- Accessia Health (Midlothian, VA)
- …manage multiple priorities, meet deadlines, and ensure accuracy in documentation and claims processing . Compassion for patients with chronic conditions and ... POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS...improved health outcomes. Assist patients with access to health insurance benefits and resources. SALARY This role has a… more
- GAP SOLUTIONS INC (Herndon, VA)
- …documents into various personnel record systems. Assisting with drafting SOP's. Processing personal liability insurance reimbursement claims . Initiating ... Category Human Resources Description Position Objective: As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers… more
- PharmaCord (Louisville, KY)
- …Audit experience a plus. Knowledge of the specialty drug product marketplace, health insurance claims processing , and commercialization of products and ... to our Talent Acquisition team immediately at ###@pharmacord.com The Pharmacy Quality Specialist is responsible for performing various types of audits, acting as a… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** ... 2 years retirement related experience and 2 years of claims processing experience, or 4 years customer...+ Paid Parental Leave + Short- and long-term disability insurance + Tuition reimbursement + Free hot lunches (buffet-style)… more
- NJM Insurance (Parsippany, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Ability to manage return to work expectations ... The Workers Compensation department is searching for a Claims Account Specialist (I). The ...8% and additional service-based contributions, Health, Dental, and Vision insurance , Life and Disability coverage, generous PTO, Paid Sick… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Administration Specialist performs timely and accurate data-entry and transactional processing in the claims administration system. The incumbent processes ... policies and member contracts, will process, enter, and adjudicate insurance claims , request needed information, and work...addition to Level I Accountabilities) * Resolves moderately complex claims processing and claims history… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and...for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations,… more
- Robert Half Accountemps (San Diego, CA)
- Description We are looking for a dedicated Medical Insurance Claims Specialist to join our team on a contract basis in San Diego, California. In this role, ... you will manage insurance claims , verify patient eligibility, and ensure accurate ...billing staff to ensure accurate processing of claims based on verified insurance information. *… 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
- UPMC (Pittsburgh, PA)
- …or equivalent required Bachelor's degree preferred + Minimum of 2 years' health insurance ; claims processing and/or customer service experience preferred + ... and working with purpose? As a Direct Member Reimbursement Claims Service Specialist I at UPMC Health...Able to use a QWERTY keyboard + Knowledge of Insurance , Managed Care, or Benefits Administration environment preferred +… more
- Illumination Foundation (Santa Ana, CA)
- …Angeles County and the Inland Empire. Job Description The role of a Billing Claims Specialist involves overseeing the billing process for customers or patients, ... processing payments, maintaining financial records, and ensuring accurate billing...billing and claims submissions. In addition, the Claims specialist is also responsible for keeping… 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 ... or equivalent medical coding certification preferred Experience + 2-4 years of insurance or healthcare experience, preferably in claims or medical… more
- Sedgwick (Long Beach, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** ... To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
- Sedgwick (Miami, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist | Medical Malpractice | Professional Liability ... **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury… 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 ... system. You will play a key role in preparing claims for further processing by entering data,... management systems (or willingness to learn). + Basic insurance knowledge is a plus but not required. +… more
- CVS Health (Franklin, TN)
- …with funeral homes, beneficiaries and family members, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling of ... of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. + Documents...stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing… more
- NTT DATA North America (Decatur, IL)
- …Ability Requirements:** + High School Education required. + Minimum 3 years experience of Claims Processing + Minimum 1 year experience processing claims ... the people who work here. NTT DATA seeks a ** Claims Refund Specialist ** on a **project** basis... Manager. This position is responsible for handling the processing of voids and refunds. **Principal Duties & Responsibilities:**… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... 1-3 years of experience in one or more of the following: call center, claims adjudication, insurance adjusting, or technical customer service (preferably in a… more
- Marriott (Bethesda, MD)
- …daily assignment of international claims , document handling, mail routing and check processing . The Claims Support Specialist reports to the Sr. ... **Pay Range:** $19.95 - $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for Claims … more
- Kelly Services (Menands, NY)
- …Pay Rate: $24/hour to start A local nonprofit is seeking a skilled and detail-oriented Insurance and Claims Specialist to support a public health assistance ... Claims Specialist Location: Menands, NY (Onsite)...claims in accordance with program policies. + Manage insurance premium processing and assist with payment… more
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