- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date: Apr 17, 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: Lottery Exempt Serv… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance...have knowledge of compliance issues as they relate to claims processing and ability to identify and… more
- NJM Insurance (Trenton, NJ)
- …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...center personnel in maintaining accuracy in data elements and processing crucial to effective claims processing… more
- CVS Health (Columbus, OH)
- … claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... information for claim or reconsideration. Required QualificationsRequired 2+ years of Medical claims processing experience Familiar with ICD and CPT coding… more
- University of Rochester (Rochester, NY)
- …through telephone calls, payer website, and written communication to ensure accurate processing of claims . **20%** Follows up on 'non-routine' denied accounts ... Responsibilities **Job Summary** The Physician Billing specialist is responsible for resolving unpaid or rejected...regulations to review and follow up on unpaid insurance claims bringing about prompt payment of all outstanding receivables.… more
- Aerotek (Tempe, AZ)
- …Workers Compensation Compliance Supervisor for adjustments + Monitors and reviews workers compensation claims and the claims processing ; identifies claims ... **Overview:** **Aerotek has an immediate opening for a Claims Review Specialist - Workers Compensation at the corporate office in Tempe, AZ.** **Job Summary:**… 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...and deadlineswith extreme attention to detail and ownership + Claims Processing experience ( **preferred** **)** +… 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...and deadlineswith extreme attention to detail and ownership. + Claims Processing experience ( **preferred** **)** +… more
- Lowe's (Mooresville, NC)
- …internal knowledge base. * Handles multiple functions related to business operations, claims processing , and office workflows. * Recognizes and resolves basic, ... **Job Summary:** The primary purpose of the Claims Support Specialist is to provide...working in a corporate environment * 6 months previous claims processing experience **Preferred Qualifications:** * Associate… more
- Robert Half Accountemps (Norfolk, VA)
- …in the higher education sector located in Norfolk, Virginia for a Medical Billing/ Claims /Collections specialist . This role offers a contract to hire employment ... * Utilize medical billing skills to ensure accurate and timely processing of all claims * Work directly with insurance providers to resolve any discrepancies… 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. ... The Complex Claim Specialist will be responsible for contacting all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- 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 for researching...as a part of a team. + Basic word processing proficiency. This includes the ability to: insert tables… more
- Crawford & Company (Kalamazoo, MI)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Crawford & Company (Portland, OR)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …and tracks aged, pending, and open reports to maintain timeliness in claims processing . **Education/Experience:** + High School/GED required. + Associate's ... ** Claims Enrollment Specialist ** Location: Philadelphia, PA...determine member eligibility in the Facets system to attach claims for processing for members. Follows all… more
- Crawford & Company (Lake Zurich, IL)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary ... action plan to manage the claim. The Claim Resolution Specialist 1 will work with and communicate to NJM...seek authority as needed. This role will manage litigated claims of low complexity for further development within this… more
- 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 ... responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts as liaison between members, providers and internal… more
- Providence (Salem, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims for members, ... member issues or concerns + Correctly analyze and adjudicate claims to reflect financial, check, and processing ...adjudicate claims to reflect financial, check, and processing accuracy **We welcome 100% remote work for residents… more