- Kelly Services (Glastonbury, CT)
- Now Hiring- Job Title: Medical Claims Processor - Payment Specialist (Bilingual-English/Spanish) Location: Glastonbury, CT Pay Rate: $21-$22/hr FLSA Status: ... Performs administrative tasks related to client health premiums and out-of-pocket medical expenses, interacts with clients to provide information in response to… more
- Kelly Services (Glastonbury, CT)
- **Now Hiring: Claims Specialist - Medical Claims (Bilingual)** **Position:** Claims Specialist - Medical Claims (Bilingual) **Salary:** ... 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 (Hartford, CT)
- …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...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Hartford, CT)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to… more
- MetLife (Bloomfield, CT)
- …manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- MetLife (Bloomfield, CT)
- …pending, ongoing and appeal reviews. . Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... telephone calls with Insured's or their representatives to obtain medical condition details, financial details, occupational details and other information… more
- Travelers Insurance Company (Hartford, CT)
- …and complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... severe/complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O … more
- TEKsystems (Farmington, CT)
- …Shift: 7:30 - 4pm, Mon - Friday Experience Needed: + Psychiatric Billing + Epic + Medical Claims Denials + Insurance Follow Up Pay and Benefits The pay range for ... Job Summary: The Revenue Cycle Specialist is responsible for managing and optimizing the...collections. This role ensures accurate and timely submission of claims , efficient payment posting, and resolution of any discrepancies… more
- CDM Smith (Hartford, CT)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Hartford HealthCare (Farmington, CT)
- …Business Office in Newington. *_Position Summary:_* The Revenue Integrity Specialist determines the appropriateness of patient charges, and Charge Description ... Master (CDM) assigned HCPCS/CPT coding, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification… more
- Hartford HealthCare (Farmington, CT)
- …collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals, medical group and ... to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in… more
- CDM Smith (Hartford, CT)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Hartford, CT)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Dentsply Sirona (New Britain, CT)
- Wellspect Healthcare is a leading global provider of innovative medical devices that help people suffering from urinary retention or chronic constipation. More than ... for more information. **Job Summary** **:** **Under general supervision, the Customer Care Specialist is responsible for processing orders via phone or by way of… more
- Trinity Health (Hartford, CT)
- …with clinical operations and administrative personnel concerning the transmission of medical chart documentation for the purposes of bill resubmissions and appeals. ... outstanding insurance payments that need to be reviewed for additional follow up + Identify claims that need to be appealed and process appeal in a timely manner +… more
- MetLife (Bloomfield, CT)
- …of cases; provides technical insight and advice. Reviews, records, and analyzes medical records and treatment plans data and compares duration control guidelines and ... a positive outcome Follows established claim policies and practices to resolve claims issues Performs other related duties as assigned or required. Essential… more
- Baystate Health (Springfield, MA)
- …services using the Medicare coverage analysis billing grid (MCA) and other medical documentation. 2) Examines and evaluates research related charges for appropriate ... Administration. 4) Works closely with Patient Accounting to ensure insurance claims identify research participation in accordance with Medicare (CMS) billing rules… more
- MetLife (Bloomfield, CT)
- …designations CCM (certified case management) and/or CDMS (certified disability management specialist ). * Possess strong knowledge of medical conditions, ... IL, Bloomfield, CT, office location Key Responsibilities: * Provides professional medical , technical, consulting advice, and recommendations in support of claims… more
- Trinity Health (Waterbury, CT)
- …resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: + ... Clinic for International Classification of Diseases, Clinical Modification + The American Medical Association _(AMA_ ) for CPT codes and CPT Assistant + American… more
- Ford Motor Company (Hartford, CT)
- …with their ownership experience. + Work closely with the Ford Regional Escalation Specialist to provide oversight and direction to the California Lemon Law team ... Provide training and direction to a team of Consumer Claims Analysts located in California + Ensure that all...work life that works for you, including: * Immediate medical , dental, and prescription drug coverage * Flexible family… more