- 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 ... **Employment Type:** Full time **Shift:** **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs day-to- day payment … more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims * Respond to inquiries… more
- The Hartford (Penn, PA)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims ; + Respond to inquiries… 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. ... litigation. As a member of our Mass Litigation team, you will manage a claims caseload from assignment through resolution , with moderate direction from your team… more
- WelbeHealth (CA)
- …with the claims leadership and other internal and external stakeholders, the Claims Audit and Appeals Specialist will be accountable for managing second ... ** Remote Role: Must work 8am - 5pm PST Monday...level provider disputes, the review and resolution of claims related issues, and performing comparable… more
- Axis (Alpharetta, GA)
- …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...adjuster or solicitor * Attain expert comfort level in remote and work from home virtual working practices and… more
- BCA Financial Services, Inc. (Nashville, TN)
- … claims , insurance claims resolution , insurance collector, claims follow up, revenue cycle specialist , revenue cycle representative Powered by ... REMOTE POSITION - Actively Hiring Life is Short....a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday… more
- Conduent (Los Angeles, CA)
- …where individuality is noticed and valued every day. **Job Description:** ** Remote Insurance/Collections Specialist ** **Pay $17-22hr (Based on Experience)** The ... Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking reimbursement, and recovering overpayments from healthcare providers,… more
- St. Luke's University Health Network (Allentown, PA)
- …with optimal goal of receiving accurate payments and maximum reimbursement. + Statuses claims resolution , appeals and corrected claims via payer websites ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance… more
- Dickinson Financial Corporation (Kansas City, MO)
- **Summary** : The Dispute Resolution Specialist I is responsible for processing electronic funds transfer (EFT) investigation claims in a fast-paced work ... for both internal and external clients. A successful Dispute Resolution Specialist I must be capable of...researching disputes and ensuring accurate information, evaluating activity and claims , as well as performing resolution actions… more
- Access Dubuque (Dubuque, IA)
- Medicare Specialist ( Remote ) **Sedgwick** 1 Positions ID: R49083 Posted On 04/02/2024 **Job Overview** Taking care of people is at the heart of everything we do, ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Specialist ( Remote ) **PRIMARY PURPOSE** **:** To coordinate, analyze and… more
- Bozeman Health (Bozeman, MT)
- Approved Remote States 1. Arizona 2. Florida 3. Georgia 4. Idaho 5. Indiana 6. Iowa 7. Maine 8. Michigan 9. South Dakota 10. Texas 11. South Carolina 12. North ... Dakota 13. Wisconsin 14. Tennessee Position Summary: The Insurance Billing Specialist 's main focus is to obtain maximum and appropriate reimbursement for Bozeman… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Life Science Claim Specialist ( REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices and… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medicare Specialist ( Remote ) **PRIMARY PURPOSE** **:** To coordinate, analyze and ... nurses for analysis; and provides guidance and advice on processing claims based on nurses' analysis. + Requests rated-ages; tracks files/requests/submissions… more
- Universal Health Services (Tredyffrin, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... underpaid claims by assigned payer/s and defined aging criteria to...enhance front end claim edits to facilitate first pass resolution . Identifies uncollectible accounts and performs accurate and timely… more
- Logan Health (Kalispell, MT)
- Job Description Summary: Logan Health is looking for a Patient Accounting Specialist to join its team! The ideal candidate should have one year of experience in a ... in-person at Logan Health in Kalispell, Montana. It is also eligible to be fully remote , or a hybrid in-person/ remote work schedule. To be eligible to work… more
- St. Luke's University Health Network (Allentown, PA)
- …require record review. Provides billing with information needed to obtain payment of claims . Remote within local geography after orientation. JOB DUTIES AND ... ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for...and Business Office. + Monitors retro denials to ensure resolution within required time frames and logging of action… more
- McLaren Health Care (Flint, MI)
- We are looking for a Credentialing Specialist , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... and other ad hoc reports as necessary. Responsible for research and resolution of identification and resolution of credentialing issues. Identifies process… more
- Providence (Portland, OR)
- …we must empower them._** **Providence Health Plan is calling an Associate Utilization Review Specialist who will:** + Be responsible for all core functions in one or ... (PA) + Concurrent Review (CCR) + SNF + Clinical Claims + Provider Reconsideration + Member Appeals + Medical...select medical services + Provide research, assessment, and proposed resolution of operational issues as they relate to coverage… more
- Quadient (Hartford, CT)
- Quadient seeks a Customer Support Specialist in the Dallas area to cater to Strategic, National, and Government Accounts (NAGA). This pivotal role involves ... for promptly handling incoming Strategic/NAGA calls for the following: inquiry resolution , processing documents and email inquiries for district, dealer and internal… more