- Kelsey-Seybold Clinic (Pearland, TX)
- …meet work standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… more
- NTT DATA North America (Plano, TX)
- …a Remote Claims Processor to join our team in Plano, TX. **HRP Claims Processing Specialist ** **Monday-Friday 9am-5pm CST** **In this Role the candidate ... year experience with HRP system** + **1-3 year(s) of hands-on Healthcare Claims Processing experience** + 2+ year(s) using a computer with Windows applications… more
- NTT DATA North America (Plano, TX)
- …a Remote Claims Processor to join our team in Plano, TX. **HRP Claims Processing Specialist ** **Monday-Friday 9am-5pm CST** **In this Role the candidate ... with HRP system** + **1-3 year(s) of hands on experience in Healthcare Claims Processing ** + 2+ year(s) using a computer with Windows applications that required… more
- Fairview Health Services (Hibbing, MN)
- …and procedural codes to medical records for purposes of data retrieval, analysis and claims processing . The coding specialist is responsible for effectuating ... **Job Overview** **Fairview Range is hiring** **a Concurrent Inpatient Coding Specialist ** **in** **Hibbing, MN (REMOTE)** **.** As a Concurrent Inpatient Coding … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …at large + Experience with provider contract configuration and claims processing + Knowledge of PCP, specialist , hospital and ancillary contracts + ... provider contract and fee-schedules + Review provider data integrity reports + Resolve claims related tickets + Train system users + Meet performance goals as… more
- Serco (NM)
- …The successful candidate will have at least five years of experience in claims processing and evaluation, with a desired background in disaster-related losses. ... Description** We are looking for a skilled and detail-oriented Claims Appeals Specialist to join our team....If you are proficient in using technology to facilitate claims processing and communication, we want to… 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...Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor - Attends JOC meetings… more
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- Copperhead is seeking multiple Audit and Quality Control Claims Specialist for a potential contract to support disaster relief. This position involves receiving, ... evaluating, and processing claims for compensatory damages for injuries...and adherence to FEMA guidelines. Audit and Quality Control Claims Specialist will objectively review, investigate, process,… more
- Dignity Health (Bakersfield, CA)
- …Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $23.00/hour **Schedule:** 11:30 AM - 8:00 PM or 8:30 AM-5:00 PM **Language ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist ** to join… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....Set up No-fault claim files which includes issuing and processing NF2 application, confirming the City's involvement on the… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....Set up No-fault claim files which includes issuing and processing NF2 application, confirming the City's involvement on the… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting...decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools including Word and… 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,...Management Plan that organizes both risk prevention measures and claims processing and management systems for Billings… more
- Extra Space Storage (Salt Lake City, UT)
- …to providing exceptional storage solutions. We are seeking a dedicated and experienced Property Claims Specialist to join our dynamic team and play a key role ... claims processes for our properties. As a **Property Claims Specialist ** , you will play a...quality assurance measures to uphold the highest standards in claims processing . + Conduct regular audits to… more
- Pike Corporation (Fort Mill, SC)
- Position Overview: The primary purposed of the Claims Specialist is to manage claims made related to Workers' Compensation and possibly Auto, General ... Liability and Property damage. This Specialist position requires a good working knowledge of Workers...database. . Handles multiple functions related to business operations, claims processing , and office workflows. . Recognizes… more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purposed of the Claims Specialist is to manage claims made related to Workers' Compensation and possibly Auto, General ... Liability and Property damage. This Specialist position requires a good working knowledge of Workers...database. + Handles multiple functions related to business operations, claims processing , and office workflows. + Recognizes… more
- CVS Health (St. Paul, MN)
- …+ Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Applies medical necessity guidelines, ... medical claims , that may be complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. **Required Qualifications** +… more
- Serco (NM)
- **Position Description** Join our dynamic team as a Claims Quality Control Specialist , where your expertise will contribute to effective disaster claim ... processing and customer satisfaction. You will leverage your NFIP...closely with claimants and other stakeholders. **As a Disaster Claims Quality Control Specialist , you will:** +… more
- Sedgwick (Birmingham, AL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability (A&E, D&O) **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
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