- 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 ... overcome objections and apply effective telephone negotiation skills to reach successful resolution on negotiated claims . * Up to 40% of time will be on phone… 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 ... support optimal and accurate charge processes; collaborate with CDI Specialist , Claims Resolution Specialist...obtained with 9 months of hire date Knowledge of medical terminology and anatomy and physiology required. Knowledge of… more
- US Tech Solutions, Inc. (Monroeville, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... Job Title: Billing Specialist I Location: Monroeville PA USA 15146 Duration:...I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work with… more
- Rose International (Monroeville, PA)
- …Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work ... retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate… 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
- Valmont Industries, Inc. (Valley, NE)
- …offsite locations, customers, and internal departments to ensure prompt and satisfactory resolution of field claims . Essential Functions: Negotiate and resolve ... the highest level of support. As a Product Services Specialist , you'll be at the forefront of addressing product...product complaints from shipment to resolution , considering both commercial and physical aspects.Coordinate internal activities… 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
- US Tech Solutions, Inc. (Cumberland, RI)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... Monday - Friday 8:30 - 5 Job Description: Billing Specialist I will be responsible for qualifying, preparing and...I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work with… 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 ... clinical documentation opportunities and provide routine feedback and education to medical staff providers to support compliant, accurate and optimal charge capture.… 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...HCPCs, and ICD-10 coding experience required. + Experience with medical terminology required. + Previous experience with health insurance… more
- City of Columbus (Columbus, OH)
- Workers' Compensation Claims Specialist (Employee Benefits Analyst II) (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/4505699) ... Apply Workers' Compensation Claims Specialist (Employee Benefits Analyst II) (Vacancy)...with all interested parties; developing action plans for injury claims and managing them to resolution ; documenting… more
- Axis (Red Bank, NJ)
- … claims professional to join our Design Professional & Environmental (DP&E) claims team as a Claims Specialist . This position will ... investigations to determine liability, damages, and coverage.** **Makes recommendations regarding resolution strategy for such claims including reserve adequacy;… more
- Concentrix (Greenville, SC)
- Job Title: Customer Service Representative ( Claims Specialist ) On-Site Job Description The Customer Service Representative ( Claims Specialist ) On-Site ... for Career Growth** " awards every year? Then a Claims Specialist /Customer Service Representative position at Concentrix...in the program to ensure high quality and timely resolution + Prepare complete and accurate work including appropriately… more
- Aveanna (Atlanta, GA)
- Workers Compensation Claims Specialist ApplyRefer a FriendBack Job Details Requisition #: 195090 Location: Atlanta, GA 30339 Category: Compliance Salary: $45,000 ... - $55,000 per year Position Details Position Overview The Workers Compensation Claims Specialist is responsible for the being the liaison between the Aveanna… more
- Sedgwick (Columbus, OH)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult surety and surety bond claims ; to provide resolution of highly complex...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage the technical aspects of complex and high severity medical and CAT claims for quality outcomes… more
- Robert Half Accountemps (Costa Mesa, CA)
- Description We are looking for a Medical Collections Specialist to join our team in Costa Mesa, California. The role will focus on working with insurance ... companies, government payors, and patients for the resolution of payments and accounts. The successful candidate will be responsible for evaluating claims ,… more
- Baystate Health (Springfield, MA)
- …**8)** Documents account with all information relevant to the timely submission and resolution of claims . **9)** Interacts effectively with all units to maintain ... **The Physician Billing Claim Support Specialist is responsible for ensuring accurate and complete...ensuring accurate and complete claim submissions for the Baystate Medical Practices. Utilizing multiple insurance edit reports and computer… more
- NJ Transit (Newark, NJ)
- Claims Specialist (TC) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in ... all facets of trial preparation to affect a successful resolution of litigated cases. + Utilizes knowledge, experience and...TRANSIT's assets. + Analyzes, audits and approves payment of medical bills and expenses associated with claims … more
- Axis (New York, NY)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...offer a comprehensive and competitive benefits package which includes medical plans for employees and their families, health and… more
