- CGI Technologies and Solutions, Inc. (Albany, NY)
- **Business Claims Processing Specialist ** **Category:** Administration **Main location:** United States, New York, Albany **Position ID:** J1024-0536 ... (HUD) 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… more
- TEKsystems (Richardson, TX)
- …involve navigating through multiple computer screens/programs to investigate and verify Dental Insurance coverage and data entry of pertinent claims information. ... term disability, life, waiver of premium, critical illness, accident insurance and other claim type for various policies. May... claims (EMC). Top Skills Details + medical claims + processing + data entry +… 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)
- …a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge ... Overview The Claims Specialist , under the direction of...a high-volume processing setting (ie, doctor's office, claims processing department, etc.) a plus. +… 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
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** Remote position - Seeking Claims processing with Medical Insurance Minimum of 5 years experience ... **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the… 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 ... high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing : + Handle a...of cyber claims , including various Professional Liability claims , for various insurance company clients +… 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...responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are… 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... and legal actions. + Analyzes applicable complex liability insurance coverage and policies + Negotiates claim settlement up… 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...submission and following up on more complex or problem claims or insurance types as designated by the… 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...professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll… more
- Josselyn (Northbrook, IL)
- …up on outstanding claims + Handling claims correspondence + Reviewing and processing insurance claims in a timely and accurate manner + Investigating ... accurately. + Insurance Claims : Proficiency in handling Commercial insurance claims , including reviewing, processing , and understanding policy… more
- Henderson Brothers Inc. (Pittsburgh, PA)
- …setting. + Bachelor's degree or insurance designation preferred + 5+ years of claims processing experience required + CIA, CPCU, ARM, etc. preferred but not ... POSITION SNAPSHOT + Title: Senior Claims Specialist + Department: Property &...Service Plans, accurate record keeping and data entry, maintain insurance and claims knowledge + Perks: Tuition… 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 ... Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding...for candidates taking part in the selection process. Claim Specialist - Salary Grade I This is your opportunity… 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 ... keystrokes/hour + 6+ months of office clerical, medical, or insurance claims experience + Clear and concise...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
- CenterWell (Jefferson City, MO)
- …corrective action. + Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input ... help us put health first** As an **Accounts Receivable Specialist ** , you will: + Ensure the coordination of...or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of… 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
- Insight Global (West Henrietta, NY)
- Job Description We are looking for a claims specialist ! Responsibilities include but are not limited to the following: Manages and identifies a portfolio of ... rejected claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure… more
- TEKsystems (Murray, UT)
- …checks from providers, insured members, and third parties. Accurate correction of claims history and medical expense accounts. + Researches and accurately applies ... checks, credit cards, and other sources of payment for pharmacy and medical claims . + Accurately evaluates the correct adjustments for medical, historical, regular … more
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