- CGI Technologies and Solutions, Inc. (Albany, NY)
- **Business Claims Processing Specialist ** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J1024-0536 ... to assist in the provision of affordable housing has an opening for a Business Claims Processing Specialist in Albany, NY. This is an opportunity to join an… more
- TEKsystems (Richardson, TX)
- …missing information. + Process electronic claims (EMC). Top Skills Details + medical claims + processing + data entry + hospital billing + Epic Additional ... of the following claim types: Life or Waiver of Premium claims . + Experience in processing any of the following two (2) claim types: Critical Illness/Specified… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in ... files for clients for audit purposes. + Monitor accuracy/timeliness of payment processing . + Enter budget information and verify that invoices received are… more
- Fairview Health Services (Hibbing, MN)
- …and procedural codes to medical records for purposes of data retrieval, analysis and claims processing . The coding specialist is responsible for effectuating ... **Fairview Range is hiring** **a Concurrent Inpatient Coding Specialist ** **in** **Hibbing, MN (REMOTE)** **.** As a Concurrent Inpatient Coding Specialist , you… more
- CVS Health (St. Paul, MN)
- …- Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, ... and affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
- Dignity Health (Bakersfield, CA)
- …Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- Overview The Claims Specialist , under the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims ... a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of EOB… more
- Danfoss (Van Wert, OH)
- …will also be involved in the Creation of Case and complaint using CRM and ERP ( claims processing ) systems. Direct path processing less complex claims ... Claims Administration Specialist Requisition ID: 41807...processing . **Job Responsibilities** + Defect Claim Creation -Receive claims from customers. Must be able to proficiently work… more
- LA Care Health Plan (Los Angeles, CA)
- …This position is responsible for providing ongoing training on the core processing system, claims processing procedures, communicating regulatory changes ... Claims Training Specialist III (ALD) Job Category:...A minimum of 3 years of Medi-Cal and Medicare claims processing or auditing experience. A minimum of… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....Set up No-fault claim files which includes issuing and processing NF2 application, confirming the City's involvement on the… more
- Kelly Services (Glastonbury, CT)
- **Now Hiring: Claims Specialist - Medical Claims (Bilingual)** **Position:** Claims Specialist - Medical Claims (Bilingual) **Salary:** $22 - ... Spanish Speaking **Job Summary:** We are seeking a dedicated and detail-oriented Claims Specialist to join our fast-paced environment. The ideal candidate… 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 ... while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a diverse portfolio of… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
- Whitney Young Health Center (Albany, NY)
- …date . Four (4) years of progressive experience in medical billing and claims processing in a multi-specialty healthcare setting. Professional coding experience ... Claims Coding Specialist (Req 100825) Albany, NY (http://maps.google.com/maps?q=526+Central+Ave+Albany+NY+USA+12206) Apply Description GENERAL RESPONSIBILITIES:… 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. The Claims Resolution Specialist is responsible for researching...as a part of a team + Basic word processing proficiency. This includes the ability to: insert tables… more
- Robert Half Accountemps (Allentown, PA)
- …are offering a long term contract employment opportunity for a Property Damage Claims Specialist based in Allentown, Pennsylvania. The role involves handling and ... processing customer property damage claims related to electric service operations, ensuring compliance with state regulations and company policies.… more
- Magellan Health Services (San Diego, CA)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... responsible for accurate and timely research of all claim dispute types, timely processing of adjustments and acts as liaison between members, providers and internal… more
- Axis (New York, NY)
- …payments, ensuring these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches and reporting Ensure ... for candidates taking part in the selection process. Claim Specialist - Salary Grade I This is your opportunity...exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves… more
- Kelly Services (San Angelo, 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! As part of our… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST ... TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO...data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and… more
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