• Medical Claims Payment

    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 ... combination of education and experience. + **Specialized Training:** Knowledge of medical insurance practices, including enrollment, payment terms related to… more
    Kelly Services (01/17/25)
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  • Medical Claims Specialist

    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
    Kelly Services (01/18/25)
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  • LTD Claims Specialist

    Lincoln Financial Group (Hartford, CT)
    …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... claims independently in accordance with established procedures and guidelines....initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations.… more
    Lincoln Financial Group (01/11/25)
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  • Stat / PFL Claims Specialist

    Lincoln Financial Group (Hartford, CT)
    …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations....diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
    Lincoln Financial Group (01/22/25)
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  • Business Torts Life Sciences Major Case…

    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 ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an… more
    Travelers Insurance Company (01/16/25)
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  • Medical Billing Specialist

    Hartford HealthCare (Norwich, CT)
    …**Professional Clinical* **Organization:** **American Ambulance Service* **Title:** * Medical Billing Specialist * **Location:** *Connecticut-Norwich-One American ... licensed EMS agencies, hospital - based paramedic response resources, air- medical response resources, education and research, and hospital-based coordinators and… more
    Hartford HealthCare (12/05/24)
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  • Collections Specialist / PA Third Party…

    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
    Hartford HealthCare (12/31/24)
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  • Claim Benefit Specialist

    CVS Health (Hartford, CT)
    …improve member satisfaction and retention by providing accurate and timely resolution in processing medical claims . You will be a key link in providing our ... injury + Identify claim cost management opportunities and refer claims for follow up + Make claim payment...willingly to change, and a positive, willing attitude. Prior medical claim processing experience is a plus. Successful candidates… more
    CVS Health (01/22/25)
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  • FEMA - Program Delivery Specialist

    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
    CDM Smith (01/18/25)
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  • Patient Registration Specialist - Specialty…

    Option Care Health (Hartford, CT)
    …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...required documentation for new referrals. + Secures patient's upfront payment including assisting patients to find avenues for … more
    Option Care Health (01/22/25)
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  • FEMA - Costing Specialist

    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 (01/17/25)
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  • FEMA - Construction Specialist

    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
    CDM Smith (01/15/25)
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  • Physician Billing & Collections Specialist

    Trinity Health (Hartford, CT)
    …care organizations and employers for the purpose of ensuring timely payment of occupational medicine clinic patient charges. Communicates effectively with clinical ... operations and administrative personnel concerning the transmission of medical chart documentation for the purposes of bill resubmissions...to be reviewed for additional follow up + Identify claims that need to be appealed and process appeal… more
    Trinity Health (01/08/25)
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  • DRG Coding Auditor

    Elevance Health (Wallingford, CT)
    …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer ... of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance...The **DRG Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims more
    Elevance Health (01/11/25)
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  • Medical Billing Account Receivable…

    Fair Haven Community Health Care (New Haven, CT)
    …Billing Accounts Receivable Supervisor will direct and manage the daily operation of the Medical Billing Specialist team to ensure the posting and collections of ... in non-profit Federally Qualified Health Centers is strongly preferred. Direct Reports + Medical Billing Specialists + Dental Billing Specialist FHCHC is a… more
    Fair Haven Community Health Care (01/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Wallingford, CT)
    …improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
    Elevance Health (01/01/25)
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  • Sr. Manager , Digital Product - Fraud, Waste…

    CVS Health (Hartford, CT)
    …CVS Health Payment Optimization Analytics goals and contribute to achieving medical cost savings, revenue & ROI targets for analytics products. To achieve this, ... and overall product strategy, serving as product and market specialist + Prioritizing which new features in the backlog...Agile, Lean and/or Six Sigma Project Management skills + Claims processing experience or End-to-End claims knowledge… more
    CVS Health (01/06/25)
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  • Absence Management Coordinator

    Hartford HealthCare (Farmington, CT)
    …part of Connecticut's most comprehensive healthcare network. The HR Shared Services Specialist on the Absence Management department works as part of a comprehensive ... employee leaves of absence. Leaves administered include Family and Medical Leave Act (FMLA) leaves and Non FMLA leave...leaves and Non FMLA leave and short-term disability (STD) claims , as well as coordinating leave with paid time… more
    Hartford HealthCare (11/11/24)
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