- Dialysis Clinic, Inc. (Sacramento, CA)
- …for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and providing online verification. Responsible ... with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility,… more
- Social Security Administration (Charlotte, NC)
- …of claims under a program for SSA benefits, health insurance , pension plan, income maintenance or related programs. The following time-in-grade requirement ... this announcement. This position is at its Full Performance Level. Responsibilities Claims Specialists conduct interviews with the public to obtain, clarify, and… more
- Social Security Administration (Birmingham, AL)
- …AL 35285 Promotion Potential: The GS-11 is the full performance level. Responsibilities The Social Insurance Specialist ( Claims Specialist ) reviews ... benefits under Titles II, XVI and/or XVIII of the Social Security Act. Claims Specialists conduct interviews...claims under a program for SSA benefits, health insurance , pension plan, income maintenance or related programs. Note:… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Medicare and 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 programs, such as Medicare, Medicaid, the Children's Health Insurance Program… more
- MetLife (Tampa, FL)
- …LTD Claims Specialist manages a caseload of long term disability insurance claims in accordance with plan provisions and within prescribed time service ... standards. In this role, the Lead LTD Claims Specialist will be a technical expert...and Technical Skills: Required: * 5+ years of LTD/IDI Insurance Claims experience with excellent customer service… 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...concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in … more
- Entergy (Reserve, LA)
- Customer Service Specialist - Claims **Date:** Jun 25, 2024 **Location:** Reserve, Louisiana, United States **Company:** Entergy **Work Place Flexibility:** ... that has won numerous awards for safety, diversity, and social responsibility. Selected awards include: + Black Enterprise Magazine...This position may be filled as a Customer Service Specialist I, II or Senior** **based on the qualifications… more
- City of New York (New York, NY)
- …also implements and lifts SNAP sanctions. SNAP-CR is recruiting for (2) two Eligibility Specialist IIs to function as a Claims Review Specialists, who will: - ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED...concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in … more
- Providence (Salem, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims for members, ... Insurance Support, Etc.) + 2+ years' experience processing insurance claims + 2+ years' experience in...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… more
- BrightSpring Health Services (Uniondale, NY)
- …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician… more
- Providence (Mission Hills, CA)
- **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring special handling in accordance with ... policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and vision, 401(k), PTO, paid holidays, life and disability insurance , on-site fitness center and company-wide social … more
- Providence (Anaheim, CA)
- **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans,...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… more
- BrightSpring Health Services (Oklahoma City, OK)
- …Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of ... Accounts* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match* Company paid Life and… more
- Trinity Health (Farmington Hills, MI)
- …draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment Resolution Specialists ... and experience in case management and utilization management. Knowledge of insurance and governmental programs, regulations and billing processes (eg, Medicare,… more
- State of Massachusetts (Brockton, MA)
- …Office of Housing and Livable Communities (EOHLC)is seeking a Homeless Hearings Specialist /Benefit Eligibility & Referral Social Worker C in the Division ... regulations that affect eligibility for financial assistance, such as: worker's compensation, social security and unemployment insurance . 9. Ability to gather… more
- State of Colorado (Denver, CO)
- Community Living Data & Claims Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4533291) Apply Community Living Data & Claims ... for overtime compensation. Department Contact Information Jessica Bosick, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online… more
- MetLife (Tampa, FL)
- …the lives of our customers and our communities. The IDI Senior Claims Specialist evaluates individual disability income insurance claims and makes ... time service standards. In this role, the IDI Senior Claims Specialist is required to exercise discretion...technology sources. * 3+ years of IDI or LTD insurance claims experience. Preferred: * Bachelor's degree… more
- Access Dubuque (Dubuque, IA)
- Medical Insurance Billing Specialist **Hillcrest Family Services** 1 Positions ID: 132116 Posted On 06/19/2024 **Job Overview** **Your Responsibilities** The ... **Medical Insurance Billing Specialist ** , under the general...delays resulting from no response, denied, rejected, and/or pending claims with the objective of maximizing reimbursement and ensuring… more
- Travelers Insurance Company (Windsor, CT)
- …information available to make decisions. **What Will You Do?** + The Forensic Specialist II (Digital Forensics) will be given assignments related to claim and other ... fully understand a claim or other event. + The Specialist will be responsible for knowing and using proper...data as well as searching and preserving internet and social media content. + Responsible for mentoring Forensic Specialists… more
