- Dialysis Clinic, Inc. (Sacramento, CA)
- …for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and providing online verification. Responsible ... with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility,… more
- Social Security Administration (Philadelphia, PA)
- …PA 19123 Promotion Potential: The GS-11 is the full performance level. Responsibilities The Social Insurance Specialist ( Claims Specialist ) reviews ... benefits under Titles II, XVI and/or XVIII of the Social Security Act. Claims Specialists conduct interviews...termination of eligibility, or payments. Once selected for the Claims Specialist position in SSA, you will… more
- Social Security Administration (Greenville, SC)
- …reviewing caseloads (eg, income maintenance, benefits, pension plans, health insurance , etc.); adjudicating, authorizing, investigating or reconsidering claims ; ... II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases. Provides lead role in technical training and mentoring other… more
- MAPFRE Insurance (Webster, MA)
- Claim Specialist , Casualty (Hybrid) Date: Aug 20, 2024 Location: Webster, MA, US Company: MAPFRE Bring your passion and enthusiasm for Claims to our TEAM! At ... new losses to determine coverage exposures, thoroughly investigating liability, evaluate claim values, negotiate final disposition of claims with appropriate… more
- City of New York (New York, NY)
- …is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED...concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in … more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...provider portals or authorization letters on Kipu prior to claim submission. + Reviewing claims prior to… more
- City of New York (New York, NY)
- …making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in social ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City… more
- Illumination Foundation (Riverside, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping...EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close… more
- Lincoln Financial Group (Columbus, OH)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...and reviewing medical records, and making timely and ethical claim determinations. You'll complete a thorough training to develop… more
- MetLife (Bloomfield, CT)
- …customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance with ... time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent...and Technical Skills: Required: * 3+ years of LTD Insurance Claims experience * Creative problem-solving abilities… more
- MetLife (Cary, NC)
- …Business Experience and Technical Skills: Required: * 5+ years of LTD/IDI Insurance Claims experience with excellent customer service skills proven through ... * Independently manage an assigned caseload of the most complex claims which consists of pending, ongoing/active and appeal reviews. Provides timely,… more
- CenterWell (Atlanta, GA)
- …time position scheduled 20 hrs per week. As a **Part Time** **Accounts Receivable Specialist /RCM Healthcare Claims Denials Specialist ** , you will: + Ensure ... the coordination of claim activities and designated agencies, and the timely reimbursement...Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing. + Prepare… more
- Lincoln Financial Group (Columbus, OH)
- …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... claim information for payment. + Applying core knowledge of voluntary insurance products and claims processes to review questions/concerns and provide… more
- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician… more
- BrightSpring Health Services (Vancouver, WA)
- … processing and payer subject matter expert* Provide support to 3rd Party Claims Specialist I answering operational questions* Support supervisory team by ... from a retail to office environment for those who are willing to learn claims , billing and insurance processing. Remote position. Applicants can reside anywhere… more
- BrightSpring Health Services (Englewood, CO)
- …to the Reimbursement Compliance Project Manager of the RCM Team, the Claims Escalation Specialist /Team oversees stakeholder and executive relationships by ... providing responses to escalated payer issues identified by our Regulators, RCM Specialist and Executives. The Specialist will ensure the department maximizes… more
- Providence (Mission Hills, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative… more
- BrightSpring Health Services (Uniondale, NY)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician… more
- BrightSpring Health Services (Oklahoma City, OK)
- …Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of ... Accounts* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match* Company paid Life and… more
