- Creative Financial Staffing (Mounds View, MN)
- …refundsPrimary Responsibilities: Review, investigate and resolve credit activity Research claim payment discrepancies and rebill/refund claims as needed ... The Accounts Receivable Credit Specialist is responsible for reviewing all insurance and patient credit balances and determine whether a refund, a transfer, a… more
- Bluestone Physician Services (Stillwater, MN)
- …2013! Bluestone also achieved Top Workplace USA 2021-2024! Position Overview : The Medical Coding Specialist role is responsible for ensuring that patients are ... proactive and includes all members of the care team. Medical providers, nurses and social workers collaborate with patients'...accuracy, and compliance of all coding assignments prior to claim submission, as well as taking appropriate steps to… more
- Travelers Insurance Company (St. Paul, MN)
- …direct supervision, this position is responsible for: Reviewing/evaluating, approving and processing Medical Only claims with: No lost time beyond statutory ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...the injured worker is on modified duty and/or total medical paid generally not to exceed $5,000 and No… more
- CVS Health (St. Paul, MN)
- … claim processing experience. - Experience in a production environment. - Medical Claim processing experience. - Demonstrated ability to handle multiple ... to complex issues. May handle customer service inquiries and problems. Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Travelers Insurance Company (St. Paul, MN)
- …mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and ... multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files,...records, and reviews medical bills,… more
- Sedgwick (St. Paul, MN)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Bell (Mound, MN)
- …beneficiaries' coverage information is correct when drugs are dispensed. Bell is seeking a Claims Specialist to join the team involved in the processing of ... provider and beneficiary claims and other duties to help fulfil the prescription...claims would be an asset + Knowledge of medical terminology would be an asset \#EmployeeReferralProgram Adequate knowledge… more
- Travelers Insurance Company (St. Paul, MN)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file… more
- Bluestone Physician Services (Stillwater, MN)
- …: Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through ... or Florida. Responsibilities : + Review and resolve all claims errors before claim is submitted for...plans + Knowledge of ICD-9, CPT, HCPCS codes and claim regulatory guidelines + Knowledge of medical … more
- Sedgwick (Minneapolis, MN)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Specialist (Remote) **PRIMARY PURPOSE** **:** To coordinate, analyze and facilitate ... team. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Compiles, reviews and analyzes claim files and/or management reports. + Compiles and organizes medical… more
- TEKsystems (Minneapolis, MN)
- …verifying the claims are processing correctly and identifying reasons a claim may be processing differently than expected. The resources will participate in ... contain all of the necessary information and if the claims are adjudicating properly. If a plan is missing...properly. If a plan is missing information or the claim isn't adjudicating correctly, the Quality Assurance Specialists will… more
- TEKsystems (Minneapolis, MN)
- …position within Benefits and beyond. Skills: Quality assurance, Data Entry, QA, Claims processing, Microsoft office, Medical record Top Skills Details: Quality ... client. If the plan is missing something or the claim isn't adjudicating correctly they will send it back...Quality test new and revised benefit plans, determine if claims are adjudicating properly, take appropriate steps once testing… more
- Cargill (Plymouth, MN)
- …deliver healthy results for our customers. **Job Purpose and Impact** The Nutrition Specialist , Core R&D, will build, execute & lead global R&D projects relevant to ... healthy aging/adult nutrition and the immune system, including medical & sports nutrition, and how these relate to a variety of health conditions, health benefit… more
- Philips (Plymouth, MN)
- The Senior RA Specialist will play a critical role in ensuring Philips Computed Tomography (CT) and Advanced Molecular Imaging (AMI) solutions are safe, reliable, ... through driving global regulatory strategy and regulatory roadmaps-understanding competitive claim landscape, legislative initiatives, and marketing strategy. **Your role:**… more
- TEKsystems (Minneapolis, MN)
- …falling under the operations vertical. Skills: Quality assurance, Data Entry, QA, Claims processing, Microsoft office, Medical record Top Skills Details: Quality ... client. If the plan is missing something or the claim isn't adjudicating correctly they will send it back...experience: 3+ years of health care insurance experience. Knowing medical terminology, deductible, copay, provider language will help them… more
- J&J Family of Companies (St. Paul, MN)
- Technical Documentation Specialist - Abiomed - 2406181920W **Description** Abiomed, part of Johnson & Johnson MedTech, is recruiting for a Technical Documentation ... Specialist located in Danvers, MA. This role is open...Johnson & Johnson MedTech, is a leading provider of medical devices that provide circulatory and respiratory support, with… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Rates and Analysis Specialist ** **Job Class: Human Services Program Representative 1** **Agency: Human Services Dept** + **Job ID** : 76546 + ... for specific benefits authorized and available under MHCP. + Producing paid claims reports for hospitals. + Generating and analyzing reports of current and… more
- CDI (St. Louis Park, MN)
- …in a medical billing department, prior authorization department or payer claim processing department * Knowledge of Workers Compensation, HMO's, PPO's, MA and ... for Diagnostic Imaging and Insight Imaging, is looking for a Lead Insurance Denials Specialist to join our team. We are challenging the status quo by shining light… more
- TEKsystems (Minneapolis, MN)
- …scorecard once out of training. Skills: Quality assurance, Data Entry, QA, Claims processing, Microsoft office, Medical record Additional Skills & ... client. If the plan is missing something or the claim isn't adjudicating correctly they will send it back...3+ years of health care insurance experience. + Knowing medical terminology, deductible, copay, provider language will help them… more
- HUB International (St. Paul, MN)
- …along your career development path. As a **Commercial Lines Client Account Specialist ** , you will provide professional, courteous account management and brokerage ... by developing relationships with others **Your job responsibilities as a Client Account Specialist :** + Serve as the primary consultant to the client working with… more
