- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance...acute care hospital, HMO or IPA environment. + Experience processing all types of medical claims… more
- CGI Technologies and Solutions, Inc. (Albany, NY)
- ** Claims Processing Specialist - Albany, NY** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J0324-1069 ... Development (HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist in Albany, NY. This is an opportunity to… more
- Robert Half Office Team (Sacramento, CA)
- Description Robert Half Healthcare is looking for a dedicated and detail-oriented Medical Claims Specialist to join our team and help us maintain our high ... standard of service. As a Medical Claims Specialist you will...billing and coding is a plus. Proven experience in medical claims processing or a… more
- Kelly Services (Glastonbury, CT)
- We are looking to hire a **Lead Medical Claims Specialist ** to support our client in Glastonbury, CT. **Hours:** 11:30 am to 8 pm Monday to Friday **Pay:** ... spreadsheet software, internet software, time keeping system, proprietary software, and medical coding/billing or insurance claims processing strongly… more
- NJM Insurance (Trenton, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a Workers' ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a... medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- WelbeHealth (CA)
- …on the aptitude to work independently, adhere to timelines, and comprehend intricate medical claims . **Essential Job Duties:** + Oversee the workings of our ... leadership and other internal and external stakeholders, the Claims Audit and Appeals Specialist will be...accepted claims are making it into our claims processing systems in a timely manner,… more
- Robert Half Accountemps (Glen Allen, VA)
- …industry, based in Glen Allen, Virginia. This role involves assisting the collections team, processing medical billing, and handling claims . This is a short ... Description We are seeking a Medical Billing Specialist in the Healthcare...the collections team in managing and processing medical bills * Handle medical claims… more
- Kelly Services (Glastonbury, CT)
- …(Spanish)** Customer Service Specialist to support our client in Glastonbury, CT. **Title:** Medical Claims Specialist / CSR **Hours:** 11:30 am to 8 pm ... $22 **Requirements:** **Bilingual (** **English/Spanish** **) Required** **Certificates and Licenses:** Medical coding/billing or insurance claims processing … more
- City of Jacksonville (Jacksonville, FL)
- Claims Intake Specialist Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/4281514) Apply Claims Intake Specialist Salary ... now. Work for the city you love The Risk Management Division is actively seeking a Claims Intake Specialist . Did you know as a City of Jacksonville employee, you… more
- MetLife (Tampa, FL)
- Long Term Disability Claims Specialist II City/Cities Oriskany, Tampa State(s) Florida, New York Country United States Working Schedule Full-Time Commutable ... lives of our customers and our communities. The LTD Claims Specialist evaluates long term disability insurance...role is posted in. + 1-3 years of LTD claims processing experience with prior experience with… more
- Lowe's (Mooresville, NC)
- …internal knowledge base. * Handles multiple functions related to business operations, claims processing , and office workflows. * Recognizes and resolves basic, ... **Job Summary:** The primary purpose of the Claims Support Specialist is to provide...working in a corporate environment * 6 months previous claims processing experience **Preferred Qualifications:** * Associate… more
- Crawford & Company (VA)
- …processing of the claim. + Identifies wage loss expenses and wage exposures on medical claims . + Documents receipt and contents of medical reports. ... profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage...exceeding, $2,500 after compensability has been determined. + Evaluates medical claims for potential fraud issues, loss… 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 schedule. The Claims Resolution Specialist is responsible for researching...CPT, HCPCs, and ICD-10 coding experience. + Experience with medical terminology. + Previous experience with health insurance and… more
- NJM Insurance (Hammonton, NJ)
- …disability (PPD) + Proactively manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes and return to work ... NJM's Workers' Compensation Claims Team is seeking two experienced Complex Claim...offers a hybrid schedule after training. The Complex Claim Specialist will be responsible for contacting all parties involved… more
- Kelly Services (Wichita Falls, TX)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking ** Claims Specialist ** to work in a temporary to hire opportunity with a ... at home to do this position **Job Duties:** + Processing complex claims requiring investigation and coding...so let's get to work. Apply to be a Claims Specialist today! \#CB \#PI As part… more
- MetLife (Oriskany, NY)
- Long Term Disability Claims Specialist I City/Cities Oriskany, Tampa State(s) Florida, New York Country United States Working Schedule Full-Time Commutable ... MetLife. This role will provide exemplary customer service by processing group disability claims in a timely...based on the provisions of the policy. + Claim Specialist Trainees will be routinely evaluated for increases in… more
- Axis (Alpharetta, GA)
- …fee payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting * ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and… more
- The Hartford (Hartford, CT)
- Operations Support Specialist , Claims - CH10KN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and ... team as we help shape the future. The Hartford's Claims Centralized Operations Group is seeking a highly motivated...both routine and complicated work requests + Financial transaction processing and regulatory compliance + Meeting & exceeding hard… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...+ Ability to create routine reports + Prior word processing , spreadsheet and internet software experience including p roficiency… more
- Modernizing Medicine (Boca Raton, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... previous healthcare administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance… more