- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... claim reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim… more
- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- Marriott (Bethesda, MD)
- …daily assignment of international claims , document handling, mail routing and check processing . The Claims Support Specialist reports to the Sr. ... $19.95 - $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for Claims Operations, including… more
- Kelly Services (Honolulu, HI)
- **NOW HIRING: Temp-to-Hire Claims Specialist - Dental Agency (Honolulu, HI)** **Now Hiring: Claims Specialist ** **Location:** Honolulu, Hawaii **Pay ... Join a reputable dental agency in Honolulu as a Claims Specialist ! Under the supervision of the... Supervisor, you'll perform essential functions related to dental claims processing . This role requires adherence to… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …perspective and experience makes ConnectiveRx better than the sum of its parts. The Claims Specialist , under the direction of the Supervisor (with guidance from ... a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of EOB… more
- Amentum (Denver, CO)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... of Labor. Under supervision, coordinates Defense Base Act (DBA) claims processing in support of successful ...assigned including the preparation and distribution of computer reports. ** Claims Specialist Requirements:** + 3-5 years of… more
- Sedgwick (San Antonio, TX)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote ... **PRIMARY PURPOSE** **:** To analyze complex or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or severe injury … more
- NJM Insurance (NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... This is a 100% remote position which includes virtual claims handling for customers in any area of PA...decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools including Word and… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ;… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Robert Half Accountemps (Fort Wayne, IN)
- Description As a Warranty Claims Specialist , you will be responsible for processing , analyzing, and resolving warranty claims while providing an ... degree preferred 2+ years of experience in warranty administration, claims processing , or a related field Strong organizational and multitasking abilities… more
- Molina Healthcare (Kearney, NE)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. * Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- Kelly Services (Wichita Falls, 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
- Select Medical (Camp Hill, PA)
- …(2+ years for remote candidates) within a medical billing, medical collecting or claims processing role. **Preferred:** + Computer Skills + Microsoft Office: + ... **Overview** ** Claims Resolution Specialist ** **Starting at $18.50 per hour** **ON-SITE** Do you enjoy puzzles and research? Are you results-oriented? If so, our… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical… more
- CVS Health (Franklin, TN)
- …support. + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Handles phone and written ... Description **A Brief Overview** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. **What you… more
- CVS Health (Franklin, TN)
- …each and every day. **Position Summary** This role will have a focus on training Claims processing and Claims Call Center staff for all products including ... experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three… more
- Pacific Medical Centers (Renton, WA)
- …Care Business Administration. + 2 years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO, HMO, PHO or large group practice ... for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service… more
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