- US Tech Solutions (Robbinsville, NJ)
- **Job Description:** Under the direction of the Billing Unit supervisor, the temporary Claims Eligibility Specialist will be responsible for adjudicating and ... processing fee for service claims , billing and eligibility inquiries and other assigned billing duties **Experience:** + Medical billing knowledge (including… more
- HCA Healthcare (Brentwood, TN)
- …purpose and integrity. We care like family! Jump-start your career as a EDI Claims Filing Specialist today with Parallon. **Benefits** Parallon, offers a total ... for benefits may vary by location._** Come join our team as a EDI Claims Filing Specialist . We care for our community! Just last year, HCA Healthcare… more
- Illumination Foundation (Riverside, CA)
- …The Claims Specialist is responsible for accuracy of claims submission, benefits and eligibility verification, accuracy of client information. In ... addition, the Claims Specialist is also responsible for keeping...the standards of our contracts and programs. + Verify eligibility of each client prior to creating and submitting… more
- Illumination Foundation (Santa Ana, CA)
- …The Claims Specialist is responsible for accuracy of claims submission, benefits and eligibility verification, accuracy of client information. In ... addition, the Claims Specialist is also responsible for keeping...CPT codes for services rendered etc(as needed). + Verifying eligibility prior to claim submission via provider or DHCS… more
- City of New York (New York, NY)
- …for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish cases ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR...enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims… more
- Community Clinic Inc. (Silver Spring, MD)
- …a more equitable health care system for everyone. Position Summary CCI is seeking a Claims Specialist to serve as a financial resource in support of the clinical ... services provided. The Claims Specialist will assure that services are...patient financial status and established budget payment plans or eligibility for Sliding Scale consideration. + Must ensure open… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Bureau of Law and Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York. BLA investigates and, when… more
- Whitney Young Health Center (Watervliet, NY)
- Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL ... RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and following up on more complex or problem claims or insurance types as… more
- JBS USA (Greeley, CO)
- **Description** Claims Specialist Purpose and Scope/General Summary: The JBS Pork team is looking for a Claims & Deductions Specialist . This person will ... count discrepancies. It is the role of the Claim Specialist to act as mediator between outside parties and...via phone and email. + Investigate root cause of claims (transportation, plant, sales, customer error etc.) + Acquire… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY ... SPECIALIST TITLE YOU MUST TAKE AND PASS THE ELIGIBILITY SPECIALIST CIVIL SERVICE EXAM WHEN IT...lifts SNAP sanctions. SNAP-CR is recruiting for six (6) Eligibility Specialists IIs to function as a Claims… more
- Veterans Benefits Administration (Buffalo, NY)
- …Available Virtual: This is not a virtual position. Position Description/PD#: Veterans Claims Examiner (Training & Quality Specialist ) NTE 1 Year37744A ... Summary The Quality/Training Specialist is responsible for performing quality reviews for...specialized reviews for cases to determine the accuracy of claims actions taken, single signature proficiency, and error trends.… more
- CRC Insurance Services, Inc. (TX)
- … claims appropriately. 7. Analyze claim coverage with insurance carriers to ensure claims are paid accurately. 8. Assess eligibility status of denied ... of America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Acts as a liaison… more
- Social Security Administration (Fresno, CA)
- …Office at: 5140 E Olive Avenue, Fresno, CA. Responsibilities Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's mission ... under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits… more
- CVS Health (Franklin, TN)
- …with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical ... claims for reimbursement through knowledge of medical coding and...strict adherence to policies and guidelines. + Determines the eligibility and coverage of benefits for each claim based… more
- SCI Shared Resources, LLC (Whittier, CA)
- …explore alternatives, and troubleshoot situations. Elevates problems up to the Account Claims Specialist II when unable to resolve. Process funeral insurance ... claims (Global Atlantic and TruStage) and follow up with...objectives. Works under the close direction of the Senior Specialist II. **Essential Job Functions:** Must be able to… more
- UT Health (Houston, TX)
- Project Specialist - Texas All-Payor Claims Database - Hybrid **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Engineering UTHealth ... come in. **We are looking for a Full-Time Project Specialist to join the UTHealth School of Public Health...which collects administrative data for medical, pharmacy, and dental claims along with eligibility and provider files.… more
- Modivcare (AZ)
- …validity of claim. + Applies established guidelines and policies to determine claim eligibility and process claims accordingly. + Obtains missing information by ... you! This position is responsible for providing customer service for the inbound claims phone line. This includes reviewing, processing and managing claims … more
- JPMorgan Chase (San Antonio, TX)
- …+ Primary training lead in collaboration with Training Organization for delivery of specialist new hire content. + Perform as a subject matter expert in and ... skills** + 3 years FCPS specific phone experience + History of improving specialist results through coaching, training, and remediation of behavior + Performed as a… more
- JPMorgan Chase (San Antonio, TX)
- …options and finding solutions to help our customers. The Call Center Fraud Specialist 's work is creative, exciting, and different every day. As a Retail Fraud ... Specialist I in the Call Center team at Chase,...benefits and programs to meet employee needs, based on eligibility . These benefits include comprehensive health care coverage, on-site… more
- Truist (Greensboro, NC)
- …workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering ... the position. Truist offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date… more