- BrightSpring Health Services (Oklahoma City, OK)
- …of patients nationwide through our growing network of branches and healthcare professionals. The Adjudication Specialistwill be responsible for all aspects of ... pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims...Pharmacy + 1+ years pharmacy experience + Pharmacy or healthcare -related knowledge + Knowledge of pharmacy terminology including sig… more
- Guidehouse (San Marcos, CA)
- …Diploma + One year relevant experience **What Would Be Nice To Have** **:** + Healthcare claims background + PC skills in a Windows environment are required. ... Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external… more
- HCA Healthcare (Asheville, NC)
- …where diversity and inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the Elderly) Program ... truly means to be a part of the HCA Healthcare team. **Benefits** CarePartners, offers a total rewards package...may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Support Specialist position provides comprehensive administrative support as a part of the Client Experience. The Claims ... healthcare environment. Familiar with the lifecycle of medical claims , including reviewing explanations of benefits/payments. Technical Skills: + Proficient in… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist ... member satisfaction + Serve as the escalation point for Claims Specialist ; provide guidance and mentoring to...or equivalent GED + 3 years of experience in healthcare , PBM industry or related field + 1 year… more
- Kelly Services (Tulsa, OK)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... Top Healthcare Client in **Tulsa, OK** . We're here to...so let's get to work. Apply to be a Claims Specialist today! \#CB \#PI \#T8264 As...to work. Apply to be a Claims Specialist today! \#CB \#PI \#T8264 As part of our… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** **The Default FHA Claims Specialist II will work under moderate supervision, be responsible for ... preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Performs all duties in accordance with the… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment...and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,… more
- LogixHealth (Bedford, MA)
- Location: Bedford, MA; Hybrid in Bedford, MA This Role: As a Medical Claims Data Specialist at LogixHealth, you will work both independently and with internal ... your expertise to ensure timely filing of insurance carrier claims , bank file retrieval, statement processing, accurate Explanation of...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more
- Modernizing Medicine (Boca Raton, FL)
- We are united in our mission to make a positive impact on healthcare . Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc. 5000 Fastest-Growing ... US. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping...career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced … more
- CVS Health (Monroeville, PA)
- …in the Monroeville area, has an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via ... + Perform analytical activities for the reimbursement/collections department managing healthcare accounts receivable. + Initiate refunds, offsets, and adjustments +… more
- Trinity Health (Farmington Hills, MI)
- …draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment Resolution Specialists ... outcomes. Keeps abreast of denial trends and in regulations concerning healthcare financing and payer relations through journals and professional continued education… more
- CVS Health (Phoenix, AZ)
- …What you will do . Receives and monitors the completeness and accuracy of claims forms and supporting documentation submitted by healthcare providers. . Enters ... documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely … more
- Randstad US (Duluth, GA)
- … support occupations + referenceAB_4525885 job details Are you an experienced Medical Claims specialist or Revenue Cycle Specialist who is skilled ... hybrid medical claims auditor (6 weeks). + duluth , georgia...education: High School Responsibilities + Reviewing medical records + Claims auditing + Reviewing medical claims for… more
- AIG (Cincinnati, OH)
- …insurance experience and to develop the staff into AIG's next generation of claims adjusters, underwriters, operations specialist , etc. You must have a strong ... of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying… more
- State of Colorado (Denver, CO)
- …years of professional experience testing/supporting the implementation or operation of large healthcare IT solutions like healthcare claims processing ... years of professional experience testing/supporting the implementation or operation of large healthcare IT solutions like healthcare claims processing… more
- Robert Half Accountemps (Grand Rapids, MI)
- Description We are looking for a Claims Specialist to join our team in Grand Rapids, MI. This role involves handling all aspects of workers compensation lost ... time claims and maintaining strong customer relations throughout the process....with Regulation, Expense Reporting, and Financial Notes in the healthcare sector * Excellent Time Management skills * Knowledge… more
- Robert Half Accountemps (Fort Wayne, IN)
- …is in the healthcare industry and will involve follow-ups on medical claims . The workplace environment is business casual and requires a high level of ... interaction with doctor offices. Responsibilities: * Follow-up on insurance claims and patient claims payments. * Provide customer service in relation to medical… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you have the career opportunities as a Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon, offers...you want to work as a(an) Denial Coding Review Specialist where your passion for creating positive patient interactions… more