- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 for the ... and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 + Maintains required standards of performance and… more
- Sedgwick (Richmond, VA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond 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
- Lincoln Financial Group (Richmond, VA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short...requests relating to Short Term Disability, the Family and Medical Leave Act (FMLA), the Americans with Disabilities Act… more
- CRC Insurance Services, Inc. (Richmond, VA)
- …of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison ... between insured and insurance carrier to report, track and manage claims process. Provides leadership to all employees within the claims department. **ESSENTIAL… more
- Trustmark (Richmond, VA)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Critical Care. **Key Accounabilities:** + Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and… more
- Travelers Insurance Company (Richmond, VA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... designed to support flexibility. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely… more
- Travelers Insurance Company (Richmond, VA)
- …reserving, negotiating and resolving assigned Construction Defect and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... support flexibility. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Sutherland Global Services (Richmond, VA)
- …understanding of Hospital billing form requirements (UB04) and HCFA 1500 + Medical claims and/or hospital collections experience + Minimum high school ... Do you have a background in medical collections, insurance follow-up, and revenue cycle management?...This will include: + Conducting collection activity on appealed claims by contacting government agencies, third party payers via… more
- J&J Family of Companies (Richmond, VA)
- Technical Documentation Specialist - Abiomed - 2406181920W **Description** Abiomed, part of Johnson & Johnson MedTech, is recruiting for a Technical Documentation ... Specialist located in Danvers, MA. This role is open...Johnson & Johnson MedTech, is a leading provider of medical devices that provide circulatory and respiratory support, with… more
- Deloitte (Richmond, VA)
- … medical terminology mapping. The resource will be a SME team lead and specialist to a cross-disciplinary team of medical informaticists and data engineers to ... program operations and industry-driven solutions. Work you'll do + Seeking a Data Standards specialist to support a Federal Health client. + The work will focus on… more
- Citizens (Glen Allen, VA)
- …continuously learn, consider a career at Citizens as a Fraud Customer Support Sr. Specialist . In this role, you'll play a crucial part in safeguarding our customers ... the customer's consent on a resolution. + Provide accurate complete claims processing, and records management using established procedures in moving/placing… more
- Elevance Health (Richmond, VA)
- **Pharmacy Quality Assurance Specialist ** **Location:** The employee must live within 50 miles of an open access Elevance Health PulsePoint (within 50 miles of the ... office 1-2 days per week. The **Pharmacy Quality Assurance Specialist ** will be responsible for evaluating the quality of...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Elevance Health (Richmond, VA)
- …Healthcare related experience a plus. + Previous experience in high-volume operations ( Medical Review, Appeals, Claims , Customer Service) strongly preferred. + ... **Pharmacy Quality Improvement Specialist ** _This position will work a hybrid model...deliver member-centered, lasting pharmacy care. The Pharmacy Quality Improvement Specialist is responsible for generating process improvements that bring… more
- ColonialWebb (Richmond, VA)
- Safety Specialist Richmond, VA 23228 ColonialWebb's safety culture is second-to-none and adding an experienced Safety Specialist will strengthen our ability to ... company match + PTO and paid holidays + Excellent medical , dental, life, vision and disability benefits + Employee...in reporting and investigating workers compensation and general liability claims on job sites; act as a liaison with… more
- Gilead Sciences, Inc. (Richmond, VA)
- …of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing Gilead's products and ... Gilead at professional events and promote company products * Partner with Medical Scientists, Marketing, and Market Access on various cross-functional projects to… more
- Robert Half Accountemps (Glen Allen, VA)
- …Responsible for performing accounting duties for Verus premium accounts receivable and claims deductible which include, but are not limited to, billing, collecting, ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
- Highmark Health (Richmond, VA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Guardian Life (Richmond, VA)
- …The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life claims , to determine claimants' level of functionality and provide evaluation of ... programs. The VRC must possess a thorough working knowledge of medical diagnoses and treatment modalities, criteria supporting vocational feasibility, and a… more
- Elevance Health (Richmond, VA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Indian Health Service (Charles City, VA)
- …The incumbent serves as the Pharmacy Technician, Point of Sale Billing Specialist , performing a combination of duties within the pharmacy department. Incumbent ... verify accuracy of information and process the transaction. Process claims and correct claims for re-submission. Interpret...before entry on duty or have IHS approve a medical or religious exemption. If an exemption is approved… more