- University of Washington (Seattle, WA)
- …Medicine Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2).** This position is ... responsible for claims review, clearing claim edits, and timely and accurate...information, posting rejections, or forwarding the claim to a medical coding specialist for review and coding… more
- Lincoln Financial (Olympia, WA)
- …experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims ... 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product...product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You… more
- Philadelphia Insurance Companies (Seattle, WA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... and third party commercial auto insurance claims . A typical day will include the following: Thoroughly understands coverages, policy terms and conditions for broad… more
- Swedish Health Services (Seattle, WA)
- …they have been paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit ... **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers,...Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused,… more
- Modernizing Medicine (Olympia, WA)
- …previous healthcare administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance ... cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane… more
- Molina Healthcare (Tacoma, WA)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- University of Washington (Seattle, WA)
- …Plan Services (FPPS)** has an outstanding opportunity for an **Insurance Follow-Up Specialist ** to join our **Medicare** team **.** **WORK SCHEDULE** + 100% FTE ... + Mondays - Fridays + 100% Remote **POSITION HIGHLIGHTS** The **Insurance Follow-Up Specialist , Medicare** is responsible for the optimal payment of claims from… more
- Molina Healthcare (Tacoma, WA)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Elevance Health (Lakewood, WA)
- …unless an accommodation is granted as required by law._ The **Excess Loss Specialist ** is responsible for working independently reviewing claims and interpreting ... **Excess Loss Specialist ** **Location :** This role enables associates to...+ Assists auditors with obtaining information for stop loss claims . + Tracks payments from third-party administrators that have… more
- Sedgwick (Olympia, WA)
- …Best Workplaces in Financial Services & Insurance DRP Service Center Specialist **PRIMARY PURPOSE** : To assist customer service representatives in expediting ... the application by providing claims general information; to track trends; to investigate client...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Otsuka America Pharmaceutical Inc. (Tacoma, WA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering expertise… more
- Molina Healthcare (Tacoma, WA)
- …Responsible for reviewing and resolving Medicare member appeals and Medicare claims in communicating resolution to members and provider (or authorized ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine Medicare appeal and claim outcomes.… more
- CVS Health (Olympia, WA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Molina Healthcare (Tacoma, WA)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... outcomes. + Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to… more
- CDM Smith (Tacoma, WA)
- …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
- PDS Defense (Seattle, WA)
- **Light Industrial/Manufacturing** **Supply Chain Specialist 1** Seattle, WA Posted: 10/21/2025 Job Description Job ID#: 213436 Job Category: Light ... W2 Duration: 52 Shift: 1 **PDS Defense, Inc. is seeking a Supply Chain Specialist 1, in Seattle, WA. Job ID#213436** **Pay Rate: $31 - $36/hr** **Job Description:**… more
- Datavant (Olympia, WA)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- Aerotek (Bremerton, WA)
- **Position Title:** Warehouse Operations Specialist **Overview:** We're seeking a detail-oriented Warehouse Operations Specialist to manage the receipt, ... paperwork. + Identify and report damaged goods; assist with freight claims and discrepancy resolution. + Manage tool check-in/check-out procedures and maintain… more
- CDM Smith (Tacoma, WA)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Tacoma, WA)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more