- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary ... an action plan to manage the claim. The Claim Resolution Specialist 1 will work with and...and vendors as needed. In coordination with the Claim Resolution Supervisor, make recommendations for medical , voluntary… 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...HCPCs, and ICD-10 coding experience required. + Experience with medical terminology required. + Previous experience with health insurance… 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
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Travelers Insurance Company (Orlando, FL)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… 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 Audit and Appeals Specialist will be...for managing second level provider disputes, the review and resolution of claims related issues, and performing… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Maine Breast & Cervical Health Claims Specialist Augusta , Maine , United States | Community & Social Services | Full-time Apply by: May 8, 2024 Apply with ... submissions, work to resolve errors and discrepancies in medical claims , and provide assistance to ...data entry. + Coordinate multiple MBCHP reports. + Coordinate claims resolution and payment authorizations for breast… 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 (Alpharetta, GA)
- …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
- 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
- Truist (Whiteville, 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. + Investigate and provide resolution to clients' requests to Care Center, branches and other lines of business,… more
- 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
- Pilgrim's (Greeley, CO)
- Accounting Resolution Specialist Purpose and Scope/General Summary: We are looking for an Accounting Resolution Specialist for Pilgrim's who responds to ... via phone and email. + Investigate root cause of claims /deductions (transportation, plant, sales, customer error etc.) + Acquire...following compensation and benefits : + Benefits : Vision, Medical , and Dental coverage begin after 60 days of… more
- HCA Healthcare (Nashville, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Coding Resolution Specialist III with Parallon you can be a part of an ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...your potential! **Job Summary and Qualifications** As a Coding Resolution Specialist III (CRS III), you will… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist II Department: OTO Admin Entity: CPUP Location: Hospital of the ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...St Hours: Full time regular Summary: + The Accounts Resolution Specialist II reports to the Supervisor… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...and payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials… more
- Kepro (Tallahassee, FL)
- …partner for health Acentra Health is currently looking for Adjustment & Resolution Representative with experience in Claims /Billings to join our Tallahassee ... forms, and other medical coding schemes (certificate desired). + Ability to simultaneously maneuver through various computer claims and eligibility platforms more
- BCA Financial Services, Inc. (Nashville, TN)
- … billing, insurance billing, medical insurance billing, medical insurance claims , insurance claims resolution , insurance collector, claims follow ... Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up...Paid time off and paid holidays The Revenue Cycle Specialist will: + Work with insurance companies to determine… more
- El Paso County (Colorado Springs, CO)
- Medical Billing Specialist - Part Time Print...medical billing codes. + Strong knowledge of insurance claims processing and claims resolution . + ... (https://www.governmentjobs.com/careers/elpasocountyco/jobs/newprint/4482548) Apply Medical Billing Specialist - Part Time Salary $19.11 - $27.78 Hourly… more
- Conduent (Los Angeles, CA)
- …Experience)** The Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking reimbursement, and recovering overpayments from ... results. Insurance-Collections Specialist will handle the collection/recovery of medical claims with identified overpayments through various audits.… more