- USAA (Tampa, FL)
- …guidelines. + Applies advanced medical expertise by serving as primary resource for Health Claims for the approach to medical risk assessment rules. + ... USAA Life Company's Claim Team is seeking a talented ** Medical Specialist Principal** to play a crucial...interprets relevant medical literature for application to health claims policies and guidelines. + Collaborates… 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. The Claims Resolution Specialist is responsible for researching...CPT, HCPCs, and ICD-10 coding experience. + Experience with medical terminology. + Previous experience with health … more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Risk and Claims Specialist RISK MANAGEMENT (BILLINGS ... $23.92 - 29.90 Under general supervision, the Risk & Claims Specialist is responsible for providing administrative,...software systems, developing reports, and assisting in coordination of medical malpractice claims at the direction of… more
- City of New York (New York, NY)
- …and settle claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities are in Financial Management ... employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT… more
- AON (Garden City, NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... schedule. How this role is different: Aon prioritizes the health and well-being of current and potential employees. Our...and policies. #li-am4 2558520 Aon is looking for a Claims Specialist II Do you have experience… more
- Select Medical (Camp Hill, PA)
- **Overview** **Medicare Claims Resolution Specialist ** **Starting at $17.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are ... you results-oriented? If so, our Claims Resolution Specialist position may be a...or Equivalent + One year of experience within a medical billing, medical collecting or claims… more
- FlexStaff (Bronx, NY)
- **Req Number** 158358 FlexStaff is seeking a Temp to Perm Claims Specialist for our client, a non-profit healthcare organization providing home and ... community-based healthcare and services for the elderly. The Claims Specialist will support department operations related to provider communication, pended claim… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims specialist is also responsible for keeping...Medical Insurance funded up to 91% by Illumination Health + Home (Kaiser and Blue Shield), depending on… more
- Select Medical (Camp Hill, PA)
- …to be Medicare Exhaust, specialist files Medicare part A and part B claims to Medicare. + Specialist determines if a secondary insurance is available and ... Employer/including Disabled/Veterans Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/330016/medicare-exhaust- specialist -%28healthcare- claims %29/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job… more
- AON (MA)
- Aon is looking for a Property Claims Specialist to fill a virtual role! This position is responsible for managing Enel's Property Claims Management Program. ... plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves...policies. #li-kd1 2560987 Aon is looking for a Property Claims Specialist to fill a virtual role!… more
- Aveanna Healthcare (Atlanta, GA)
- Workers Compensation Claims Specialist - Remote ApplyRefer a FriendBack Job Details Requisition #: 204769 Location: Atlanta, GA 30339 Category: OT Salary: ... Position Details This is a remote position. Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the… more
- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health… more
- Axis (New York, NY)
- …NY office following in person orientation, provided performance is satisfactory. The Reinsurance Claims Specialist is a key contributor to the reinsurance team ... Specialist - Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims Location: New York...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …as a medical office assistant, medical claims processor, or medical claims follow up specialist . **Experience** Required: Minimum of 3 years ... standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** **Department:**… more
- Sedgwick (Concord, NH)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... claims specific to the product liability / life sciences...deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as… more
- Lincoln Financial (Atlanta, GA)
- …experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product...product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You… more
- CenterWell (Topeka, KS)
- …caring community and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure ... + High School Diploma or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare collection procedures and… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...(must have):** + Knowledge and experience of claim operations, health care reimbursement, public health care programs… more
- Mass Markets (Killeen, TX)
- …cars! + Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of employment, and all employees ... in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical thinking skills,… more
- Axis (New York, NY)
- …of this, we offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and wellness programs, ... Bank, NJ; and Alpharetta, GA. * Highest level individual contributor directly reviewing claims to determine nature of loss, coverage provided, and scope of claim… more