- 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 for researching...CPT, HCPCs, and ICD-10 coding experience. + Experience with medical terminology. + Previous experience with health … more
- Whitney Young Health Center (Watervliet, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... Claims Coding Specialist (Req 100825) Watervliet,...Clinical degree/background preferred. Prior experience reviewing and coding from medical records. Behavioral Health , Mental Health… more
- Sedgwick (San Diego, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability ( Medical Malpractice) **PRIMARY ... PURPOSE** **:** To analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight ... with all applicable State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing claims … more
- Robert Half Accountemps (Tucson, AZ)
- …in the healthcare industry focused in Behavioral Health , is in need for a Medical Billing/ Claims specialist near downtown Tucson! You will be tasked with ... managing medical claims and ensuring accurate billing and collections. This position requires skills in various accounting software systems, knowledge of EHR… more
- Select Medical (Camp Hill, PA)
- …discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide ... Medical is an EOE Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/305850/ claims -resolution-- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID** _305850_… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I - CBO (Full-time) ... About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700... claims from government and third-party payers. The Claims Specialist is responsible for preparing and… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... claim submissions and documentation to confirm coverage and assess claims . + Review medical records, itineraries and...and policies. #li-am4 2544705 Aon is looking for a Claims Specialist II Do you have experience… more
- City of New York (New York, NY)
- …and settle claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities are in Financial Management ... employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT… more
- Providence (OR)
- **Description** Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will process claims for members, providers, and employers. ... **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process...including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life… 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 ... skills with the ability to work independently. Benefits include health care ( medical , dental, vision) coverage starting...Compliance, Loss Prevention). A day in the life Fleet Claims Specialist are part of the ATS… more
- Axis (Chicago, IL)
- …request for candidates taking part in the selection process. **Job Title: Senior Claims Specialist ** **BRIEF DESCRIPTION:** AXIS is seeking a **_Senior Claims ... Management Liability - Claims_** to join our North America Claims team and will report to the Head of...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health… more
- Robert Half Accountemps (Cedar Rapids, IA)
- Description We are offering a contract to hire employment opportunity for a Medical Claims Specialist in Cedar Rapids, Iowa. This role is in the healthcare ... based in a dynamic and fast-paced environment. As a Medical Claims Specialist , you will...from prescription or other vendors related to the client's health plan. * Corresponding with vendors regarding invoices, payments… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care...+ Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and… 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,...valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …a must + Health care or pharmaceutical experience, particularly in a medical claims processing, billing provider, or insurance environment + Knowledge of EOB ... Overview The Claims Specialist , under the direction of...guidance from a Team Lead), is responsible for processing medical claims received from patients and/or HCPs… more
- Axis (Chicago, IL)
- …of this, we offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and wellness programs, ... the selection process. AXIS is seeking a _Senior Claim Specialist -_ _Construction_ _Claims_ to join our North America... -_ _Construction_ _Claims_ to join our North America Claims team and will report to the Head of… more
- CVS Health (St. Paul, MN)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... Bring your heart to CVS Health . Every one of us at CVS ...**Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
- Integra Partners (Troy, MI)
- …Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining appropriate ... and internal Integra policies and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest… more