- Lincoln Financial Group (Hartford, CT)
- …are excited to bring on recent and upcoming college graduates to join our Claims Organization as Claims Specialist supporting Group Protection division. ... you in excelling in a career with Lincoln Financial Group. _Background Information:_ As a Claims Specialist , you will serve as the primary point of contact for… 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
- MetLife (Bloomfield, CT)
- …work, determine if/when to involve specialty resources such as Psychiatric Clinical Specialist , Medical Director or other clinical staff to obtain additional ... assigned caseload of short-term disability (STD) and/or Family & Medical Leave Act (FMLA) claims ; applies specialized...and/or Family & Medical Leave Act (FMLA) claims ; applies specialized clinical training/knowledge to the assessment of… more
- Masonicare (Wallingford, CT)
- …for billing to intermediaries, insurance companies, third parties and patients. Processes claims and bills in Electronic Medical Record (EMR) system following ... Billing Specialist Job Location: Wallingford Center, Connecticut Billing ...Medicare, Medicaid and Commercial Primary/Secondary beneficiaries. Submits third party claims and resolves billing, payment and collection issues. Essential… more
- TEKsystems (Farmington, CT)
- …a related position ( Medical billing, AR/Collections, insurance follow up, denials, medical claims , revenue cycle, etc.) + Experience working on the hospital ... and efficiency? We are seeking a skilled and detail-oriented Medical Billing/AR Specialist to join our growing...state of CT to qualify Responsibilities: + Follows the claims process and assure this is completed in a… more
- Stony Brook University (East Setauket, NY)
- Revenue Specialist **Position Summary** At Stony Brook Medicine, a **Revenue Specialist ** will provide operational support within the hospital's Patient ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… 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)
- …REMOTE - must live in CT 2+ years of Hospital AR Insurance Follow Up Epic Medical Claims Denials and Appeals Insurance Follow Up - investigating denied claims ... Hospital billing, Revenue cycle, Remittance, Receivables, Office applications, reimbursement, medical claims , billing, AR, accounts receivable, medical… more
- Travelers Insurance Company (Hartford, CT)
- …resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Fujifilm (Hartford, CT)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... + Keep abreast of new legislation and enforcement matters relevant to the medical device industry as well as industry and compliance best practices. + Perform… more
- CDM Smith (Waterbury, 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
- CDM Smith (New Haven, 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 (Waterbury, 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
- Prime Therapeutics (Hartford, CT)
- …Coordinate with multiple vendors to drive results in a timely manner. + Utilize medical claims expertise to identify new areas of opportunity for specialty ... every decision we make. **Job Posting Title** Clinical Pharmacy Program Specialist /CPT preferred-REMOTE **Job Description** This position is responsible for the… 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
- Sedgwick (Hartford, CT)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide vocational services as ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Obtains and analyzes available medical and vocational information including vocational assessment, test results, and… more
- CVS Health (Hartford, CT)
- …regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status. Assists managers in the maintenance of ... issues and internal inquiries regarding policies and procedures, credentialing or claims status, orientation activities, and database or portal information or usage.… 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
- Highmark Health (Hartford, CT)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more