- MultiPlan (Atlanta, GA)
- …subject to defined work output standards and production which involves high volume claims resolution . Work involves direct contact with internal and external ... overcome objections and apply effective telephone negotiation skills to reach successful resolution on negotiated claims . * Up to 40% of time will be on phone… more
- Blanchard Valley Hospital (Findlay, OH)
- … of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits. Support ... to support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist , Revenue Integrity Auditor, Revenue… more
- Blanchard Valley Hospital (Findlay, OH)
- …quarterly internal quality audits of the PCISS, in coordination with the Coding Claims Resolution Specialist . Provide feedback and documented education to ... the Vregarding the results and areas of opportunity for improvement. Complete monthly follow-up audits and monitoring, as needed. Duty 6: Work with the Compliance Department to provide assistance in response to investigational or potential compliance risks.… more
- Cambia Health Solutions, Inc (Portland, OR)
- Network Management Business Operation Specialist or Senior, DOERemote opportunity for residents of OR, WA, ID and UT Primary Job Purpose The Network Management ... Business Operations Specialist and Senior apply analytical skills, project management, and subject matter expertise to research and resolve issues, support various… more
- Cambia Health Solutions, Inc (Portland, OR)
- …of OR, WA, ID and UT Primary Job PurposeThe Provider Contract Management Specialist (PCMS) is responsible for support to ensure accurate development and execution of ... the contract database (eg Care Management, Audit teams).The Provider Contract Management Specialist Senior (PCMSS) is more experienced and highly proficient in the… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... to compile appropriate documentation and medical records to submit appeals or corrected claims in a timely manner. This position applies prior knowledge of denials… more
- WSFS Bank (Newark, DE)
- …reinvent service vendor management, ATM Cash Forecasting, and Vault Cash resaleThe TCM Support Specialist will be part of the ATM Help Desk team, a unit responsible ... accurate and timely informationThis will include type of service, estimated resolution times, billing status and service resolutionsAssist in armored courier… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …improving the health of our communities. About the Role:Job SummaryThe Patient Safety Specialist will support the NGPG Patient Safety & Risk Management programs by ... safety initiatives, risk management programs, and patient variance processes. The Specialist will monitor trends, conduct investigations and complete audits to… more
- Toyota Boshoku America, Inc (Hopkinsville, KY)
- …performance management, attendance, team member issues and concerns, etc.2. Lead resolution and/or referral of specific policy-related and procedural problems and ... and investigate compliance issues regarding workers' compensation injuries and claims , attendance, corrective actions, harassment, etc. 4. Support facilitation of… more
- Accounting Now (Tampa, FL)
- Medicare Appeals Specialist Do you like challenging payers? Enjoy that feeling of satisfaction when your appeal is overturned? Then, this position may is right for ... payment practices and trends.Filing complaints with Medicare and Medicaid agencies when claims are denied in error.Perform follow up on any outstanding claims… more
- Accounting Now (Tampa, FL)
- …payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims . Uses exceptional organization, written, and verbal ... and resolve problem accounts, and request adjustments or rebills on claims .Duties:Research, initiate follow-up, and resolve all unpaid or underpaid system debit… more
- Creative Financial Staffing (Pittsburgh, PA)
- …post payments File check stubs and bank receipts. Account reconciliations AR Specialist maintains files, records and payment resolution Verify banking ... balance bank account with Sage Research and processes customer claims of invoice payment. AR Specialist researches...processes customer claims of invoice payment. AR Specialist researches and processes charge backs, returns, and bad… more
- Creative Financial Staffing (Jessup, MD)
- Are you an experienced AR/Collections Specialist seeking an exciting opportunity with a privately-held company in Laurel, MD? Our client is actively looking for a ... to the success of their growing organization. Key Responsibilities: As an AR/Collections Specialist , you will play a pivotal role in managing the accounts receivable… 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 and resolving complex facility and professional insurance… 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 ... ensure all pertinent information is recorded both for ease of resolution by the Claims Department and service continuation for the customer. + Processes… more
- Insight Global (Jacksonville, FL)
- Job Description We are looking for a Claims Resolution Specialist for a client of ours in Jacksonville, Florida. individual will be responsible for working ... and Requirements * High school diploma/GED * 6 mo- 1 year of claims resolution * Hospital Billing/ Hospital Facilities experience * Working with United Health… more
- Centers for Independence (Kenosha, WI)
- ** Claims Resolution Specialist ** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Description** **_Job Purpose_** : The Claims Resolution ... Specialist is responsible for verifying, resolving, and entering various documents accurately by the required deadlines. This position is responsible for making sure iLIFE is compliant with all contractual and regulatory requirements. **_Essential Job… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims ; + Respond to inquiries… more
- AIG (Alpharetta, GA)
- Casualty Claims Specialist I Join us as a Casualty Claims Specialist I to grow your experience in Claims . Make your mark in Claims Our Claims ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Zurich NA (Columbus, OH)
- Claims Specialist , Property 112190 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... You will also learn how to effectively manage your claims caseload from assignment through resolution , and...required. _This role will be filled at either the_ Claims Specialist I or Claims … more
