- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible...HCPCs, and ICD-10 coding experience required. + Experience with medical terminology required. + Previous experience with health insurance… more
- City of Columbus (Columbus, OH)
- Workers' Compensation Claims Specialist (Employee Benefits Analyst II) (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/4505699) ... Apply Workers' Compensation Claims Specialist (Employee Benefits Analyst II) (Vacancy)...with all interested parties; developing action plans for injury claims and managing them to resolution ; documenting… more
- TEKsystems (Waco, TX)
- We are hiring for Health Insurance/ Medical Claims specialists to support a growing healthcare company in the Waco area! As a claims follow up specialist ... support our clients. If you have experience working within medical insurance roles handling claims , payer portals,...must. + This position is highly focused on the resolution of insurance processing errors and denials. + Payers… more
- Axis (Red Bank, NJ)
- … claims professional to join our Design Professional & Environmental (DP&E) claims team as a Claims Specialist . This position will ... investigations to determine liability, damages, and coverage.** **Makes recommendations regarding resolution strategy for such claims including reserve adequacy;… more
- Sedgwick (East Meadow, NY)
- …- Professional Liability **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
- Robert Half Accountemps (Costa Mesa, CA)
- Description We are looking for a Medical Collections Specialist to join our team in Costa Mesa, California. The role will focus on working with insurance ... companies, government payors, and patients for the resolution of payments and accounts. The successful candidate will be responsible for evaluating claims ,… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes… more
- Baystate Health (Springfield, MA)
- …**8)** Documents account with all information relevant to the timely submission and resolution of claims . **9)** Interacts effectively with all units to maintain ... **The Physician Billing Claim Support Specialist is responsible for ensuring accurate and complete...ensuring accurate and complete claim submissions for the Baystate Medical Practices. Utilizing multiple insurance edit reports and computer… more
- NJ Transit (Newark, NJ)
- Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... all facets of trial preparation to affect a successful resolution of litigated cases. + Utilizes knowledge, experience and...TRANSIT's assets. + Analyzes, audits and approves payment of medical bills and expenses associated with claims … more
- Intermountain Health (Salt Lake City, UT)
- …understanding of the professional revenue cycle to perform final validation and resolution of professional claims issues not requiring coding expertise. They ... perform manual charge entry and participate with Claims Solution Specialist -Coders in the continuous improvement efforts focused on increasing the efficiency and… more
- Axis (New York, NY)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and… more
- BrightSpring Health Services (Oklahoma City, OK)
- …pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third-party rejections, and coordination of ... Reimbursement* Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer… more
- Trinity Health (Farmington Hills, MI)
- …further review. Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. Other duties as ... care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or… more
- Trinity Health (Farmington Hills, MI)
- …as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new systems and processes ... care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or… more
- Truist (Whiteville, NC)
- …track all unresolved issues accurately, to ensure timely follow up and resolution . Servicing specialists act as client advocates to track client complaints and ... executing on the Truist Purpose, Mission and Values. + Investigate and provide resolution to clients' requests to Care Center, branches and other lines of business,… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... all aspects of Payment Resolution Specialist role to support progressive responsibility....organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance,… more
- Pilgrim's (Greeley, CO)
- Accounting Resolution Specialist Purpose and Scope/General Summary: We are looking for an Accounting Resolution Specialist for Pilgrim's who responds to ... via phone and email. + Investigate root cause of claims /deductions (transportation, plant, sales, customer error etc.) + Acquire...following compensation and benefits : + Benefits : Vision, Medical , and Dental coverage begin after 60 days of… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Oral Surgery Location: Centre Square West Tower- ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...Market Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor… more