- 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 ... support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist...obtained with 9 months of hire date Knowledge of medical terminology and anatomy and physiology required. Knowledge of… more
- Yukon-Kuskokwim Health Corporation (Bethel, AK)
- Position Summary: Responsible for accurate and timely submission and recovery of healthcare claims . As the entry level Recovery Specialist , this individual will ... adjust to an uneven flow of incoming workload. Ability to coordinate reimbursement resolution with all payer types. Must be able to demonstrate excellent time… more
- Yukon-Kuskokwim Health Corporation (Bethel, AK)
- …Responsible for accurate and timely submission and recovery of healthcare claims . Responsible for all routine actions required in resolving account balances. ... accomplished within established time frames. Ability to coordinate reimbursement resolution with all payer types. Position Qualifications: Reasonable accommodations… more
- Universal Health Services (Reno, NV)
- …and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Claims Resolution Specialist is a pivotal role in ... as primary resource and lead for special projects. The Claims Resolution Specialist also leverages...Competitive Compensation & Generous Paid Time Off + Excellent Medical , Dental, Vision and Prescription Drug Plans + 401(K)… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while ... documentation and account records, as well as timely issue resolution . In this role, you will ensure work is...and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role… more
- University of Rochester (Rochester, NY)
- …**Qualifications:** + Required: 1. Associates degree and 2 years of professional medical claims billing and collecting experience. OR Certification obtained from ... calls, correction of a claim - rebilling, investigation of medical documentation, addition of a modifier, claims ...identifies problems and takes appropriate action to assure claim resolution . **10%** Mails paper claims with appropriate… more
- Robert Half Accountemps (Greendale, IN)
- …seeking a detail-oriented and highly organized individual to join our client's team as a Medical Insurance Claims Follow Up Specialist . In this role, you ... while supporting the delivery of quality healthcare services to patients. Requirements Medical Claims , Claim Denials, EOB - Explanation of Benefits, … more
- Atrius Health (Chelmsford, MA)
- …* Proficient knowledge of medical terminology and billing rules and regulations, claims resolution and HCPCS, ICD10 and CPT-4 coding required. * Strong ... and welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** * Medical Claims Follow-Up Specialist - $1,000… more
- 2-10 Home Buyers Warranty (Chantilly, VA)
- Inbound Claims Specialist II - Remote Targeted... handling or processing experience; Property, Auto, Warranty, or Medical claims . + 5+ years of office ... enjoys working in a team environment. As an Inbound Claims Specialist II, you will apply your...Possess critical thinking skills to analyze and negotiate a resolution with experience in resolving highly escalated situations. +… 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
- Extra Space Storage (Salt Lake City, UT)
- …recommend us as a great place to work. **Position Overview:** As a Property Claims Specialist , you will play a pivotal role in overseeing the comprehensive ... claims management process, ensuring the swift and efficient resolution of property claims . This multifaceted role...+ Great work/life balance and hybrid work schedule + Medical , dental, and vision benefits + Health Savings Account… more
- WelbeHealth (CA)
- …on the aptitude to work independently, adhere to timelines, and comprehend intricate medical claims . **Essential Job Duties:** + Oversee the workings of our ... leadership and other internal and external stakeholders, the Claims Research and Recovery Specialist will be...accountable for second level provider disputes, the review and resolution of claims related issues, and performing… more
- NJM Insurance (Hammonton, 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
- Providence (Anaheim, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- EquipmentShare (Columbia, MO)
- EquipmentShare is Hiring a Insurance & Claims Specialist EquipmentShare is searching for a Insurance & Claims Specialist for our corporate office in ... mission, and values. + Utilize knowledge in the overall claims process with a focus on workers' compensation. +...a Better Place to Work + Competitive salary. + Medical , Dental and Vision coverage for full-time employees. +… 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
- Axis (Princeton, NJ)
- …to determine liability, damages, and coverage. * Timely makes recommendations regarding resolution strategy for such claims including reserve adequacy; executes ... draft coverage letters * Collaborates in the defense and resolution of claims * Evaluates full pending...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and… more
- ProMedica Health System (Toledo, OH)
- …full complement of insurance products for employers of any size, including medical , dental, vision and workers' compensation, as well as vocational rehabilitation, ... SUMMARY Responsible for providing workers' compensation third party administration claims management to Stated-Funded and self-insured employers. ACCOUNTABILITIES +… more
- TEKsystems (Deerfield, IL)
- …$50,000 + Bonus potential: $8,000 + Deferral Program Opportunity up to 15% Description Claims Specialists work one on one, via phone, with travelers who travel with ... travelers to find a cost effective, efficient, and compassionate resolution . - A-Z white Glove Customer Service - Thinking...bonuses and on call bonuses * 4 departments Claim specialist , service team, accounting, admin (no degree required) will… more
- TEKsystems (Houston, TX)
- …prescription/ medical insurance. Relevant call center experience working with medical claims /authorizations (including appeals and denials) is highly ... Description: *Provide subject matter expertise on medical and prescription insurance coverage/ verification, claim billing, medication prior authorization and appeal… more