- Providence (Mission Hills, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and ... experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice...+ Organize and execute Benchmark reviews as a Team Lead , including risk assessment, scheduling, sampling, GQA review team… more
- Zurich NA (Springfield, IL)
- RCIS Crop Claims Specialist 127491 Zurich is looking...with claims that may require subrogation and/or claims that may lead to litigation + ... for an RCIS Crop Claims Specialist to work out of Illinois state. This incumbent will work from a home-based office. This position is scheduled to work 40 hours… more
- Axis (Chicago, IL)
- …candidates taking part in the selection process. **Job Description** AXIS is seeking a Claims Specialist , Excess Casualty to join our North America Claims ... maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims + Escalating coverage… more
- Prysmian (Highland Heights, KY)
- …around us._ **Team Overview and Job responsibilities** This role will oversee and lead members of the Accounts Receivable team in collaboration with the team ... manager. This role is located in our Highland Heights corporate location. + Supervises the day-to-day activities of staff that comprise the accounting function to ensure accounts payable activities. + Supervises activities that might include invoice receive,… more
- AnMed Health (Anderson, SC)
- …career or looking to grow in a new direction, you'll find opportunities to thrive, lead , and make a meaningful impact here. Acts as the primary contact for patients ... to account information. Prepares and files electronically or hard copy claims . Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... FlexStaff is seeking a dynamic Claims Management Specialist for our client to...lead a dedicated group of insurance specialists, ensuring claims are processed accurately and efficiently while maintaining full… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst-Technical Lead (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished ... direction of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree of experienced analytical and solid project management… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC… more
- State of Colorado (Denver, CO)
- Nutrition Claims and Finance Consultant Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5083346) Apply Nutrition Claims and Finance ... program workplans. + Provide technical assistance to sponsors about their claims for reimbursement. + Provides subject matter expertise and oversight for… more
- Travelers Insurance Company (Houston, TX)
- …to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... will independently manage our most challenging high frequency and high severity claims and accounts which routinely present unique, complex liability and coverage… more
- Axis (Chicago, IL)
- …taking part in the selection process. **Job Description** AXIS is seeking a **_Senior Claims Specialist - Environmental Claims_** to join our North America ... and maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims and the claims… more
- Ventura County (Ventura, CA)
- …affect reimbursement for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related duties ... Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … more
- Tractor Supply Company (Brentwood, TN)
- Specialist , Workers Comp **Overall Job Summary** This position is responsible for the day-to-day management of Tractor Supply Company's workers compensation and ... document a clear plan of action to closure on claims ensuring TPA is employing proper techniques to mitigate...which is why we empower our Team Members to lead balanced lives through our benefits and total rewards… more
- HCA Healthcare (Campbell, CA)
- …worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means ... for benefits may vary by location._** **Job Summary and Qualifications** The Contract Specialist is responsible for understanding the terms of all HMO and PPO… more
- Cedars-Sinai (CA)
- …Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and ... Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s)...Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. 15. Assists… more
- Trinity Health (Ann Arbor, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Finance and Authorization Specialist - Lead Department: SCHI Location: SCHI - Linden Oaks Hours Per Week: 40 Schedule: Monday - Friday Days SUMMARY: ... The primary responsibility of the Lead Finance and Authorization Specialist is be...maintain all authorization accounts to increase billing of clean claims + Complete other duties as assigned Oncology Specific… more
- Travelers Insurance Company (Indianapolis, IN)
- …join our Strategic Resolution Group Claim team as a Sr. Technical Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... exposures. With general supervision, you will manage challenging large exposure claims which routinely present unique, complex liability and coverage issues. You… more