- MultiPlan (Atlanta, GA)
- …maximum discounts and savings on behalf of payor/client. JOB ROLES AND RESPONSIBILITIES: 1 . Manage a high volume of healthcare claims thoroughly to maximize ... and individual goals by contacting provider on all assigned claims and presenting a proposal while maintaining high quality...to establish ongoing global or concurrent agreements for future claims * Update provider data base for reference and … more
- Rose International (Woonsocket, RI)
- …Hiring Organization: Rose International Position Number: 462763 Job Title: Billing Specialist - Pharmacy Insurance Specialist Job Location: Woonsocket, RI, ... needs and requirements. ** Position Summary * As a Pharmacy Insurance Specialist , you will be responsible for ensuring that all required third-party insurance… 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 Condition 44 ... enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist , Revenue Integrity Auditor,… more
- DivIHN Integration Inc (Orlando, FL)
- …contact one of our Talent Specialists Rakeshwar at ### Title: Medical Billing Specialist Location: Orlando, FL Duration: 6 Months Description: Collector play a vital ... read an explanation of benefits (EOB). Analytical skills are crucial for a collections specialist . Need to be able to use various tools and systems. Problem solving… more
- Blanchard Valley Health System (Findlay, OH)
- …and accurate documentation on all account activity. JOB DUTIES/RESPONSIBILITIES Duty 1 : Responds to telephone traffic with patients, visitors and other hospital ... the creation of a detailed bill and required primary & secondary insurance claims forms as applicable. Understands payer specific guidelines for prompt payment and… 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 ... overdue service requestsAssist with research notifications of ATM shortages, file claims with armored courier as required, and manage open claimsEnsure that… more
- Toyota Boshoku America, Inc (Hopkinsville, KY)
- …in conflict or corrective action situations to ensure fair and consistent treatment. 1 . Coach, guide, and mentor group leaders and other members of management on ... and investigate compliance issues regarding workers' compensation injuries and claims , attendance, corrective actions, harassment, etc. 4. Support facilitation of… more
- Creative Financial Staffing (Raleigh, NC)
- …Hire Orientation responsibilities as needed. Qualifications of the Payroll and Benefits Specialist : 1 + years of experience processing payroll and benefits ... CFS is looking for a Payroll and Benefits Specialist in Raleigh, NC!! If you are a...and other relevant laws. Manage short- and long-term disability claims and ensure compliance with ERISA, Cafeteria Section 125,… more
- MultiPlan (Atlanta, GA)
- …and generate measurable results. This rolepursues collections on errant healthcare claims made to various healthcare provider entities. JOB ROLES AND ... RESPONSIBILITIES: 1 . Collect overpayments made by insurance companies and processes...to defined work output standards and involves high volume claims collections. Work involves direct contact with internal and… 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
- Nucor Harris Rebar (Englewood, CO)
- …Recycling, a division of Nucor Corporation, is seeking applicants for our Safety Specialist position. Western Metals is a world leader in scrap metal recycling, ... sustainability and stability. Fortune Magazine recently ranked Nucor No. 1 on their list of the World's Most Admired...properly filled out and on site. Support Workers Compensation claims and work with case managers on claim management… more
- Creative Financial Staffing (Grand Rapids, MI)
- …supervise all phases of accurate billing of primary, secondary, and tertiary claims to Medicare, Medicaid, Commercial, Work Comp, Automotive, and all others, within ... insurance timely filing limits. Includes billing initial claims , corrected claims , and canceled ...and timespans in KARE. Coordinates with the Client Access Specialist Supervisor to ensure front end client access … more
- LHH Recruitment Solutions (Alcoa, TN)
- Medical Denials Specialist - Onsite in Alcoa TN LHH is seeking a Medical Denials candidate with 1 or more years of experience, for our client in Alcoa! This ... rate: $16 to $18/hour Responsibilities will include: . Reviewing denied/rejected claims from carriers (Medicaid, Medicare, Managed Care, and Commercial insurances) .… 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...in use at Prairie Ridge Health. Shift: Monday-Friday, days. Hybrid work available after training. FTE: 1 .0 Powered by… more
- Zelis (Atlanta, GA)
- …to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand: ( 1 ) the procedures billed on the ... Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement … more
- Randstad US (San Antonio, TX)
- inbound claims specialist . + san antonio , texas + posted april 1 , 2024 **job details** summary + $17.50 - $18 per hour + temp to perm + no requirements + ... will transfer to the appropriate team + Only taking claims submitted through the phone, not looking for cases...customer on the phone Skills + Fraud Investigation + Claims Processing + Claims Qualifications + Years… more
- Medical Mutual of Ohio (Centerville, OH)
- **_The SDC - Claims /Customer Care Specialist - TPA position allows you the flexibility to work at home as long as you reside within a 50-mile radius of an Ohio ... performance expectations, service philosophy, and service level agreements. **Responsibilities** **SDC- Claims /Customer Care Specialist I** . Utilizing multiple… more
- The Hartford (Scottsdale, AZ)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Bodily Injury (CCU BI) and is a… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I - CBO ... reimbursement for all claims from government and third party payers. The Claims Specialist is responsible for preparing and submitting timely and accurate… more
- City of New York (New York, NY)
- …current City of New York employees serving in a permanent civil service title of CLAIMS SPECIALIST . The Bureau of Law & Adjustment (BLA) is responsible for ... with latitude for independent analysis, judgment and initiative, the Claims Specialist Level II responsibilities include, but...be posted for at least five work days. Qualifications 1 . A baccalaureate degree from an accredited college or… more
