• Claims Specialist II

    Zurich NA (Rancho Cordova, CA)
    Claims Specialist II , General Liability 110492 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... should be expected. Zurich is currently looking for a ** Claims Specialist II ** to report...develop and execute a negotiation strategy and plan for resolution . + Ability to identify subtleties in customer/client and/or… more
    Zurich NA (05/30/24)
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  • Accounts Resolution Specialist

    Penn Medicine (Philadelphia, PA)
    …future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Entity:** CPUP **Location:** ... St **Hours:** Full time regular **Summary:** + The Accounts Resolution Specialist II reports to...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
    Penn Medicine (04/04/24)
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  • Auto Litigation Claims Specialist

    Zurich NA (Woodland Hills, CA)
    …Litigation Claims Specialist 113285 Zurich is currently seeking an Auto Litigation Claims Specialist II . At Zurich North America Claims , we ... Hills. Job Responsibilities: Under moderate direction, the Auto Litigation Claims Specialist II handles single...develop and execute a negotiation strategy and plan for resolution + Skill in identifying subtleties in customer/client and/or… more
    Zurich NA (05/24/24)
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  • Complex Claim Specialist (Workers'…

    NJM Insurance (Trenton, NJ)
    …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
    NJM Insurance (05/01/24)
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  • Underwriting Specialist II

    AON (Fort Wayne, IN)
    Underwriting Specialist II K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports and ... choose K&K for our unique insurance products and expert claims resolution . As part of an industry-leading...What the day will look like As an Underwriting Specialist II , you will report directly to… more
    AON (05/29/24)
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  • Contract and Procurement Specialist

    City of Detroit (Detroit, MI)
    Contract and Procurement Specialist II Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4496642) Apply  Contract and Procurement ... Specialist II Salary $56,807.00 - $76,242.00 Annually Location MI, MI...compliance with the terms and conditions of contracts, including resolution of problems concerning the obligations of the parties;… more
    City of Detroit (05/15/24)
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  • AR II Specialist - Hybrid Position

    Methodist Health System (Dallas, TX)
    …resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...the ability to identify patterns, trends, and discrepancies in claims and financial data. - Effective communication and interpersonal… more
    Methodist Health System (05/24/24)
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  • Coordination of Benefits Validation…

    LA Care Health Plan (Los Angeles, CA)
    Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los ... that purpose. Job Summary The Coordination of Benefits (COB) Validation Specialist ensures the accurate coordination of healthcare benefits for individuals covered… more
    LA Care Health Plan (04/27/24)
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  • Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
    LA Care Health Plan (04/27/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
    LA Care Health Plan (05/10/24)
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  • Utilization Management Nurse Specialist LVN…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary… more
    LA Care Health Plan (05/22/24)
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  • Utilization Management Nurse Specialist RN…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary… more
    LA Care Health Plan (05/07/24)
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  • Billing & Certified Coding Specialist

    Beth Israel Lahey Health (Burlington, MA)
    …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials and...Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of… more
    Beth Israel Lahey Health (03/02/24)
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  • Provider Relations Specialist II

    CareOregon (Portland, OR)
    Job Title Provider Relations Specialist II Exemption Status Exempt Department Provider Relations Manager Title Provider Relations Supervisor Direct Reports n/a ... + Research provider questions and connect them to appropriate resources; ensure resolution to root cause of provider issues and concerns. + Perform provider… more
    CareOregon (05/15/24)
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  • Insurance Specialist II -Corporate…

    Guthrie (Towanda, PA)
    …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
    Guthrie (04/11/24)
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  • Sourcing Specialist I/ II / III/ Sr.

    Boardwalk Pipeline Partners (Owensboro, KY)
    Sourcing Specialist I/ II / III/ Sr. Owensboro, KY, USA Req #1255 Wednesday, May 1, 2024 *To access Dayforce at its best, log in from the latest version of ... atwww.bwpipelines.com . We are currently looking for a Sourcing Specialist I/ II / III/ Sr. for our...procedures to expedite or coordinate deliveries. + Facilitate the resolution of disputes and claims . + Address… more
    Boardwalk Pipeline Partners (05/02/24)
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  • Revenue Cycle Specialist II

    Cedars-Sinai (CA)
    …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities,...**Req ID** : 2121 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC HB Follow… more
    Cedars-Sinai (05/01/24)
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  • Revenue Cycle Specialist II

    Cedars-Sinai (Torrance, CA)
    …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... and courteous demeanor. **Req ID** : 1194 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** :… more
    Cedars-Sinai (03/14/24)
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  • Support Specialist II

    Intrepid USA (Albany, GA)
    …individuals in the Agency in a timely manner. We are looking for an Support Specialist II who is highly organized and detail-oriented with the ability to ... acquisition, recruiting process and team members As a Support Specialist , you will be responsible for non-clinical areas of...as needed + Completing Key Performance Indicators reporting and resolution on a daily basis: . RAPs Reporting .… more
    Intrepid USA (05/04/24)
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  • Insurance Receivable Specialist II

    University of Utah Health (Salt Lake City, UT)
    …and overall patient outcomes. **Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims . + Performs contract compliance on ... This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. Account portfolio may include accounts… more
    University of Utah Health (05/09/24)
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