- MultiPlan (Atlanta, GA)
- …subject to defined work output standards and production which involves high volume claims resolution . Work involves direct contact with internal and external ... savings on behalf of payor/client. JOB ROLES AND RESPONSIBILITIES: 1 . Manage a high volume of healthcare claims...and apply effective telephone negotiation skills to reach successful resolution on negotiated claims . * Up to… more
- Blanchard Valley Hospital (Findlay, OH)
- … of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits. Support ... system enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist , Revenue Integrity… more
- Rose International (Monroeville, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... Hiring Organization: Rose International Position Number: 462898 Job Title: Billing Specialist Job Location: Monroeville, PA, USA, 15146 Work Model: Onsite Employment… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …improving the health of our communities. About the Role:Job SummaryThe Patient Safety Specialist will support the NGPG Patient Safety & Risk Management programs by ... safety initiatives, risk management programs, and patient variance processes. The Specialist will monitor trends, conduct investigations and complete audits to… more
- WSFS Bank (Newark, DE)
- …reinvent service vendor management, ATM Cash Forecasting, and Vault Cash resaleThe TCM Support Specialist will be part of the ATM Help Desk team, a unit responsible ... accurate and timely informationThis will include type of service, estimated resolution times, billing status and service resolutionsAssist in armored courier… more
- Blanchard Valley Hospital (Findlay, OH)
- …in response to investigational or potential compliance risks. Duty 7: Work with Coding Claims Resolution Specialist (CCRS) to review denial trends, whether ... education and training for new and existing BVHS providers. JOB DUTIES/RESPONSIBILITIES Duty 1 : Provide direct oversight of the PCIS team and related functions with… more
- Prairie Ridge Health (Columbus, WI)
- Prairie Ridge Health is seeking a Claims Resolution Specialist to join the Business Services team. This position is a 1 .0 FTE (40 hours per week) and ... works a Monday-Friday, day shift schedule. The Claims Resolution Specialist is responsible for researching and resolving complex facility and professional… more
- Centers for Independence (Milwaukee, WI)
- ** Claims Resolution Specialist ** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Description** **_Job Purpose_** : The Claims Resolution ... with all contractual and regulatory requirements. **_Essential Job Functions_** **:** 1 . Provide courteous and professional service in any inquiries via email,… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims * Respond to inquiries… more
- The Hartford (Penn, PA)
- Specialist Claims - CH07DE We're determined...a well-reasoned analytical focus, and a clear strategy for resolution . The Claim Specialist must also be ... team as we help shape the future. The Claim Specialist is the highest claim handling designation within the...to customers and business partners in the management and resolution of claims ; + Respond to inquiries… more
- Baystate Health (Springfield, MA)
- …role updates claim elements to allow for effective and timely submission of claims .** **Job Responsibilities:** ** 1 )** Charge Corrections - Process all types of ... **The Physician Billing Claim Support Specialist is responsible for ensuring accurate and complete...with all information relevant to the timely submission and resolution of claims . **9)** Interacts effectively with… more
- Intermountain Health (Salt Lake City, UT)
- …understanding of the professional revenue cycle to perform final validation and resolution of professional claims issues not requiring coding expertise. They ... perform manual charge entry and participate with Claims Solution Specialist -Coders in the continuous improvement efforts focused on increasing the efficiency and… more
- BrightSpring Health Services (Oklahoma City, OK)
- …pharmacy and medical claims adjudication, accuracy of pharmacy and medical claims , resolution of third-party rejections, and coordination of benefits. WORK ... Paid Time Off & Holidays Responsibilities + Processes pharmacy and medical claims accurately and efficiently, ensuring compliance with payer policies and guidelines.… more
- Travelers Insurance Company (Hunt Valley, MD)
- …join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... claims and accounts with full damage values that often greatly exceed $ 1 ,000,000. Claims typically involve complex trigger, allocation, limits, and exclusion… more
- Travelers Insurance Company (Houston, TX)
- …our Strategic Resolution Group Claim team as a Sr. Technical Specialist handling complex toxic tort, latent injury, sexual misconduct, environmental claims ... performance-based cash incentive awards. **Salary Range** $89,000.00 - $146,800.00 **Target Openings** 1 **What Is the Opportunity?** We are looking for a motivated… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... and CPT-4 procedural codes for UB-04 outpatient or inpatient claims , or other coding reasons and processing charge corrections...all aspects of Payment Resolution Specialist role to support progressive responsibility.… more
- Travelers Insurance Company (Richardson, TX)
- …are looking for a motivated and enthusiastic team player to join our Strategic Resolution Group Claim team as a Technical Specialist handling complex toxic tort, ... latent injury, sexual misconduct and/or environmental claims that may present significant financial exposures. With general supervision, you will manage moderate to… more
- Randstad US (Howell, MI)
- …Hanover Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in ... + Organizational Skills + Multi-tasking + Technical Support + Claims Processing Qualifications: + Years of experience: 1... Claims Processing Qualifications: + Years of experience: 1 year + Experience level: Experienced Randstad is a… more
- Bob's Discount Furniture (CT)
- …individuals who respond to concerns relative to furniture purchases, deliveries and warranty claims . The Customer Support Supervisor ensures that his or her own work ... sound decisions within and outside of established policies + Fan of Engagement: 1 year people management experience and proven track record in contact center… more
- Beth Israel Lahey Health (Charlestown, MA)
- …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 4. Establishes relationships ... **Essential Duties & Responsibilities** including but not limited to: 1 . Monitors days in A/R and ensures that they...Billing Office. 16. Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals… more
