- Lundbeck (Dallas, TX)
- …boundaries include: Texas (subject to change) SUMMARY: The Lundbeck Field Access Specialist is a field-based role focused on supporting providers as they navigate ... or specialty pharmacy) Understand key concepts associated with navigating access via medical and pharmacy benefit reimbursement process Serve as a deep subject… more
- Eisai, Inc (Cincinnati, OH)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... profile, we want to hear from you. The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic… more
- PedIM Healthcare (Crystal River, FL)
- …training. Supportive and collaborative work environment. Responsibilities: Review and process medical claims for accuracy and completeness. Verify patient ... Florida. We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team....data and resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... states: AL, FL, GA, MS, Puerto RicoJob Summary The Eisai Federal Account Specialist - Oncology and Neurology (FAS) will be responsible for meeting sales goals… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …upon request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine ... management including UM/CM, Grievance and Appeals, inpatient and outpatient services, medical policy, and clinical claims review In-depth experience of Mass… more
- University Health (San Antonio, TX)
- …or AHIMA as a Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health ... Work Plan. This position is responsible for conducting complex audits of medical coding, billing, and documentation practices to ensure adherence to federal and… more
- Insight Global (Dallas, TX)
- Job Description Insight Global is seeking a Medical Only Claims Specialist to join our client's team. This candidate will be responsible for managing ... non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision. We are a company committed to… more
- Sedgwick (Los Angeles, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California ... **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury… more
- University of Washington (Seattle, WA)
- …Medicine Faculty Practice Plane Services has and outstanding opportunity for a ** Claims Specialist (Patient Account Representative 2).** This position is ... responsible for claims review, clearing claim edits, and timely and accurate...information, posting rejections, or forwarding the claim to a medical coding specialist for review and coding… more
- HCA Healthcare (Dallas, TX)
- …that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all ... **Qualifications you will need:** + **Minimum 3-5** **years' experience** **in Medical ** **Insurance Claims ** **Follow-up/Billing for a facility, medical… more
- Trinity Health (Columbus, OH)
- …Shift **Description:** Successful candidates will have a strong understanding of Medical claims particularly within Medicare guidelines. Researching claims ... + .Education: Associate or Bachelor's degree preferred + .Experience: 5 years medical claims or relevant health insurance + In depth understanding… more
- Scripps Health (San Diego, CA)
- …in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist , you will be responsible for the following: ... one of the most respected healthcare organizations nationwide. As a Patient Account Specialist , you will be supporting the Billing Services department at our 4S… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work remotely, Monday - Friday daylight hours. The selected ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to the Workers...effectively and efficiently manage loss exposures. Responsibilities: + Assign medical or other experts to case and arrange for… more
- City of New York (New York, NY)
- …the Corporation Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II, Sidewalk/Roadway Liability Claims ... employees serving in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent civil service title on your resume… more
- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I/Government (Full-time) ... reimbursement for all claims from government and third-party payers. The Claims Specialist is responsible for preparing and submitting timely and accurate… more
- AON (NY)
- Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... claim submissions and documentation to confirm coverage and assess claims . + Review medical records, itineraries and...and policies. #LI-AM4 2563784 Aon is looking for a Claims Specialist II Do you have experience… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a… more
- BrightView (Blue Bell, PA)
- …team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in ... At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of...the performance and cost-effectiveness of external vendors, including attorneys, medical consultants, and surveillance firms. **You might be a… more
- Zurich NA (Indianapolis, IN)
- Workers' Compensation Litigated Claims Specialist (IN/IL) 129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated ... Claims Specialist II to join our high-performing...litigation strategy, and following best practices for reserving indemnity, medical , and expense components. Your pay at Zurich is… more
- Axis (Princeton, NJ)
- …upon request for candidates taking part in the selection process. **Senior Claims Specialist - Management Liability - Financial Institutions** **Job Code** ... Do In This Role?** + Serving as a Senior Claims Specialist focused on management liability ...for a comprehensive and competitive benefits package which includes medical plans for you and your family, health and… more
