- Select Medical (Camp Hill, PA)
- …secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide our employees ... Medical is an EOE Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/297123/ claims - resolution -- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1.0 FTE (40 hours per week) and works a ... Monday-Friday, day shift. The Claims Resolution Specialist is responsible...CPT, HCPCs, and ICD-10 coding experience. + Experience with medical terminology. + Previous experience with health insurance and… more
- Lithia & Driveway (Medford, OR)
- …problem resolution . + Build collaborative business relationships to streamline the claims resolution process and enhance overall efficiency. + Oversee the ... claims processes and safeguarding the organization. As a Specialist , Risk Management, you will be an integral part...best in class industry benefits: + Competitive pay + Medical , Dental and Vision Plans + Paid Holidays &… more
- NJ Transit (Newark, NJ)
- Senior Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation ... all possible. Summary: NJ TRANSIT is seeking a Senior Claims Specialist (TC) to conduct thorough investigation...resolution of litigated cases. + Authorizes settlement of claims on a timely basis within established level of… more
- HCA Healthcare (Brentwood, TN)
- …diploma or GED preferred + Minimum 1 year related healthcare experience in medical claims billing, both paper and electronic preferred + Relevant education ... care like family! Jump-start your career as a EDI Claims Filing Specialist today with Parallon. **Benefits**...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- City of New York (New York, NY)
- …; 3) Handle the division's participation in AAA American Arbitration Association dispute resolution on 1st party No-Fault claims and address 3rd Party No-Fault ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist - Remote ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: OT Salary: ... Position Details This is a remote position. Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the… more
- Amazon (Nashville, TN)
- …related to accidents and damages involving Amazon's growing transportation fleet. The Fleet Claims Specialist will be focusing on filing, managing and resolving ... the assigned claims management system. - Use claims system to properly document files ( resolution ...Compliance, Loss Prevention). A day in the life Fleet Claims Specialist are part of the ATS… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices and… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes… more
- HUB International (Ellicott City, MD)
- …passionate about our talent. We currently have an opportunity for a **Claim Service Specialist ** to join our team in our **Ellicott City, MD** office. The selected ... personal lines automobile and homeowners and commercial lines property and casualty claims activity in accordance with the practices, policies and procedures of the… more
- SCI Shared Resources, LLC (Whittier, CA)
- …explore alternatives, and troubleshoot situations. Elevates problems up to the Account Claims Specialist II when unable to resolve. Process funeral insurance ... claims (Global Atlantic and TruStage) and follow up with...objectives. Works under the close direction of the Senior Specialist II. **Essential Job Functions:** Must be able to… more
- Travelers Insurance Company (Irvine, CA)
- …restrictions and job is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment on more ... supervision, effectively evaluate and manage high exposure Workers Compensation claims including catastrophic loss, specified serious injury and other complex… more
- CVS Health (Pittsburgh, PA)
- …an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via refunds to patients, ... Qualifications** + 1+ years' experience performing health care reimbursement, medical billing or insurance collections, and/or account reconciliation/ account… more
- First Student (OH)
- …responsibilities of the Company's liability claim portfolio, particularly the higher exposure claims . This is done through diligent oversight of the liability and ... damage investigation of the claims ; oversight of third party administrator's claim practices and...practices and proper utilization of insurance carrier claim representatives, medical case management and other vendors as the need… more
- Providence (Mission Hills, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- BrightSpring Health Services (Englewood, CO)
- …to the Reimbursement Compliance Project Manager of the RCM Team, the Claims Escalation Specialist /Team oversees stakeholder and executive relationships by ... to escalated payer issues identified by our Regulators, RCM Specialist and Executives. The Specialist will ensure...relationships to deliver on process and performance improvements. * Medical , Dental & Vision Benefits plus, HSA & FSA… more
- BrightSpring Health Services (Oklahoma City, OK)
- …pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third-party rejections, and coordination of ... Reimbursement* Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer… more
- Truist (Greensboro, NC)
- …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
- Penn Medicine (Radnor, PA)
- …our future each day. Are you living your life's work? Job Title: Accounts Resolution Specialist I Department: Oral Surgery Location: Centre Square West Tower- ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...Market Street Hours: Full Time Summary: + The Account Resolution Specialist I reports to the Supervisor… more
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