• Dialysis Clinic, Inc. (Sacramento, CA)
    …for assigned patients by staying in contact with clinical staff and social workers, calling insurance companies and providing online verification. Responsible ... with a lower caregiver-to-patient ratio than other providers.The AR Specialist will provide continual and accurate documentation regarding eligibility,… more
    JobGet (09/08/24)
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  • Social Insurance Specialist

    Social Security Administration (Sherwood, AR)
    …reviewing caseloads (eg, income maintenance, benefits, pension plans, health insurance , etc.); adjudicating, authorizing, investigating or reconsidering claims ; ... II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases. Provides lead role in technical training and mentoring other… more
    Social Security Administration (09/11/24)
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  • Pharmacy Claims Specialist

    BrightSpring Health Services (Arlington, TX)
    Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician… more
    BrightSpring Health Services (07/04/24)
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  • Medical Support Specialist - Claims

    State of Maine, Bureau of Human Resources (Augusta, ME)
    MEDICAL SUPPORT SPECIALIST - CLAIMS Augusta , Maine , United States | Community & Social Services | Full-time Apply by: Sept. 11, 2024 Apply with Linkedin ... resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including… more
    State of Maine, Bureau of Human Resources (08/29/24)
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  • Claims Management Specialist

    Entergy (New Orleans, LA)
    …Campaign Foundation - Corporate Equality Index This position may be filled as a Claims Specialist I, II or Senior** **based on the qualifications and experience ... that has won numerous awards for safety, diversity, and social responsibility. Selected awards include: + Black Enterprise Magazine...a plus. **Minimum experience required of the position** + ** Claims Specialist I:** 3-5 years of liability… more
    Entergy (08/13/24)
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  • Claims Review Specialist

    City of New York (New York, NY)
    …is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED...concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in … more
    City of New York (06/23/24)
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  • Claims Specialist I

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this position, the Claims Specialist I must be in contact with personnel in other Units: ... **Work Experience** + 6 months of experience in medical claims or health insurance -related customer service or...checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county… more
    Blue Cross and Blue Shield of Louisiana (09/12/24)
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  • Claims Review Specialist

    City of New York (New York, NY)
    …making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance , or participation in social ... Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE OR IF YOU ARE HIRED...Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City… more
    City of New York (08/11/24)
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  • Senior Long Term Disability Claims

    MetLife (Bloomfield, CT)
    …customers and our communities. The Senior Long Term Disability (LTD) Claims Specialist evaluates long term disability insurance claims in accordance with ... time service standards. In this role, the Senior LTD Claims Specialist is required to exercise independent...and Technical Skills: Required: * 3+ years of LTD Insurance Claims experience * Creative problem-solving abilities… more
    MetLife (09/01/24)
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  • Part Time Healthcare Claims Denials…

    CenterWell (Atlanta, GA)
    …time position scheduled 20 hrs per week. As a **Part Time** **Accounts Receivable Specialist /RCM Healthcare Claims Denials Specialist ** , you will: + Ensure ... action. + Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing. + Prepare input data forms… more
    CenterWell (09/07/24)
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  • Sr. Claims Specialist Professional…

    Sedgwick (Columbus, OH)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist Professional Liability, Public Entity **PRIMARY PURPOSE** **:** ... entity; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best practices… more
    Sedgwick (09/05/24)
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  • Voluntary Claims Specialist

    Lincoln Financial Group (Columbus, OH)
    …73468 **The Role at a Glance** We are excited to bring on highly motivated Voluntary Claims Specialist I to staff our ever-growing claims organization. As a ... information for payment. + Applying core knowledge of voluntary insurance products and claims processes to review...letters. Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information… more
    Lincoln Financial Group (09/06/24)
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  • Pharmacy Claims Specialist

    BrightSpring Health Services (Uniondale, NY)
    …a retail to office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician experience and/or knowledge of ... come join our team and apply today! Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a...office environment for those who are willing to learn claims , billing and insurance processing. Pharmacy Technician… more
    BrightSpring Health Services (09/03/24)
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  • Group Claims Specialist - West Coast…

    Lincoln Financial Group (Columbus, OH)
    …**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...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
    Lincoln Financial Group (08/20/24)
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  • Portability Claims Specialist

    US Marine Corps (Quantico, VA)
    …Skills to accurately prepare, verify, and validate documents involving medical/dental/life insurance claims . Knowledge of procedures, regulations, precedents and ... keep the organization functioning smoothly and effectively. Responsibilities Serves as claims and portability specialist for Non-appropriated Fund (NAF)… more
    US Marine Corps (09/05/24)
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  • Claims Specialist - Claims

    Providence (Mission Hills, CA)
    **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring special handling in accordance with ... policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance… more
    Providence (08/22/24)
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  • Claims Specialist I

    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
    BrightSpring Health Services (09/04/24)
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  • Claims Specialist , Audit…

    LogixHealth (Bedford, MA)
    Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and vision, 401(k), PTO, paid holidays, life and disability insurance , on-site fitness center and company-wide social more
    LogixHealth (08/06/24)
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  • Lead Claims Specialist

    Providence (Mission Hills, CA)
    **Description** Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for ... accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans,...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… more
    Providence (08/23/24)
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  • Claims Specialist , EDI

    LogixHealth (Bedford, MA)
    Location: On-Site in Bedford, MA This Role: As a Claims Specialist in EDI at LogixHealth, you will perform general tasks in the EDI Department on the Billing ... a desire to learn. Key Responsibilities: + Print paper claims for all Allscripts databases + Work daily custom...and vision, 401(k), PTO, paid holidays, life and disability insurance , on-site fitness center and company-wide social more
    LogixHealth (07/24/24)
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