- 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...and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist | Medical Malpractice (PL) | Remote, Florida **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury … more
- 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 selected ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers...effectively and efficiently manage loss exposures. Responsibilities: + Assign medical or other experts to case and arrange for… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... and telecommunication across multiple areas of the organization to ensure customer resolution is complete - Lead investigations into claims overpayments,… more
- ICW Group (Las Vegas, NV)
- … claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, ... everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on… more
- Axis (Short Hills, NJ)
- …candidates taking part in the selection process. About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role ... value. Evaluating coverage and claim exposure, determining appropriate actions, and pursuing claims until resolution . Settng accurate and timely claim reserves… more
- Sedgwick (Long Beach, CA)
- …, Professional Liability **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… 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 ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We provide an amazing...I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established… more
- Arrow Exterminators, Inc. (Atlanta, GA)
- …Full Time Arrow Exterminators is currently seeking a highly skilled and proactive WC Claims Specialist to lead and oversee the day-to-day management of our ... . + Serve as the primary liaison between the company and the TPA for claims handling, escalation, and resolution . + Monitor claim activity to ensure timely… more
- Axis (Red Bank, NJ)
- …candidates taking part in the selection process. About the Team AXIS is hiring a Senior Claims Specialist - EPL and Fiduciary Claims for its North America ... Claim Team. This role involves managing primary and excess claims for various AXIS policy forms. How does this role contribute to our collective success? The… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Axis (Chicago, IL)
- …specialized insurance sectors. What Will You Do In This Role? * Serving as a Claims Specialist focused on Management Liability Claims within AXIS' North ... The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength...as a litigator or litigation manager, well-versed in dispute resolution . * Write coverage letters independently with precision and… more
- CVS Health (Franklin, TN)
- …funeral homes, beneficiaries and family members, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of final ... expense claims for reimbursement through knowledge of life ...require additional scrutiny or validation to ensure proper claim resolution . + Communicates with funeral homes, beneficiaries, family members,… more
- Ascension Health (Austin, TX)
- …and resolving health-care claim payment appeals and communicating resolution /determination in accordance with the standards and requirements established ... 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)
- …the handling of cargo including documents, images, and verbal communication for use in the resolution of claims . + Investigate product claims made by or on ... **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Capture data related to potential claims of overages, shortages, and damages of customer products and unexpected… more
- HCA Healthcare (Nashville, TN)
- …recognized. Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...vary by location._** We are seeking a Coding Account Resolution Specialist -Outpatient for our team to ensure… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Ophth Clinical Support Location: Penn Presbyterian ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...39th Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor… 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 ... research for both internal and external clients. Successful Dispute Resolution Specialist II must be capable of...Full‐time associates are eligible for our benefits package: + Medical + Dental + Vision + 401(k) plan +… more
- Truist (Arlington, TX)
- …track all unresolved issues accurately, to ensure timely follow up and resolution . Servicing specialists act as client advocates to track client complaints and ... executing on the Truist Purpose, Mission and Values. 2. Investigate and provide resolution to clients' requests to Care Center, branches and other lines of business,… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...and payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials… more
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