- Magellan Health Services (Maryland Heights, MO)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... ensure all pertinent information is recorded both for ease of resolution by the Claims Department and service continuation for the customer. + Processes… more
- Sedgwick (Jefferson City, MO)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... claims specific to the product liability / life sciences...resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry… more
- HCA Healthcare (Belton, MO)
- …for benefits may vary by location._** Come join our team as an Inpatient Coding Resolution Specialist . We care for our community! Just last year, HCA Healthcare ... We care like family! Jump-start your career as an Inpatient Coding Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that… more
- Travelers Insurance Company (Jefferson City, MO)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O… more
- Entergy (Ironton, MO)
- …contract governance and provide oversight of supplier performance management, including claims management and dispute management/ resolution + Establish and ... **Job Title:** Capital Projects Procurement Specialist **Work Place Flexibility:** Onsite **Legal Entity:** Entergy...TX This position may be filled as a Procurement Specialist Senior or Senior Staff based on the qualifications… more
- Sedgwick (Kansas City, MO)
- …Fortune Best Workplaces in Financial Services & Insurance Remote Housing Support Specialist Schedule: Monday- Friday 10am-7pm EST **PRIMARY PURPOSE** : To serve as ... adjusters, and vendors to ensure smooth transitions and effective problem resolution during the housing period. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Serves… more
- Tri-County Mental Health Services (Kansas City, MO)
- …Skills/Abilities: * Excellent communication skills, both written and verbal. * Skilled at claims resolution with insurers. * Ability to use basic business ... Billing Specialist Summary **Title:** Billing Specialist **ID:**...for claim submissions, payment posting, invoice submission, and denial resolution . Ability to produce and explain patient statements to… more
- Entergy (Portageville, MO)
- …contract governance and provide oversight of supplier performance management, including claims management and dispute management/ resolution + Establish and ... with a focus on rotating and reciprocating generation and/or renewables. The specialist will support the identification, development, and execution of projects by… more
- Mass Markets (MO)
- …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... forms to score calls based on communication skills, adherence to scripts, and problem resolution . + Analyze call data to identify trends and areas for improvement. +… more
- Cognizant (Jefferson City, MO)
- …In this role, the successful candidate performs advanced level work related to resolution of hospital denials. This position will be responsible for root cause ... Coding Initiative Edits (NCCI), technical payer policies, appeal documentation and resolution . In addition, this position will be responsible for identification,… more
- Highmark Health (Jefferson City, MO)
- …of the change or problems and takes appropriate steps to effect resolution . (10%) + Reviews and interprets medical information, classifies that information into ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more