- USAA (Olympia, WA)
- …us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will...in compliance with all state regulatory requirements. Property Adjuster Specialist focus on using technology and desk adjusting for… more
- 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
- UPMC (Pittsburgh, PA)
- …solving problems, helping others, and working with purpose? As a Direct Member Reimbursement Claims Service Specialist I at UPMC Health Plan, you'll be at the ... meet our quality and compliance standards. As the DMR Claims Service Specialist , you are a trusted...during your scheduled hours, ready to answer questions, conduct research , and provide clear, empathetic support. What You'll Be… 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** : 13210 **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
- Rising Medical Solutions (Tampa, FL)
- The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with the program requirements while ensuring ... + Maintain ongoing knowledge of program requirements + Analyze and process claims for accuracy, eligibility, and benefits coverage + Retain and strengthen… 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
- 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
- CVS Health (Monroeville, PA)
- …the Monroeville area, has an opportunity available for a full time Pharmacy Claims Biller/Adjustment Specialist . As a Biller/Adjustment Specialist , you will ... ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals and insurance… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... procedures, functions. * Design/create websites, APIs, and batch processes. * Research trending technology and assist management in implementation of new… more
- Ascension Health (Austin, TX)
- …outside agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- Lineage Logistics (Novi, MI)
- This position will address overage, shortage, and damage issues; research causes of OS&Ds analyze root causes; determine resolutions; and communicate findings to ... DUTIES AND RESPONSIBILITIES** + Capture data related to potential claims of overages, shortages, and damages of customer products...and verbal communication for use in the resolution of claims . + Investigate product claims made by… more
- University of Michigan (Ann Arbor, MI)
- Research Informatics Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first ... that directly relate to this position. **Job Summary** The Research Informatics Specialist (RIS) will play a...+ Strong knowledge of real-world healthcare data (EHR, procedures, claims ) and its application in clinical research … 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
- Allied Universal (Fargo, ND)
- **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... and eligibility. **Job Description:** Allied Universal(R) is hiring a Surveillance / Claims Investigator. Surveillance / Claims Investigators validate the facts… more
- Access Dubuque (Dubuque, IA)
- …Fortune Best Workplaces in Financial Services & Insurance Advocacy Coordination Team Specialist **PRIMARY PURPOSE** **:** To actively research , resolve, and ... Advocacy Coordination Team Specialist **Sedgwick** 1 Positions ID: R67132 Posted On...including but not limited to FMLA, Accommodations, and disability claims ; and to execute technical and jurisdictional requirements for… more
- Spectrum Billing Solutions (Skokie, IL)
- …+ Supplemental Benefis CM Analyst | Revenue Cycle Billing Specialist | Insurance Specialist | Revenue Cycle Claims Specialist | Medical Billing ... accurate manner + Verify correct insurance filing information + Research , resolve and resubmit any rejected claims ...| Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- City of Jacksonville (Jacksonville, FL)
- Workers' Compensation Specialist - Hybrid Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/5129299) Apply Workers' Compensation ... Specialist - Hybrid Salary $55,375.54 Annually Location Jacksonville, FL...the monitoring, reviewing, investigating, and processing of workers' compensation claims . Work requires knowledge of techniques, methods, and procedures… more
