• Claims Resolution Specialist

    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
    Integra Partners (01/31/24)
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  • Medical Claims Follow-up…

    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
    University of Rochester (03/07/24)
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  • Medical Insurance Claims

    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
    Robert Half Accountemps (03/20/24)
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  • Medical Claims Follow-Up…

    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
    Atrius Health (01/02/24)
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  • Inbound Claims Specialist II…

    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
    2-10 Home Buyers Warranty (03/22/24)
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  • DP&E Claims Specialist

    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
    Axis (02/03/24)
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  • Property Claims Specialist

    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
    Extra Space Storage (02/28/24)
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  • Claims Research & Recovery…

    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
    WelbeHealth (03/22/24)
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  • Complex Claim Specialist (Workers'…

    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
    NJM Insurance (03/01/24)
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  • Lead Claims Specialist

    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
    Providence (03/12/24)
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  • Insurance & Claims Specialist

    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
    EquipmentShare (01/31/24)
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  • Claims Specialist - Primary Casualty

    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 (03/22/24)
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  • Senior Claims Specialist

    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
    Axis (02/22/24)
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  • Claims Examiner Specialist

    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
    ProMedica Health System (03/24/24)
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  • Claims Specialist

    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 (03/21/24)
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  • Pharmacy Claims Specialist

    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
    TEKsystems (03/27/24)
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  • Payment Resolution Specialist I-PFS…

    Trinity Health (Farmington Hills, MI)
    …further review. Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. Other duties as ... care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or… more
    Trinity Health (03/08/24)
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  • Client Care Center- Servicing Specialist

    Truist (Wilson, NC)
    …track all unresolved issues accurately, to ensure timely follow up and resolution . Servicing specialists act as client advocates to track client complaints and ... executing on the Truist Purpose, Mission and Values. 2. Investigate and provide resolution to clients' requests to Care Center, branches and other lines of business,… more
    Truist (03/23/24)
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  • Coding Payment Resolution Specialist

    Trinity Health (Farmington Hills, MI)
    …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... all aspects of Payment Resolution Specialist role to support progressive responsibility....organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance,… more
    Trinity Health (03/23/24)
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  • Accounts Receivable Resolution

    MaineGeneral Health (Waterville, ME)
    …Come be with us. Job Description: Join Our Team as an Accounts Receivable Resolution Specialist The Opportunity: This role presents an exciting opportunity to ... and electronic formats as per departmental and payer guidelines. Review and edit claims for accuracy before submission to payers, ensuring the correct diagnosis and… more
    MaineGeneral Health (03/13/24)
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