- Sutherland Global Services (St. Paul, MN)
- …understanding of Hospital billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school ... Do you have a background in medical collections, insurance follow-up, and revenue cycle management?...This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via… more
- Travelers Insurance Company (St. Paul, MN)
- …mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and ... multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files,...records, and reviews medical bills,… more
- Sedgwick (St. Paul, MN)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Lincoln Financial Group (St. Paul, MN)
- …ERISA requirements, statutory guidelines, and case management and appeal procedures to each claim . _Background Details_ As an Appeals Specialist you will be ... and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage,… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Sexual Assault Exam Payment Claim Specialist - State Prog Admin Sr** **Job Class: State Program Administrator Senior** **Agency: Public Safety ... support resources, and training and development opportunities. This position serves as a Claims Specialist for the Minnesota Sexual Assault Exam Payment Program.… more
- Lincoln Financial Group (St. Paul, MN)
- …at a Glance** We are excited to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. As an LTD Claims ... for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll… more
- Lincoln Financial Group (St. Paul, MN)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...initial and ongoing interviews with claimants, obtaining and reviewing medical records, and making timely and ethical claim… more
- Lincoln Financial Group (St. Paul, MN)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- Robert Half Finance & Accounting (Apple Valley, MN)
- Description Our great south metro client is seeking a Claims Specialist to join their growing team. This is a hybrid role, combining remote and onsite work. Job ... responsibilities include: * Handling assigned warranty claims from various external parties. * Reviewing claim files for accuracy and validity based on warranty… more
- Lincoln Financial Group (St. Paul, MN)
- … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- US Bank (St. Paul, MN)
- …you excel at-all from Day One. **Job Description** Responsible for claims and disputes intake, review, and/or disposition of potentially suspicious transactions, ... specialized areas of focus, including but not limited to case/ claims processing, claims , disputes and risk-based actions,...vary based on role, location or hours): + Healthcare ( medical , dental, vision) + Basic term and optional term… more
- Travelers Insurance Company (St. Paul, MN)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality… more
- USAA (Minneapolis, MN)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... makes us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist located in **East Minneapolis or St. Paul, MN** to join our field… more
- Bluestone Physician Services (Stillwater, MN)
- …: Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through ... or Florida. Responsibilities : + Review and resolve all claims errors before claim is submitted for...plans + Knowledge of ICD-9, CPT, HCPCS codes and claim regulatory guidelines + Knowledge of medical … more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the Physician. ... Reviews and analyzes medical records and coding guidelines to formulate coding arguments...to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance responsibilities. Additionally,… more
- CDI (St. Louis Park, MN)
- …a denied or unpaid claim , and take necessary steps to expedite the medical billing and collections of the accounts receivable. At CDI our passion for our ... and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging...medical billing department, prior authorization department or payer claim processing department, or 9+ months experience as Insurance… more
- CVS Health (St. Paul, MN)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical ... Position Summary/Mission Performs routine quality audits for network operations, and claim testing for PPO Network creation. Fundamental Components & Physical… more
- Cargill (Plymouth, MN)
- …deliver healthy results for our customers. **Job Purpose and Impact** The Nutrition Specialist , Core R&D, will build, execute & lead global R&D projects relevant to ... healthy aging/adult nutrition and the immune system, including medical & sports nutrition, and how these relate to a variety of health conditions, health benefit… more
- TEKsystems (Minneapolis, MN)
- …falling under the operations vertical. Skills: Quality assurance, Data Entry, QA, Claims processing, Microsoft office, Medical record Top Skills Details: Quality ... client. If the plan is missing something or the claim isn't adjudicating correctly they will send it back...experience: 3+ years of health care insurance experience. Knowing medical terminology, deductible, copay, provider language will help them… more
- Randstad US (Hopkins, MN)
- principal research specialist , clinical insights. + hopkins , minnesota + posted today **job details** summary + $50 - $60 per hour + contract + bachelor degree + ... for patients. We are looking for a Principal Research Specialist to join our Urology Clinical Insights team. This...other documents as needed. + Design studies utilizing administrative claims , Electronic Health Records (EHR), and other RWE data… more