- Hallmark Financial (Dallas, TX)
- Job Description: Job Summary The Compliance Specialist : Accurately processes monthly compliance review ensuring regulatory compliance. Essential Functions ... include the following. Other duties may be assigned. Process monthly and quarterly SOX compliance control testing. Assist with internal and external compliance audits. Maintain compliance records. Complete additional compliance related tasks as they arise… more
- Gentle Dental (Corbett, OR)
- …experts of billing, account and insurance information. You will successfully manage claims and have extensive experience in working with DentiCal insurance. From the ... first appointment to the last, our Insurance Billing Specialist lead patients to a happy and healthy smile!...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- PharmaCord (Jeffersonville, IN)
- The Quality Specialist is responsible for performing various types of audits, acting as a subject matter expert, creating documentation, and reporting for ... operational quality. Responsibilities: The Quality Specialist responsibilities include, but are not limited to the following: Conduct call and case audits for… more
- Monster (Northfield, IL)
- …response to non-conformances and questions from regulators. Participate in the development, review , and substantiation of product labeling and claims . Present ... Job Summary Under general supervision, the Regulatory Specialist is responsible for planning and executing regulatory activities necessary to bring new… more
- Monster (Wendell, NC)
- …posting/reversals, explanation of account, password resets, invoice and statement request. Review and process marketing co-op advertising claims . Review ... Accentuate Staffing is currently seeking an AR/Rebates Specialist for our client in Wendell, NC 27591. The ideal candidate will have some experience in one or more… more
- Monster (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... outpatient denials for experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment of claims… more
- AnMed Health (Anderson, SC)
- …to account information. Prepares and files electronically or hard copy claims . Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining ... to compliance in billing. Responsible for analyzing denials and initiating appeals, when necessary. Must be able to interact with patients and the general public respectfully and professionally. Maintains and exhibits a positive, supportive and safety… more
- Aerotek (Hanover, MD)
- …daily activities of the Workers Compensation department. This includes direct supervision of the Claims Review Specialist , Return to Work Specialist and ... effectively and efficiently. + Oversees large loss, settlements, and reserves over Claims Review Specialist authority + Leads and manages special projects as… more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our EDI Claims Filing Specialist opening. We promptly review all applications. Highly qualified candidates will be ... Do you have the career opportunities as an EDI Claims Filing Specialist you want with your...documentation is provided. In this role you will: + Review and prepare claims in compliance with… more
- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DEConsultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond ... claim handling experience; + Consultant: Experience with commercial general liability claims ; + Specialist : Experience with environmental or other latent… more
- MTA (New York, NY)
- Claims Specialist Job ID: 12936 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: Office of Insurance ... Mgt Date Posted: Sep 4, 2025 Description JOB TITLE: Claims Specialist DEPT/DIV: Risk & Insurance Management...brokers, self-insure, and defense counsel. + Demonstrated ability to review a case file in order to analyze liability,… more
- Billings Clinic (Billings, MT)
- …four years. Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! Claims Specialist I (Full-time) PATIENT FINANCIAL SERVICES ... claims from government and third party payers. The Claims Specialist is responsible for preparing and...reviewing errors and other prebilling insurance reports/worklists. Analyzes and review claims to ensure that payer specific… more
- Artera (Milwaukee, WI)
- Claims Specialist Summary Title: Claims Specialist ID:1772 Location:Milwaukee, WI Department:Legal More about this job > Description JOB PURPOSE: Manage ... all claims while under the general supervision of the ...claim updates to Regional Operations. + Attend Safety incident review meetings and update the RMIS accordingly. + Attend… more
- Price Benowitz LLP (Washington, DC)
- …to advocating for individuals harmed due to negligence. We are seeking a Claims Verification Specialist to bring valuable insurance industry knowledge and case ... managers. Position Overview We are looking for a detail-oriented Claims Verification Specialist with a minimum of...candidates located in the DMV region. Key Responsibilities + Review and verify personal injury case files, including medical… more
- Lincoln Financial (Richmond, VA)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
- Insight Global (Nashville, TN)
- …Description . Specialist performs pre- and post-payment audits of external claims ; ensures that the company rigorously manages claims for external services; ... ensuring accuracy, timeliness, and compliance. . Assist with Processing & Review on complex claims , including Physician and Facility claims , medical … more
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial setup ... of claims , ensuring...at our Rutherford, NJ, headquarters. Key Responsibilities: + Initial Claims Setup: + Review FNOL (First Notice...Key Responsibilities: + Initial Claims Setup: + Review FNOL (First Notice of Loss) and ensure all… more
- Axis (Red Bank, NJ)
- …candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position ... for third party administrators, responsible for audits of the TPAs and review of claims over thresholds. Key Responsibilities & Duties: + Auditing of third-party… more
- DoorDash (Tempe, AZ)
- …ambitious cross-functional partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk ... company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward… more
- Commonwealth Care Alliance (Boston, MA)
- … claims adjudication, clinical coding reviews for claims , settlement, claims auditing and/or utilization review required + 7+ years experience with ... 011250 CCA- Claims Hiring for One Year Term **_This position...regulations. The role will also be responsible for timely review and research, as necessary on all new and… more
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