanta, GA)
- …your mark in: Claims Operations and Legal Departments As a Senior Legal Processing Specialist in the Claims Operations and Legal Departments, you will ... to manage risk. Join us as a Senior Legal Processing Specialist to play your part in...balancing legal research with data-driven reporting. + Support the Claims Operations and Legal teams with legal processing… more
- BrightSpring Health Services (Louisville, KY)
- 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
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist ** to join… more
- Insight Global (Nashville, TN)
- …reviews and responds to claims submitted on appeal. . Support a remote claims processing team, including coordination with an offshore team based in India. . ... Specialist performs pre- and post-payment audits of external claims ; ensures that the company rigorously manages claims...bachelors degree highly preferred . 8-10+ years of Medicare claims processing experience with knowledge of CPT4… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting...decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools including Word and… more
- Sedgwick (Indianapolis, IN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **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
- Robert Half Accountemps (St. Louis, MO)
- …with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing . This role is critical in understanding the complexities ... insurance claims , ensuring accuracy and completeness. Execute comprehensive claims processing , proactively addressing potential denial factors. Demonstrate… more
- Sedgwick (Orlando, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , Sr. 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
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial setup ... of claims , ensuring...system. You will play a key role in preparing claims for further processing by entering data,...key role in preparing claims for further processing by entering data, verifying policy details, and assigning… more
- Axis (Red Bank, NJ)
- …candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position ... + Assists in the maintenance of the guidelines for the processing of accident insurance claims + Reviews claims exceeding third party administrator threshold… more
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