- Dickinson Financial Corporation (Kansas City, MO)
- **Summary** The Dispute Resolution Specialist II is responsible for processing EFT investigation claims in a fast-paced work environment. This role will ... and research for both internal and external clients. Successful Dispute Resolution Specialist II must be capable of following limited, conceptual instruction and… more
- unifyCX (San Antonio, TX)
- UnifyCX is looking for extraordinary Resolution Specialists to join our motivated and ambitious team in San Antonio, Texas. Base Pay: $19.50/hr Additional Benefits : ... You Are: A track record of success in customer resolution or dispute management. Exceptional written and verbal communication...Suite and a knack for learning new tools quickly. Claims experience in the insurance industry (preferred but not… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- Post Holdings Inc. (Lakeville, MN)
- …in North America. **Responsibilities** **OVERVIEW:** The role of the Product Specialist is to increase consumer satisfaction and decrease company risk. This ... role deals with the most complex consumer concerns. The Product Specialist represents multiple brands and the larger organization to consumers by managing and… more
- ASRC Industrial Services (Oak Ridge, TN)
- …including receipt, review, and dispositioning subcontractor requests for equitable adjustment and resolution of claims as well as ensuring payment is in ... Subcontracts Specialist - Oak Ridge, TN Summary **Title:** Subcontracts Specialist - Oak Ridge, TN **ID:** 2345 - RSI - 01 Description **Your Next Career Move… more
- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
- Kerry (Beloit, WI)
- …Growth/ Stars customers. + Navigates internally within Kerry to ensure timely proactive resolution of issues, queries, claims and complaints providing a seamless ... responsible for all internal and external (customer) order management engagement, resolution & communication. Coordinating with the wider Customer Care team,… more
- HSBC (Miami, FL)
- High Net Worth and Ultra High Net Worth Insurance Specialist /Producer Brand: HSBC Area of Interest: Insurance Location: Miami, FL, US, 33131 Work style: Hybrid ... High Net Worth / Ultra High Net Worth Insurance Specialist /Producer will be accountable for sales revenue within assigned...clients and ensures the proper handling of any subsequent claims + Required to be client-service orientated and proactively… more
- ASRC Industrial Services (Oak Ridge, TN)
- …including receipt, review, and dispositioning subcontractor requests for equitable adjustment and resolution of claims as well as ensuring payment is in ... Senior Contracts Specialist - Oak Ridge, TN Summary **Title:** Senior Contracts Specialist - Oak Ridge, TN **ID:** 2320 - RSI - 01 Description _ASRC Industrial,… more
- Curia (Hopkinton, MA)
- Quality Assurance Specialist I in Hopkinton, MA 2nd shift: Monday-Friday, 3:00 pm - 11:00 pm Build your future at Curia, where our work has the power to save lives. ... The Quality Assurance (QA) Specialist I is responsible for maintaining Quality databases and...in order to provide traceability and substantiation of any claims to be made in the investigation. This position… more
- Sharp Electronics Corporation (Montvale, NJ)
- **Overview** The Quality Assurance Specialist is responsible for pre-production evaluation and post production life testing of Sharp and Sharp branded devices to ... ensure they meet or exceed Sharp Standards. The QA Specialist is accountable and responsible for the initial quality and ongoing quality support of assigned products… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …prescription renewals, and other requests + Assist members or patients with claims questions, billing inquiries, and account updates + Review insurance or plan ... guidelines + Escalate complex issues to the appropriate team or supervisor for resolution **Qualifications** + High School Diploma or equivalent + 1+ year of call… more
- Commonwealth Care Alliance (Boston, MA)
- …Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with ... a primary resource for resolving provider inquiries and supporting issue resolution . + Collaborate in the implementation of CCA's enterprise-wide provider engagement… more
- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... with key providers; orient providers on CCA's policies related to: Claims and service recovery; Program benefits; Clinical initiatives; Referral and authorization;… more
- Morley (Lansing, MI)
- …from beginning to end by researching and assisting customers until case resolution + Offer timely and accurate solutions through inbound and outbound conversations ... Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while ... documentation and account records, as well as timely issue resolution . In this role, you will ensure work is...HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as… more
- Entergy (Killona, LA)
- …the RFx processes, supporting supplier negotiations, and providing supplier management support for claims , invoice resolution , etc. The specialist will have ... **Job Title:** Procurement Specialist , Nuclear **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Operations, Inc.-EOI **Please note:** Authorization to… more
- Select Medical (Camp Hill, PA)
- …quarterly bonus after 90 day probationary period._ **Patient Account Representatives** and ** Claims Resolution Specialist ** candidates need to be more ... Qualifications + **Computer proficiency** and experience in windows based technologies + Claims processing experience + Phone or call center experience. + This job… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims + Respond to inquiries… more
- Zurich NA (Sacramento, CA)
- Claims Specialist II (Workers Compensation) 128028...within the coverage. + Work to have a timely resolution to claims by developing case strategy; ... Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic...develop and execute a negotiation strategy and plan for resolution + Ability to identify subtleties in customer/client and/or… more
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