- Trinity Health (Farmington Hills, MI)
- …, Interprets data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment ... Clinical/Coding Payment Resolution as the liaison to members of the medical staff and other MO colleagues, regarding denial management processes, systems and… more
- Trinity Health (Farmington Hills, MI)
- …further review. Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility. Other duties as ... care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or… more
- State of Minnesota (St. Paul, MN)
- … management specialist , you will administer and manage workers' compensation claims by applying the compensation, rehabilitation, and medical provisions of ... **Working Title: Workers' Compensation Claims Management Specialist Intermediate/Senior** **Job Class: Workers' Compensation Claims Management Specialist … more
- Axis (New York, NY)
- … claims professional to join our Design Professional & Environmental (DP&E) claims team as a Claims Specialist . This position will ... investigations to determine liability, damages, and coverage.** **Makes recommendations regarding resolution strategy for such claims including reserve adequacy;… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
- City of New York (New York, NY)
- …; 3) Handle the division's participation in AAA American Arbitration Association dispute resolution on 1st party No-Fault claims and address 3rd Party No-Fault ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...claims within delegated monetary authority level; 8) Review medical providers and law firms to ensure all entities… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… 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 ... the assigned claims management system. - Use claims system to properly document files ( resolution ...Compliance, Loss Prevention). A day in the life Fleet Claims Specialist are part of the ATS… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes… more
- CGI Technologies and Solutions, Inc. (Walnut Creek, CA)
- **Business Claims Processing Specialist - Walnut Creek** **Category:** Administration **Main location:** United States, California, Walnut Creek **Position ID:** ... of affordable housing has an opening for a Business Claims Processing Specialist in Walnut Creek, CA....\#LI-KR1 **Skills:** + Analytical Thinking + Detail-oriented + Conflict Resolution + Leadership **What you can expect from us:**… more
- CVS Health (Monroeville, PA)
- …an opportunity available for a full time Medical Claims Refund Specialist . This role ensures timely credit balance resolution via refunds to patients, ... Qualifications + 1+ years' experience performing health care reimbursement, medical billing or insurance collections, and/or account reconciliation/ account review/… more
- Axis (Red Bank, NJ)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... 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
- BrightSpring Health Services (Oklahoma City, OK)
- …pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third-party rejections, and coordination of ... Reimbursement* Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... all aspects of Payment Resolution Specialist role to support progressive responsibility....organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance,… more
- Truist (Whiteville, NC)
- …track all unresolved issues accurately, to ensure timely follow up and resolution . Servicing specialists act as client advocates to track client complaints and ... executing on the Truist Purpose, Mission and Values. 2. Investigate and provide resolution to clients' requests to Care Center, branches and other lines of business,… more
- MaineGeneral Health (Waterville, ME)
- …Come be with us. Job Description: Join Our Team as an Accounts Receivable Resolution Specialist The Opportunity: This role presents an exciting opportunity to ... and electronic formats as per departmental and payer guidelines. Review and edit claims for accuracy before submission to payers, ensuring the correct diagnosis and… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... from insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and...and payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials… more
- Penn Medicine (Philadelphia, PA)
- …1500 Market Street, Philadelphia** **Hours: Full-Time; Hybrid** Summary: + The Account Resolution Specialist I reports to the Supervisor of Billing; primary ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Penn Medicine (Radnor, PA)
- …Oral Surgery** **Hours: Full Time, per departmental needs** **Summary:** The Accounts Resolution Specialist II reports to the Supervisor of Billing; this ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...individual specializes in the resolution of patient accounts transferred from the PBO. This… more