- Eisai, Inc (Cincinnati, OH)
- …is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, ... profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, ... point of contact for the providers and/or provider relations team regarding claims research issues, facilitating effective communication and resolution of… more
- Select Medical (Camp Hill, PA)
- …potential quarterly bonus after 90-day probation. **Patient Account Representative / Claims Resolution Specialist ** Research -focused role requiring ... at $16.00/hr + potential quarterly bonus after 90-day probation. **Billing Specialist ** Seeking candidates with strong typing and computer skills, attention to… more
- Dignity Health (Bakersfield, CA)
- …and efficiency. The Claims Quality Specialist will work closely with the Claims Research colleague and other team members to enhance claims processes ... **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a...I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established… more
- University of Washington (Seattle, WA)
- …Medicine Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2).** This position is ... responsible for claims review, clearing claim edits, and timely and accurate...accounts. + Review charges for any coverage errors and research available resources (EEV, payer websites, phone call to… more
- Select Medical (Camp Hill, PA)
- …Do you enjoy puzzles and research ? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within ... **Overview** ** Claims Resolution Specialist ** **Starting at $18.50...management and organizational skills + Proven experience with investigative research . + Ability to work independently and as part… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....role will also be responsible for timely review and research , as necessary on all new and revised coding… more
- Carrington (Boston, MA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Commonwealth Care Alliance (Boston, MA)
- …Quality Assurance for further investigation or configuration updates. + Document all research , findings, and outcomes in claims systems (eg, Salesforce, Facets) ... 011250 CCA- Claims **_This position is available to remote employees...at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims … more
- Molina Healthcare (Kearney, NE)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal ... outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled...or equivalent combination of relevant education and experience. * Research and data entry skills. * Organizational skills and… more
- Carrington (Augusta, ME)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... mitigate losses for both Carrington Mortgage Services and its clients. Research incurred losses on liquidated loans, determining responsibility and identifying bill… more
- Ally (Springfield, IL)
- …Job Title: Auto Mechanic, Service Manager or Service Technician Actual Job Title: Mechanical Claims Specialist (MCS) Set Pay Rate: $27.50/hr = $57,200 + 5% ... love and passion for all things auto? The Mechanical Claims Specialist (MCS) role at Ally is...claim matters * Check for existing case information through research , manuals, database or contacts **The Skills You Bring**… more
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. Answer ... all information requests from those payers, and trace all claims to those payers making sure they have been...throughout the Puget Sound. Whether through physician clinics, education, research and innovation or other outreach, we're dedicated to… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- Citizens (Johnston, RI)
- Description As the Consumer QA QC Sr. Specialist you will work to understand, monitor and process requests that relate to high risk or complex processes. You will ... + 1-3 years' experience in financial industry + Strong organizational, research and communication skills + Intermediate proficiency in Microsoft Suite (Excel,… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** We are currently seeking a talented and driven Technical Research Specialist who is passionate, curious, and radiates optimism. The ... Enterprise Technical Research Specialist will serve as a versatile...will leverage a technical, consultative approach to our EDI Claims Management solutions and support, enhancing the experience for… more
- Stony Brook University (Commack, NY)
- …completeness and compliance with WTCHP guidelines. Validating and releasing both internal and external claims . + Research claims for payment in the WTCHP ... Claims Processor **Required Qualifications (as evidenced by an...Other duties or projects as assigned. **Special notes:** The Research Foundation of SUNY is a private educational corporation.… more
- MyFlorida (Doral, FL)
- RESEARCH & TRAINING SPECIALIST - 79001453 Date: Dec 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 865996 Agency: Business and Professional Regulations Working Title: RESEARCH & TRAINING SPECIALIST - 79001453 Pay Plan: Career Service… more
- Allied Universal (Billings, MT)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... with us and make a difference. Allied Universal(R) is hiring a Surveillance / Claims Investigator. Surveillance / Claims Investigators validate the facts of loss… more
