- Merck & Co. (North Wales, PA)
- …data leveraging advanced statistical techniques from disparate databases or sources ( claims data, EMR/EHR, lab, and other sources) to drive optimization and ... landscape.Expertise in mining and analyzing secondary real-world evidence data ( claims data, EMR/EHR, lab, etc.) and proven record of...your employment may pose an undue burden to business operations , in which case you may not be offered… more
- Rose International (Atlanta, GA)
- …for a Refund Specialist for our Credits Team in our Revenue Operations Department. Individuals who excel in this role are highly ambitious, results driven, and ... root causes to drive work efficiently within the team. Hybrid and remote position available. All necessary equipment is provided. Qualifications: Strong Refund… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment ... free drug assistance. Position Summary: Under the general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Benefits Verification Specialist Location: Remote Duration: 3+ month's Working hours: 8:30am to 5:30pm EST or 10:30am - 7:30pm EST Note: Training shift ... to the healthcare provider. Position Summary: Under general supervision of an Operations Manager, the Benefits Verification Specialist will contact insurance… more
- MultiPlan (Naperville, IL)
- …with guidance for the Subrogation Business Analyst. 6. Obtaining information such as claims and plan documents from client remote systems. 7. Processing outgoing ... people come to shine! JOB SUMMARY: The position requires the Operation Support Specialist to assist the recovery team performing various duties when needed. The… more
- Zurich NA (Topeka, KS)
- RCIS Crop Claims Specialist or Crop Claims ... in the facilitation of general day to day operations and claims management. In addition, the selected ... personal networks. And participating in professional societies Crop CAT Claims Specialist Basic Qualifications: + High School...assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care… more
- The Hartford (Lake Mary, FL)
- Operations Support Specialist , Claims - CH10KN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages ... team as we help shape the future. The Hartford's Claims Centralized Operations Group is seeking a...GROW coaching plans + For full-time, occasional, part-time, or remote positions: (1) high speed broadband internet service (we… more
- Lithia & Driveway (Medford, OR)
- …to effective claims processes and safeguarding the organization. As a Specialist , Risk Management, you will be an integral part of our risk management ... Dealership:L0105 Lithia Home Office Specialist , Risk Management The Specialist , Risk...administration of workers' compensation, auto, property, and general liability claims . This role involves monitoring claims throughout… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …role does not manage people + This role reports to this job: SUPERVISOR, CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this position, the ... Claims Specialist I must be in contact...to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Enrollment and Billing, Administrative Services,… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist ** **Starting at $17.50 per hour** **ON-SITE** **(Hybrid Schedule Possible After 90 Day Probationary Period)** Do you ... puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a...write off requests and refund requests. + Notify database operations of changes or additions to specific payor, plan,… more
- Zurich NA (Bismarck, ND)
- RCIS Crop Claims Specialist NW counties in ND. 114794 **We are open to hiring talent in one of the following locations within Williams, McKenzie, Divide, Burke, ... trends, establishing personal networks. And participating in professional societies. Crop Claims Specialist Basic Qualifications: + High School Diploma or… more
- BrightSpring Health Services (Vancouver, WA)
- … processing and payer subject matter expert* Provide support to 3rd Party Claims Specialist I answering operational questions* Support supervisory team by ... from a retail to office environment for those who are willing to learn claims , billing and insurance processing. Remote position. Applicants can reside anywhere… more
- University of Washington (Seattle, WA)
- …**WORK SCHEDULE** + 40 hours per week + Day Shift + This position is Remote **POSITION HIGHLIGHTS** The Claims Supervisor is responsible for the coordination and ... control of the Claim Specialist Team, ensuring that effective operations run...disputes and/or recommends administrative course of action to the Claims , Payment & Credit Manager with the development and… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Support Specialist position provides comprehensive administrative support as part of the Client Experience. This role includes ... St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture and all of our employee's work locations are based on the needs… more
- Trinity Health (Livonia, MI)
- …Hospital Billing Claims Certified Application Coordinator or Professional Billing Claims Certified Applicaiton Coordinator ** REMOTE : position allows for work ... and comprehensive knowledgeable in Trinity Health's policies, procedures, and business operations . Works directly with the customer and develops best practice… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Pharmacy Operations Specialist is responsible for supporting the operational functions of Commonwealth Care Alliance ... (CCA) pharmacy program. Operational functions include: claims oversight and resolution, monthly EOB reviews and monthly...tool for all lines of business + Support pharmacy operations team in the analysis of monthly and yearly… more
- Tufts Medicine (Burlington, MA)
- …are more complex, more technical, and/or more critical to Tufts Medicine operations . This position requires regular engagement with teams, departments, and key ... responsibilities may be assigned. 1. Serves as an experienced business specialist and technology generalist responsible for aligning technology solutions with… more
- MAPFRE Insurance (Webster, MA)
- Claim Specialist , Bodily Injury (Hyrid or Remote ) Date: Aug 20, 2024 Location: Webster, MA, US Company: MAPFRE Job Summary **Position is hybrid for candidates ... within a commutable distance (2 days in office/3 days remote )** Ability to handle a pending of Automobile Casualty losses which includes minor to high severity… more
- Zurich NA (Gold River, CA)
- …They will also provide support to Area Claims Managers either as a local claims specialist in the facilitation of general day to day operations and ... Claims Crop Field Adjuster I, Stanislaus and San...Management Agency initiated reviews and referrals for sake of operations integrity and quality assurance + Protect Zurich's reputation… more
- Trinity Health (Farmington Hills, MI)
- …coding expertise and coding judgment within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) center. Serves as ... HCPCS, Modifiers and CPT-4 procedural codes for CMS-1500 outpatient or inpatient claims , or other coding reasons and processing charge corrections based on medical… more
