- Accounting Now (Tampa, FL)
- We are hiring Revenue Cycle Specialists who excel in Medicare Collections for our Revenue Operations Department. Specialists in this role will contact Medicare ... and resolve problem accounts, and request adjustments or rebills on claims .Duties:Research, initiate follow-up, and resolve all unpaid or underpaid system debit… more
- Trinity Health (Livonia, MI)
- …files, coordinating claim process activities, opening and closing claim files, securing medical records for claims and incidents, tracking claim expenses and ... two days a week._** Claim technicians are a vital component to the IRMS Liability Claims operation. The position is responsible for maintaining electronic claim… more
- Citizens (Medford, MA)
- Description As a Fraud Claims Sr. Specialist, you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at ... financial transactions. You'll use critical thinking skills to assist customers with existing claims and determine the best next step for the customer and the bank.… more
- Walmart (Bentonville, AR)
- …and responsibilities; documenting case details; determining whether payment is warranted; and managing multiple claims related to a single event as required. + ... primary job location** + Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field investigators, reconstructionists, and cause… more
- Sedgwick (Coralville, IA)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of ... disability. + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made… more
- Truist (Whiteville, NC)
- …unresolved issues accurately, to ensure timely follow up and resolution. Servicing specialists act as client advocates to track client complaints and feedback ... One year of client servicing work experience (call center, retail, hospitality, medical , etc.) + Proficiency in computer applications (eg Windows, Microsoft Office),… more
- Beth Israel Lahey Health (Plymouth, MA)
- …with malpractice, hospital litigation and depositions. + The Director will oversee the Risk Specialists for referral of lawsuits, claims and potential claims ... and patient safety issues. + Ensures that the Risk Specialists Investigate and monitor all hospital sentinel events and... Staff Officers with tracking/trending of adverse outcomes and medical malpractice claims in order to improve… more
- TEKsystems (Minneapolis, MN)
- …and provide information on claim changes, lessons learned, etc. The Quality Assurance Specialists will work within multiple systems to ensure the plans are ... Job Description: The Quality Assurance Specialists will be responsible for conducting quality testing...contain all of the necessary information and if the claims are adjudicating properly. If a plan is missing… more
- State of Colorado (Lakewood, CO)
- …What We Do : The Sales Tax Accounting Section employs professionals serving as specialists in specific industries and are assigned claims which are significant ... is actively seeking an Analyst to perform in depth reviews and analysis regarding claims for refunds that are often complex in nature. Moreover, this position may… more
- CVS Health (Hartford, CT)
- …improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our ... make health care more personal, convenient and affordable. This Claims Benefits position is Onsite at our Hartford, CT...provided under a member's health plan + Efficiently use multiple systems and screens to obtain and record claim… more
- The County of Los Angeles (Los Angeles, CA)
- …non-panel physicians on procedure for becoming approved. + Refers patients to specific medical specialists who have been certified by the State Department of ... MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse, Pediatrics -...to the program. This class manages complex cases involving multiple diagnoses and requiring coordination of services provided by… more
- Sacramento County (Sacramento, CA)
- …4/4/24, 4/25/24, *5/16/24, *6/6/24 (final) Under general supervision, Construction Management Specialists serve as assistants to the Resident Engineer on the ... construction phase of a single, complex public works project or multiple projects of less complexity. The Construction Management Specialist assists in ensuring that… more
- The County of Los Angeles (Los Angeles, CA)
- …experience will be accepted DEFINITION: Provides technical lead to Environmental Health Specialists III and Environmental Health Specialists II working in a ... duties as delegated and provide technical lead guidance to Environmental Health Specialists III and Environmental Health Specialists II engaged in inspection,… more
- Robert Half Finance & Accounting (Eugene, OR)
- …auditing and reconciling a wide range of personnel actions, unemployment insurance claims , and payroll documents for multiple companies, while also processing ... employee data and insurance claims . Our client will train to utilize Paychex payroll...employees. This position will be one of three Payroll Specialists processing payroll for multiple locations and… more
- Sedgwick (Columbus, OH)
- …supervision; to coordinate return-to-work related activities including gathering medical information for accommodation evaluation; to resolve workers' compensation ... + Provides return-to-work support for injured workers, physicians, employers and claims teams. + Gathers return-to-work data from providers, nurses and… more
- Surgery Care Affiliates (Greensboro, NC)
- …and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims , and gathers appropriate medical records to send with claims ... teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create… more
- CVS Health (St. Paul, MN)
- …affordable. Position Summary Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... complex issues. May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist adjudication authority or… more
- Colgate-Palmolive (Overland Park, KS)
- …scientific & clinical nutrition expertise during the core product and wellness claims substantiation, bundle development and approval processes. * Support the update ... and develop veterinary and clinical nutrition perspective on key competitors' claims and products to address competitive pressure and develop a cross-functional… more
- Mass Markets (Dallas, TX)
- …In this role, your primary responsibility will be working with licensing specialists in managing the licensing and registration of new and existing insurance ... are responsible for the following tasks: + Work with specialists and managers to assist agents in obtaining their...and focus + Ability to organize, prioritize, and handle multiple tasks + Advanced attention to detail + Ability… more
- Virtua Health (Berlin, NJ)
- …you to the care you need. Whether that's wellness and prevention, experienced specialists , life-changing care, or something in-between - we are your partner in ... in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in...ranked by US News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.In… more
