- 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
- A-Line Staffing Solutions (Monroeville, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... A-Line Staffing is now hiring a Medical Billing Specialist in Monroeville, PA. The Medical Billing ...a company match is available for full-time employees with 1 year of service on our eligibility dates Medical… 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
- GXO (Olathe, KS)
- …performance/compliance issues Perform data entry and track-and-trace duties Provide freight pay and claims resolution What you need to succeed at GXO: At a ... caliber of service our company requires. As the Transportation Specialist , you will be responsible for performing all functions...tracking for all modes of transportation and freight pay resolution . If you're excited by the prospect of working… 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
- 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
- A-Line Staffing Solutions (Monroeville, PA)
- …retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate ... I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid....billing practices. Billing Specialist Qualifications Required Skills/Experience : 1 + years… 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
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary ... an action plan to manage the claim. The Claim Resolution Specialist 1 will work...NJM Legal to control legal expenses and assure effective resolution of claims to reduce aged inventory… 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
- University of Rochester (Rochester, NY)
- … claims , identifies problems and takes appropriate action to assure claim resolution . **10%** Mails paper claims with appropriate attachments when needed ... obtained from a nationally accredited billing program, ie: CMBS (Certified Medical Billing Specialist ). + Preferred: 1 . Experience working with the EPIC system.… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …resolution Submit a Referral (https://careers-connectiverx.icims.com/jobs/2010/ claims - specialist /job?mode=apply&apply=yes&in\_iframe= 1 &hashed=-1834382591) ... Overview The Claims Specialist , under the direction of...Overview The Claims Specialist , under the direction of the Supervisor (with...assigned Qualifications + High School or GED required + 1 + years in a health care or case management… 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
- Truist (Arlington, TX)
- …track all unresolved issues accurately, to ensure timely follow up and resolution . Servicing specialists act as client advocates to track client complaints and ... below. Specific activities may change from time to time. 1 . Deliver care through exceptional client service and create...Truist Purpose, Mission and Values. 2. Investigate and provide resolution to clients' requests to Care Center, branches and… 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
- 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
- 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
