- 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
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Regional Claims Specialist will be responsible for contacting...WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II -… more
- NJM Insurance (Hammonton, 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
- BrightSpring Health Services (Taunton, MA)
- …from a retail to office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician experience and/or ... PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready...with Shift Differentials + Health, Dental, Vision, and Life Insurance + Company-Paid Disability Insurance + Tuition… 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
- Providence (OR)
- …(Examples: Clinical, Back office, Insurance Support, Etc.) + 2+ years' experience processing insurance claims + 2+ years' experience in membership ... **Description** Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will process...member issues or concerns + Correctly analyze and adjudicate claims to reflect financial, check, and processing … more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and oversight ... State, Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing...Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor + Attends JOC meetings… more
- Extra Space Storage (Salt Lake City, UT)
- We are seeking a highly detail-oriented Workers Compensation Claims Specialist with 1-2 years of experience in risk management or insurance claims ... and internal departments to efficiently manage workers compensation, general liability, auto, and insurance claims . You will play a key role in reducing claim… 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
- 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 PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management… 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 (Watervliet, 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) Watervliet,...submission and following up on more complex or problem claims or insurance types as designated by… more
- Robert Half Accountemps (Allentown, PA)
- Description We are offering a contract to hire employment opportunity for a Claims Specialist in Allentown, Pennsylvania, United States. This role is primarily ... involved in the handling and processing of customer property damage claims that...professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll… more
- Crawford & Company (Fort Lauderdale, FL)
- …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
- Robert Half Accountemps (Tucson, AZ)
- …the healthcare industry focused in Behavioral Health, is in need for a Medical Billing/ Claims specialist near downtown Tucson! You will be tasked with managing ... who are open to learning new EHR systems. Responsibilities: * Handle medical claims with precision and ensure timely processing * Utilize accounting software… more
- CenterWell (Topeka, KS)
- …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 /Healthcare Claims Denials Specialist ** ,...or the equivalent + Minimum of two years medical claims processing experience + Knowledge of healthcare… 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
- Access Dubuque (Dubuque, IA)
- …Jobs** Patient Service Representative - Call Center Grand River Medical Group Claims Assistant Sedgwick Document Processing Specialist UnityPoint Health ... Claims Processing Representative **Grand River Medical...making necessary changes and capturing correct patient demographics and insurance information. + Prepare commercial insurance checks… more
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