- USAA (Chesapeake, VA)
- …to conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations, particularly Medicare Supplement claims ... Life Company's Claim Team is seeking a talented **Medical Specialist Principal** to play a crucial role in advising...play a crucial role in advising the Medicare Supplement Claims Department on the morbidity and claims … more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …errors and resubmit claims + Report all payments on collection claims to the Collections Specialist (s) + Attend required hospital-wide orientations, ... The Senior Coding Specialist is responsible for performing coding tasks required...filing limitations, denials, and attachment requirements to work all claims to a zero balance in a timely manner.… more
- Republic Finance, LLC (Virginia Beach, VA)
- …including core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains ... amazing benefits and perks, including health, dental, and vision insurance with employer contribution as well as paid time...for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in… more
- Republic Finance, LLC (Virginia Beach, VA)
- …analytical skills to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance ... amazing benefits and perks, including health, dental, and vision insurance with employer contribution as well as paid time...industry for you, apply today! As a Consumer Loan Specialist , you will be a key team member in… more
- ADP (Norfolk, VA)
- ADP is hiring a **Benefit Solutions Specialist - I.** At ADP we are driven by your success. We engage your unique talents and perspectives. We welcome your ideas on ... necessary ADP-specific tasks are accomplished on time and as required. The Specialist is responsible for all "hands-on" configuration and related activities for both… more
- Huntington Ingalls Industries (Newport News, VA)
- SUPPLY CHAIN SPECIALIST 3 Location: Newport News, Virginia, United States Date: Mar 12, 2025 Req ID: 41200 Team: O51 SC PROCUREMENT Entity: Newport News Shipbuilding ... completion of order. Negotiates and settles with suppliers regarding damage claims , rejections, losses, return of materials, over shipments, cancellations and… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …but not limited as other tasks may be assigned. + Submit Medicare/Medicare Advantage plan claims both electronic and paper claims ( UB -04 and 1500) to the ... and non-government payers + Submit shadow bill (Information only claims ) to Medicare + Understand how to resolve Medicare/Medicare...lacl aims resolution is achieved + Generates letters to insurance or patients as needed in order to resolve… more
- Allied Universal (Norfolk, VA)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services ... flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use...**prior to applying** **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising ... Ensure accuracy and integrity of charge data prior to billing interface and claims submission + Utilize a computerized encoding system to facilitate accurate coding;… more
- Elevance Health (Norfolk, VA)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Elevance Health (Norfolk, VA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Cherry Bekaert (Virginia Beach, VA)
- …employees with benefit enrollment process, eligibility, coverage amounts/options, and claims filing. The benefits manger influences the benefits strategy and ... Total Rewards Leader. You will serve as a career advisor to our Benefits Specialist . **In this role you will be responsible for:** + Benefits strategy development -… more