- 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
- Social Security Administration (Caldwell, ID)
- …The position is at the full performance level. Responsibilities Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's ... or authorizing of claims under a program for SSA benefits, health insurance , pension plan, income maintenance or related programs. Applicants must also meet the… more
- Social Security Administration (El Cajon, CA)
- …Office at: 846 Arnele Ave. El Cajon. CA . Responsibilities Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's mission ... authorizing of claims under a program for SSA benefits, health insurance , pension plan, income maintenance or related programs. GS-11: Fifty-two weeks of… more
- Entergy (Reserve, 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
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. ... claims to government agencies, medical service bureaus, and insurance companies. Submit claims appeals with supporting...1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon,… more
- 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
- 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
- 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
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Specialist , Professional Liability **PRIMARY PURPOSE** : To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Lincoln Financial Group (Columbus, OH)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- CenterWell (Marietta, GA)
- …a part of our caring community and help us put health first** As an **RCM Claims Denial Specialist - MAV1/A** **c** **counts Receivable Specialist ** , you ... action. + Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing. + Prepare input data forms… more
- 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
- 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
- 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
- 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
- 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
- Providence (Anaheim, 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
- 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
- MetLife (Bloomfield, CT)
- …management skills Preferred: . Bachelor's degree . 1-3 years of LTD/IDI Insurance Claims experience Equal Employment Opportunity/Disability/Veterans If you need ... manages with some level of oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS will… more
- BrightSpring Health Services (Oklahoma City, OK)
- …Adjudication Specialistwill be responsible for all aspects of pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of ... Accounts* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance * 401(k) Retirement Plan with Employer Match* Company paid Life and… more
