• Claims Specialist Sr - Professional…

    Sedgwick (Raleigh, NC)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - Professional Liability **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate… more
    Sedgwick (10/30/24)
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  • Claims Specialist , Professional…

    Sedgwick (Raleigh, NC)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist , Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages… more
    Sedgwick (10/22/24)
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  • Claims And Billing Specialist

    TEKsystems (Cary, NC)
    TEKsystems has a new and exciting Reimbursement Specialist opportunity in Cary, North Carolina! Job Description: The Reimbursement Specialist is an important ... outbound calls to primary providers and insurance to process claims and resolve any healthcare billing issues. The ideal...Pre-tax and Roth post-tax contributions available * Life Insurance ( Voluntary Life & AD&D for the employee and dependents)… more
    TEKsystems (10/31/24)
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  • Utilization Management Specialist

    Motion Recruitment Partners (Durham, NC)
    Utilization Management Specialist Durham, NC **100% Remote** Contract $17/hr - $17/hr Our client, a nationally recognized and award-winning company in the health ... vertical, has a contract opening for a Utilization Management Specialist . They have over 4 million customers and 5,000+...of authorizations entered to ensure accuracy to avoid impacting claims payment. * Supports the care management department by… more
    Motion Recruitment Partners (10/15/24)
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  • Medical Billing/AR Specialist - Remote

    Sutherland Global Services (Raleigh, NC)
    …sent to Legal. This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or ... PPO, IPA and Capitation and how these payers process claims + Knowledge of Managed Care contracts, Contract Language...Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY . INCLUSION OR EXCLUSION OF ANY DATA WILL NOT… more
    Sutherland Global Services (10/14/24)
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  • Pharmacy Benefits Specialist

    TEKsystems (Cary, NC)
    …High school diploma Responsibilities + Performs healthcare information & medical claims processing, healthcare billing & collection services + Provides financial ... 401(k)Retirement Plan - Pre-tax and Roth post-tax contributions available | LifeInsurance ( Voluntary Life & AD&D for the employee and dependents) | Shortand… more
    TEKsystems (10/30/24)
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