- Nesco Resource (Bethesda, MD)
- Job Summary The Claims Specialist -Appeals assesses and facilitates ongoing support for Government Solutions (SGS) Claims OperationsResponsibilities include ... duties, as needed, to meet the needs of the business . Physical Demands The physical demands described here are...required Preferred bachelor's degree in healthcare, medical bill review ( claims ) processing or a related field, education… more
- MultiPlan (Naperville, IL)
- …5. Generating and processing IQ batches with guidance for the Subrogation Business Analyst. 6. Obtaining information such as claims and plan documents from ... people come to shine! JOB SUMMARY: The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The… more
- Christus Health (Irving, TX)
- …hours, and other relevant Associate information for processing disability claims .Communicates and corresponds with HR Business Partners, managers, and ... Job DescriptionSummary:Leave Management Specialist II: Under the direction of the Leave...work schedule and other relevant Associate information necessary for processing leave requests.Partners closely with HR Business … more
- Accounting Now (Tampa, FL)
- …cycle or prior authorizations for inpatient/outpatient, hospital/physician Experience in healthcare claims processing and proficiency with medical billing and ... The Denials Specialist performs advanced-level work related to clinical and...documentation and medical records to submit appeals or corrected claims in a timely mannerThis position applies prior knowledge… more
- Option Care Health (Denver, CO)
- …up on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing . Sends letters to the ... medical or religious accommodations will be required to be submitted within 5 business days of start date. If medical and/or religious accommodation requests are… more
- Creative Financial Staffing (San Juan, PR)
- … specialist , or similar. Advanced competency in accounting and business management software. In-depth knowledge of accounts payable principles, accounting ... We are looking for a detail-oriented account payable specialist to control and monitor our expenses. You...to control and monitor our expenses. You will be processing payments, verifying invoices, and performing account reconciliations. To… more
- Rose International (Alhambra, CA)
- …based upon a client's business needs and requirements.**The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- CGI Technologies and Solutions, Inc. (Walnut Creek, CA)
- ** Business Claims Processing Specialist - Walnut Creek** **Category:** Administration **Main location:** United States, California, Walnut Creek ... to assist in the provision of affordable housing has an opening for a Business Claims Processing Specialist in Walnut Creek, CA. Under the direction… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date: Jun 19, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For more ... Requisition No: 822431 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000116...verifying amounts and/or printing checks. + Conduct all Lottery business in a professional manner with emphasis being placed… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Medicaid Innovation (CMMI), Business Services Group (BSG). As a Health Insurance Specialist ( Claims Processing & Systems), GS-0107-13, you will perform ... claims processing and systems work related to national health insurance...the development, evaluation, and implementation of policies related to claims processing and system work. Perform Medicare… more
- NJM Insurance (Trenton, NJ)
- …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- Acosta Group (Eden Prairie, MN)
- …Acosta, client and customer policies and procedures. The Claims Resolution Specialist will communicate with internal and external business partners and act ... **DESCRIPTION** The Claims Resolution Specialist is responsible for...quality service to clients and make continuous improvements in claims processing . "/> **RESPONSIBILITIES** + Trains and… more
- Entergy (Reserve, LA)
- Customer Service Specialist - Claims **Date:** Jun 25, 2024 **Location:** Reserve, Louisiana, United States **Company:** Entergy **Work Place Flexibility:** ... Enterprise Magazine - Best Companies for Diversity + Women's Business Enterprise National Council - America's Top Corporations for...This position may be filled as a Customer Service Specialist I, II or Senior** **based on the qualifications… 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 ... license, multiple states preferred. Professional certification as applicable to line of business preferred. **Experience** 8-10 years of surety claims management… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... payment variance services, outcomes and trends, eg, number and types of claims and dollars rejected/denied, billing errors, payer processing errors, potential… 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. ... The Complex Claim Specialist will be responsible for contacting all parties involved...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- Magellan Health Services (Maryland Heights, MO)
- …2+ years of claims processing experience. General Job Information Title Claims Systems Specialist I Grade 20 Work Experience - Required Claims ... Operations by investigating and resolving systemic issues relative to claims processing system files and interfaces for...of caring is the common thread in both our business strategy and our work environment. We value professional… more
- Axis (Princeton, NJ)
- …taking part in the selection process. Position Summary: AXIS is seeking a Senior Claims Specialist to join our North America Accident & Health Claims ... and Short-term Disability. Accidental death and accident medical type coverages, disability claims , business travel, leisure travel, accident and Pet Insurance.… more
- Crawford & Company (Boston, MA)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
- Crawford & Company (Portland, OR)
- …edjuster's claims handling professional-service methodology and its Web-based content claims processing and pricing platform/system - exclaim. + Operating ... with the Company's productivity and performance standards. + Work with Central Claims Processing to organize/direct the resources ( claims assistants,… more
