- AssistRx (Orlando, FL)
- …data quality issues. Successful applicants will have experience with Excel Pharmacy Claims experience is a huge plus Requirements + Developing reports and analytics ... with clients to ensure that continuity and level of service are maintained + Remain informed and up to...unsolicited resumes from search firms or any other vendor services . Any unsolicited resumes will be considered property of… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the ... for over 500 Guthrie Medical Group providers and facilities to be compensated for services performed by providers. Of key importance is accurate and timely entry of… more
- Ventura County (Ventura, CA)
- …in accordance with the business needs of the department. Staff Services Specialist I and II are represented by Service Employees International Union (SEIU) ... application programs and interfaces. PAYROLL TITLES AND APPROXIMATE ANNUAL SALARIES: Staff/ Services Specialist I: $71,094.44 - $101,886.33 Staff/ Services … more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after ... training. The Complex Claim Specialist will be responsible for contacting...reporting practices + Prepare, attend, and participate in Claim Reviews as needed with the Claims … more
- Zurich NA (Schaumburg, IL)
- …management of all communications and reporting associated with the life of a claim . At Zurich North America Claims we acknowledge that work life-balance and ... Environmental Sr. Mass Litigation Claim Specialist 114101 Zurich is currently... executives. At this level, you will provide technical claims service on mostly litigated claims… more
- CEENTA (Huntersville, NC)
- Primary Objective The Insurance Specialist creates and sends medical claims for the insurance companies and the patients. The Insurance Specialist is ... correct amount. Other responsibilities include following up on unpaid claims , clarifying discrepancies, reviewing bills, and confirming eligibility. Essential… more
- CRC Insurance Services, Inc. (Brewster, NY)
- …mentioned below. Specific activities may change from time to time. 1. Evaluate claims , reporting forms and cancellations and initiate necessary corrections to ... additional activity as appropriate. 3. Determine where new loss claims should be reported. 4. Manage all claim...eligible for Company matching contributions after one year of service and attainment of age 21. Teammates also receive… more
- City National Bank (Los Angeles, CA)
- **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment ... identification of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate...of actions as needed. + Perform quality checks of claims for accuracy and feedback for the claim… more
- INTERNATIONAL COSMETICS & PERFUMES (New York, NY)
- TITLE: Specialist , Accounts Receivable REPORTING TO: Manager, Accounting FLSA: Exempt LOCATED: New York, NY (Hybrid) JOB OVERVIEW: This full-time role executes ... Operations, Sales, and 3PL Partner Team regarding chargebacks reconciliations, investigations, and claim filings + Manages daily and weekly reporting of cash… more
- Magellan Health Services (Albuquerque, NM)
- …authorization issues. + Completes data entry for tracking and reporting of claim disputes. + Adjudicates claims and adjustments. + Assists in providing daily ... is responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts... Specialist Grade 20 Work Experience - Required Claims , Customer Service Work Experience - Preferred… more
- Axis (Princeton, NJ)
- …AXIS is seeking a ** Claims Specialist ** to join our North America Claims team reporting to the Manager of Casualty Claims . This position requires ... for both the oversight and management of TPA handled claims . This is primarily a casualty position, but multi-line...contact at these distribution partners, delivery of a best-in-class claim service to the end user/insured. +… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES...reporting . The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
- Axis (New York, NY)
- …with Insureds, Claimants, attorneys and brokers ensuring a premier and best practices claim service is maintained, escalating issues as appropriate * Documents ... claims to conclusion * Set accurate and timely claim reserves and make referrals to senior members of...processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting … more
- Salt Lake City Corporation (Salt Lake City, UT)
- Position Title: Utilities Development Review Specialist Job Description: Reporting to Utilities Development Review Coordinator, incumbent assists with the ... all developer-initiated water, sanitary sewer and storm drainage extension and service connection agreements; assists with the management of all related construction… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date: Jun 19, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For more ... Requisition No: 822431 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000116 Pay Plan:...service . + As directed, assist in scanning paid claim files and other documents, with the Lottery's document… 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 ... may vary by location._** We are seeking Insurance and Claims Specialist PACE Program, for our team...Under general supervision, oversees coordination and analysis of payable claims to outside vendors for services provided… more
- Magellan Health Services (Maryland Heights, MO)
- …documentation. 2+ years of claims processing experience. General Job Information Title Claims Systems Specialist I Grade 20 Work Experience - Required ... Provides support to Claims Operations by investigating and resolving systemic issues...system files and interfaces for membership, authorizations, providers, pricing, reporting and financial. Assist in testing and documenting of… 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 ... services , offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for… 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 ... services , offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for… more
- McCarthy Tire Service (Wilkes Barre, PA)
- Program Sales Collection and Claims Specialist Wilkes Barre, PA . Administrative Apply Now JOB TITLE: Tire Program Sales Analyst EXPERIENCE IN THE TIRE INDUSTRY ... Trainer in identifying store locations needing best practice support. . File claims and handle disputes with vendors regarding dealer credit variances . Working… more