- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II ! This role will predominantly work remotely, Monday - Friday daylight hours. The ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to...limited direction of supervisor. + Pro-actively manages the case resolution process. May participate in mediations within limit of… more
- AON (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 ... and courteous call handling of call transfers to provide claims issue resolution . Experience: + Prior ...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you… more
- Zurich NA (Overland Park, KS)
- Auto Claims Specialist II 128801...Skill in developing and executing negotiation strategies for claim resolution Your pay at Zurich is based on your ... Gold River, CA **Job Responsibilities:** Under moderate supervision, the **Auto Litigation Claims Specialist II ** will manage commercial line auto claims … more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OB-GYN Billing Office **Location:** ... office hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Financial Partners Credit Union (Downey, CA)
- …that are over 5 days past due. This involves achieving resolution through up-to-date payment arrangements, repossession, extensions, legal actions, or charge-offs. ... accounts for field chase when necessary. + Documentation and Claims : + Review and follow up on letters of...letters of guarantee with insurance companies. + File GAP claims and process cancellations of warranties when applicable. Education… more
- Zurich NA (Schaumburg, IL)
- …129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated Claims Specialist II to join our high-performing team. This ... the loss falls within the coverage. + Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... and related health plan functions such as member services, claims , and the referral process. As well as functions...+ Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Prioritizes… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- HCA Healthcare (Nashville, TN)
- …do. We want you to apply! **Job Summary and Qualifications** The Coding Account Resolution Specialist - II (CARS- II ) works outpatient coding related ... recognized. Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- Guthrie (Sayre, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
- Cedars-Sinai (Los Angeles, CA)
- …in other revenue cycle functions and provide back-up coverage. This Revenue Cycle Specialist II is responsible for Medicare Claim Edits and employee work ... that fuels innovation. **Req ID** : 14066 **Working Title** : Revenue Cycle Specialist II (Cash Management) **Department** : CSRC Cash Management **Business… more
- HCA Healthcare (Richmond, VA)
- …is recognized. Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home position!** ... vary by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to ensure...needed, may periodically be asked to perform Coding Integrity Specialist II (CIS- II ) duties +… more
- AIG (Atlanta, GA)
- …investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned ... cases to a timely, proper resolution . This requires accurate and thorough documentation, as well...upon the applicable law, coverage and supporting evidence. Assigned claims typically consists of medium to moderate complex litigated… more
- Cedars-Sinai (Los Angeles, CA)
- …and courteous demeanor. **Req ID** : 13573 **Working Title** : Revenue Cycle Specialist II (Physician Billing) **Department** : MNS PBS Huntington Hospital ... performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating… more
- Newtown Savings Bank (Newtown, CT)
- …Inspections, Credit Bureau Reports, Title Searches, and etc. as directed by Account Resolution Specialist II and/or Loss Mitigation Supervisor/Manager. + ... join our Loss Mitigation (Collections) team as an Account Resolution Specialist I. The Account Resolution...servicing system. + Prepares and files accurate proof of claims on Chapter 13 and all Chapter 7 cases… more
- Adecco US, Inc. (Jacksonville, FL)
- …limits. . Manages the litigation process; ensures timely and cost-effective claims resolution . . Coordinates vendor referrals for additional investigation ... through well-developed action plans to an appropriate and timely resolution . . Assesses liability and resolves claims ...years of relevant experience What's in this Mail Processor II position for you? Pay: $31/hr. Shift: 8 AM… more
- Guthrie (Sayre, PA)
- …and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...2. Works closely with a Denial Resolution Specialist or Billing Specialist II … more
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote!! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and… more