- 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
- Zurich NA (Sacramento, CA)
- Claims Specialist II (Workers...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...develop and execute a negotiation strategy and plan for resolution + Ability to identify subtleties in customer/client and/or… more
- Zurich NA (Atlanta, GA)
- Commercial Property Claims Specialist II 128418...within the coverage. + Working to have a timely resolution to claims by developing case strategy; ... limits. + Meeting quality standards by following best practices Claims Specialist II Basic Qualifications:...develop and execute a negotiation strategy and plan for resolution + Ability to identify subtleties in customer/client and/or… 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
- Publix (Lakeland, FL)
- …reported annually. Of those 21,000 events, approximately 8,100 become claims . The Claims Specialist II also exclusively handles Fleet, CQA, QRE and ... **35050BR** **Position Title:** General Liability Attorney Rep Claims Specialist , Risk Mgmt - Lakeland...represented customer claims and attorney represented customer claims to a resolution + for evaluating… 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
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials ... analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals,… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II , D-SNP Team (ALD) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... 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 Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... 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
- Wacker Chemical (Ann Arbor, MI)
- Customs Compliance Specialist II Job Location (Short): Ann Arbor, MI, USA, 48108 | Charleston, TN, USA, 37310 Posting Start Date: 9/17/25 Do you want to take ... Arbor, we are looking for you as a(n)Customs Compliance Specialist II . This role will provide direction...This role will support auditing and investigations regarding customs claims and inquiries. Candidates should have a high degree… more
- Hartford HealthCare (Farmington, CT)
- …HealthCare will always be the first. The Accounts Receivable & Denial Specialist II assures timely and accurate submission of claims on UB04 or HCFA1500 ... hospitals, medical group and homecare. Accounts Receivable & Denial Specialist II is responsible for the following...claim is denied; . Takes appropriate action for payment resolution ; documents all activity in accordance with standard work… more
- Needham Bank (Needham, MA)
- …will be in accordance with regulatory compliance guidelines. The Customer Care Center Specialist II will identify the customer's service and banking needs and ... service and banking solutions, education and information and issue resolution to our Needham Bank customers and communities via...the Customer Care Center channel. A Customer Care Center Specialist will advise, advocate and deliver on the service… more
- Beth Israel Lahey Health (Burlington, MA)
- …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials, and...Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 2 - 3… more
- Guthrie (Towanda, 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
- 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
- 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 ... inquiries and research for both internal and external clients. Successful Dispute Resolution Specialist II must be capable of following limited, conceptual… more
- Cedars-Sinai (Los Angeles, CA)
- …our care the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : ... performing duties which may include reviewing and submitting multi-specialty claims to third party payors, performing account follow-up activities, updating… 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
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