- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
- Commonwealth Care Alliance (Boston, MA)
- …sessions with key providers; orient providers on CCA's policies related to: Claims and service recovery ; Program benefits; Clinical initiatives; Referral and ... provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including… more
- Morley (Madison, WI)
- …information to customers, managers and clients + Initiate status reports or service recovery letters to the inquirer + Route inquiries when appropriate + Educate new ... Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 7 am...time sensitive **_Nice to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health… more
- Molina Healthcare (Detroit, MI)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
- Carrington (Old Greenwich, CT)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Workers' Compensation Claims Management Specialist Intermediate/Senior** **Job Class: Workers' Compensation Claims Management Specialist ... injuries, accidents, and other damages and losses. As a claims management specialist , you will administer and...cases and provide cost estimates of various solutions; settle claims where feasible; pursue subrogation recovery ; and… more
- MTA (New York, NY)
- Claims Specialist Job ID: 12936 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office of Insurance ... Mgt Date Posted: Sep 4, 2025 Description JOB TITLE: Claims Specialist DEPT/DIV: Risk & Insurance Management...MTA and its subsidiaries and affiliates to ensure timely recovery of settlement funds from liable adverse carriers. +… more
- NJM Insurance (Parsippany, NJ)
- The Workers Compensation department is searching for a Claims Account Specialist (I). The Claims Account Specialist will be responsible for contacting ... implement an action plan to manage the claim. The Claims Account Specialist will work with and...all parties + Recognize and investigate subrogation opportunity for recovery of third-party funds + Work with the policyholder… more
- Waste Connections (The Woodlands, TX)
- …- a plus if you have experience handling New York and Canada liability claims ! + Claims Recovery experience + Experience working with commercial ... Waste Connections is currently seeking an experienced Liability Claim Specialist to join our Risk Department. The position is...strategy + Assist field locations in administration of liability claims , subrogation recovery of claims … more
- Elevance Health (Columbus, OH)
- … Recovery Specialist II** is responsible for the discovery, validation, recovery , and adjustments of claims overpayments and claim corrections. May do all ... **Financial Operations Recovery Specialist II** **Onsite Requirement:** **Virtual;**...are not limited to: + Reviews and validates PrePayment claims for potential savings opportunities using various techniques including… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ;… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- Sedgwick (Tallahassee, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist | Medical Malpractice (PL) | Remote, Florida **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
- Elevance Health (Norfolk, VA)
- …Operations Recovery Specialist II is** responsible for the discovery, validation, recovery , and adjustments of claims overpayments. May do all or some of ... leaders passionate about transforming American healthcare delivery._ **Financial Operations Recovery Specialist II** **Location: Norfolk, VA** **Virtual:** This… more
- Elevance Health (Indianapolis, IN)
- …leaders passionate about transforming American healthcare delivery._ **Financial Operations Recovery Specialist I** **Virtual:** This role enables associates ... is granted as required by law._ The **Financial Operations Recovery Specialist I** is responsible for setting... I** is responsible for setting up and adjusting claims overpayments that have been previously identified. May do… more
- Kelly Services (Menands, NY)
- Claims Specialist Location: Menands, NY (Onsite) Company: Local non-profit organization Schedule: Mon-Fri, 9am-5pm Pay Rate: $24/hour to start A local nonprofit ... is seeking a skilled and detail-oriented Insurance and Claims Specialist to support a public health assistance program. This role is responsible for ensuring… more
- The Hertz Corporation (Oklahoma City, OK)
- **A Day in the Life:** The Recovery Specialist is responsible for managing claims including billing, collections, and adjustments. This role partners with ... and works with customers and insurance carriers to resolve claims over the phone and through email. We expect...**What You'll Do:** + Contact accounts to resolve outstanding claims quickly and accurately. + Research and document collection… more
- Elevance Health (Indianapolis, IN)
- **Financial Operations Recovery Process Specialist ** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of ... an accommodation is granted as required by law. The **Financial Operations Recovery Process Specialis** t is responsible for providing technical direction, guidance… more
- Avera (Sioux Falls, SD)
- …the patient, appropriate third party payers as well as following up on outstanding claims . This position will serve as a liaison with patients and other third party ... proficient in billing and collections using an automated system and electronic claims processing. This position requires the ability to work with minimal… more
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