- ICW Group (Las Vegas, NV)
- …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 ... claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and… more
- Zurich NA (Las Vegas, NV)
- Claims Recovery Specialist - Property 128614 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... Designed with our employees' needs in mind, the ZNA Claims Remote work model emphasizes flexibility, allowing claims... Claims Remote work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred… more
- HCA Healthcare (Las Vegas, NV)
- …you want to join an organization that invests in you as a Medical Collections Specialist ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Medical Collections Specialist like you to be a part of our...work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims… more
- DriveTime (Las Vegas, NV)
- …in claims . **That's Nice, But What's the Job?** In short, the Ancillary Specialist will review and adjudicate claims for our GAP product. This includes ... which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative… more
- CDM Smith (Las Vegas, NV)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Walgreens (Las Vegas, NV)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- TORKLAW (Las Vegas, NV)
- …those in need? Join us at TORKLAW! We're seeking a standout Case Records Specialist who thrives on challenges, excels in organization, and never loses sight of the ... overarching goals. As a Case Records Specialist , you will be a critical role in gathering,...medical summaries, document packets, and supporting materials for litigation, claims , and settlements. + Collaborate with attorneys, project leads,… more
- Kemper (Henderson, NV)
- …**Position Summary:** Responsible for resolution of all activities on assigned claims identified as potential Total Losses. Review claim details, coverage limits, ... associated charges to confirm Total Loss Evaluation. Controls associated claims for Rental/Loss of Use as well as any... Practices Acts and other Regulations. Will act as specialist in knowledge of Total Loss, Salvage and Title… more
- Molina Healthcare (Las Vegas, NV)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… more
- Elevance Health (Las Vegas, NV)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Elevance Health (Las Vegas, NV)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Johns Hopkins University (Las Vegas, NV)
- …PepsiCo employees who need the attention of a primary care physician or specialist in adherence to company protocols. + Perform on-site physical assessments (DOT, ... medications, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic… more
- Johns Hopkins University (Las Vegas, NV)
- …PepsiCo employees who need the attention of a primary care physician or specialist in adherence to company protocols. + Perform on-site physical assessments (DOT, ... medications, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic… more
- HCA Healthcare (Las Vegas, NV)
- …accurate demographic and insurance information to ensure accurate coding, billing and claims submission. **What you will do:** + You will be responsible for ... endoscopy. Our physicians have received many accolades including "Top Doctors", "Top Physicians", " Specialist of the Year", "Top 10 Doctors" and more. Our center is… more