- Lincoln Financial (Richmond, VA)
- …experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product...product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You… more
- Travelers Insurance Company (Richmond, VA)
- …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 ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...job functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state… more
- Travelers Insurance Company (Richmond, VA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... and our business partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Travelers Insurance Company (Richmond, VA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Sedgwick (Richmond, VA)
- …work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist - Bilingual French, Hindi, Bengali or… more
- Robert Half Finance & Accounting (Richmond, VA)
- …could be the perfect fit for you. Responsibilities: * Prepare and submit accurate insurance claims using electronic medical records systems, such as Epic ... Description We are looking for a skilled Medical Billing & Collections Specialist to...critical part in managing the revenue cycle by handling insurance claims , addressing billing inquiries, and ensuring… more
- Sedgwick (Richmond, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr. (Repair Solutions) **PRIMARY PURPOSE:** To ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your… more
- HCA Healthcare (Richmond, VA)
- …We care like family! Jump-start your career as an Inpatient Coding Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Baylor Scott & White Health (Richmond, VA)
- …tactful. + Knowledge of patient registration procedures and documentation. + Knowledge of medical insurance claims procedures and documentation. Needs to ... vary based on position type and/or level **Job Summary** The Patient Services Specialist 2 provides administrative help in a physician's office, clinic, or other… more
- Sedgwick (Richmond, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Obtains and analyzes available medical and vocational information including vocational assessment, test results, and… more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …Master's degree in interpretation + Experience in pharmaceutical, biotech, or medical industry + Experience with a global work environment **Competencies** ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Allied Universal (Richmond, VA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services ... **required** **prior to applying** **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage to include… more
- Western Digital (Richmond, VA)
- …and recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review ... is exposed) through supervision and coordination of loss prevention, asset protection, insurance , and claims control. Domestic and/or international travel may be… more
- Cardinal Health (Richmond, VA)
- …things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Highmark Health (Richmond, VA)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) **TRAVEL ... **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This...structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The… more
- Highmark Health (Richmond, VA)
- **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on claims ... risk factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance with established underwriting… more
- Robert Half Accountemps (Richmond, VA)
- Description We are looking for a detail-oriented Medical Billing Specialist with experience handling workers compensation to join our team in Richmond, Virginia. ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- Elevance Health (Richmond, VA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- HCA Healthcare (Richmond, VA)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Highmark Health (Richmond, VA)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more