- 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
- Paladin Consulting, Inc (Rochester, NY)
- Paladin Consulting is currently hiring a New Business Operations Specialist to join our team working onsite at our client's office located in Rochester, NY.We work ... ensure client satisfaction. Maintains accurate recording of all internal and external communications used for the accurate and timely setup, service and maintenance… 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 ... service philosophy, and service level agreements. **Responsibilities** **SDC-Claims/Customer Care Specialist I** . Utilizing multiple systems, applications, and reference… more
- Medical Mutual of Ohio (OH)
- … Specialist I** **.** Associate's Degree in Business Administration, Communications or related field, or equivalent combination of training and experience. ... Services Specialist II** . Associate's Degree in Business Administration, Communications or related field, or equivalent combination of training and experience.… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Utilization Management Specialist Full time, 80 hours per pay period, Day shift Covenant Health Overview: Covenant Health is the region's top-performing ... Forbes "Best Employer" seven times. Position Summary: The Utilization Management Specialist I will perform utilization management functions to include medical… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for payors ... processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up systems and reports… more
- EMCOR Group (El Cajon, CA)
- **Description** **Job Title:** **Sr. Insurance and Contracts Specialist ** **Reports to:** **CFO** **FLSA Status:** **Exempt** **Department:** **Corporate** ... Inc. (UMEC) is currently seeking an experienced Sr. Insurance and Contracts Specialist for our southern California operations, based out of our San Diego… 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 here ... theirs, too. Join our team as we help shape the future. The Claim Specialist is the highest claim handling designation within the Complex Claims Unit - Bodily… more
- City of Jacksonville (Jacksonville, FL)
- Claims Intake Specialist Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/4281514) Apply Claims Intake Specialist Salary $33,827.25 ... Risk Management Division is actively seeking a Claims Intake Specialist . Did you know as a City of Jacksonville...rules, policies, and procedures. + Ability to conduct effective communications with internal and external contacts. + Ability to… more
- CDI (St. Louis Park, MN)
- …Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining ... us and shine brighter together! As an Insurance Denials Specialist II, you will investigate and determine the reason...billing and collection of accounts receivable * Documents all communications with coworkers, patients, and payer sources in the… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate, and approve medically necessary referrals… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10750 ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- City of New York (New York, NY)
- …of New York employees serving in a permanent civil service title of Claim Specialist . The Bureau of Law & Adjustment (BLA) is responsible for investigating and ... independent initiative and judgement, the duties and responsibilities for the Claims Specialist , Level II, Affirmative Claims position include, but are not limited… more
- Baptist Memorial (Memphis, TN)
- …for accuracy. + Reviews items directed to Customer Service through MyChart communications . + Reviews self-pay accounts forwarded to Customer Service by collection ... skills as it relates to patients and insurance companies. Able to create communications to patients and insurance companies as needed to resolve issues to complete… more
- Axis (New York, NY)
- …our Design Professional & Environmental (DP&E) claims team as a Claims Specialist . This position will primarily handle environmental package policy claims arising ... correspondence, experience in writing coverage letter, and other reporting communications .** **Excellent negotiation, communication, and interpersonal skills** **Valid licenses… more
- FM Global (Woodland Hills, CA)
- …5+ years industry experience with at least 3 years as Underwriter Specialist or equivalent position with FM Global. Skills/Knowledge: Attention to detail, strong ... skills. Advanced proficiency level in the competencies of Business Communications , Exposure Analysis, Interpersonal Skills, Negotiations, Planning & Organizing,… more
- Zurich NA (Schaumburg, IL)
- Sr. Mass Litigation Claims Specialist 111708 Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg. This is an ... customers, and brokers; negotiation and claim resolution; and management of all communications and reporting associated with the life of a claim. At Zurich… more
- Truist (Greenville, SC)
- …report and monitor claims (if applicable). 11. Document member and client communications in the client management services tool according to department standards. ... 12. Prepare presentations, spreadsheets, direct bill, accounting discrepancies and other communications based on the needs of the internal team and clients. 13.… more
- Truist (Greenville, SC)
- …invited to create a profile, which will let you see your application status and any communications . If you already have a profile with us, you can log in to check ... status.** Need Help? (https://www.brainshark.com/bbandt/careers-site-faq) _If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility… more
