- 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
- 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
- Molina Healthcare (Bellevue, 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
- USAA (Seattle, WA)
- …us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate, ... evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes coverage, recognize liability… more
- Terumo Medical Corporation (Seattle, WA)
- …the Cath Lab or Interventional Radiology environment. Prior experience as a Field Clinical Specialist with a medical device company is preferred. It is Terumo's ... Field Clinical Specialist , Seattle North Date: Nov 4, 2025 Req...Req ID: 5306 Location: Seattle, WA, US Company: Terumo Medical Corporation Department: TIS Sales - Big Sky Terumo… 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 (Bellevue, 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
- Otsuka America Pharmaceutical Inc. (Seattle, 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 (Bellevue, 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
- Molina Healthcare (Bellevue, 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 (Bellevue, 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
- The Boeing Company (Everett, WA)
- …future with us. The Boeing Company is seeking a **Mid-Level Disability Management Specialist ** based out of **Everett, WA.** This position will support the Everett ... management and employees to initiate and facilitate interactive discussions for medical restrictions and qualifications + Identifies crucial job functions and… more
- Insight Global (Tukwila, WA)
- …License * 2 years' Experience in health care or pharmacy billing, collections, or medical claims processing * 2 years' Experience as a pharmacy technician in ... Job Description * The Pharmacy Billing Specialist is responsible to proactively audit, monitor, and analyze complex dispensing and charging information, including… more
- Molina Healthcare (Bellevue, WA)
- …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified… more
- Elevance Health (Seattle, WA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Molina Healthcare (Seattle, WA)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems ... MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on… more
- Molina Healthcare (Bellevue, WA)
- …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... in the specific programs supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific… more
- UIC Government Services and the Bowhead Family of Companies (Everett, WA)
- …DoD networks. + Required skills or certifications + Avaya Certified Support Specialist (ACSS) or equivalent + Nortel Meridian System Administration or equivalent + ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Bristol Myers Squibb (Seattle, WA)
- …Health Senior Manager will oversee and provide nursing services including medical surveillance and fitness for duty examinations, travel assessments, occupational ... injury / illness care, case management (eg medical accommodations, workers compensation), and acute care for episodic non-occupational injuries/illnesses at Bristol… more