• Claims Specialist Sr - Commercial…

    Sedgwick (Richmond, VA)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
    Sedgwick (07/10/25)
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  • Medical Insurance Claims…

    HCA Healthcare (Fredericksburg, VA)
    …Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist ? At Parallon, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Medical Insurance Claims Specialist like you...Follow up Representative, you will be responsible for processing insurance accounts to address claim issues and… more
    HCA Healthcare (08/30/25)
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  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Richmond, VA)
    …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... following benefits for this position, subject to applicable eligibility requirements: . Medical/ Dental /Vision/Life Insurance . Paid holidays plus Paid Time Off .… more
    Cognizant (08/26/25)
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  • Financial Operations Recovery Specialist…

    Elevance Health (Norfolk, VA)
    **Financial Operations Recovery Specialist III** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... is granted as required by law The **Financial Operations Recovery Specialist III** is responsible for the discovery, validation, recovery, and adjustments… more
    Elevance Health (08/30/25)
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  • Medicare Billing Specialist

    TEKsystems (Chesapeake, VA)
    …Balance (ATB) reports to prioritize aged and high-dollar accounts. + Sort and analyze claims by age, starting with the oldest, and determine payment status or denial ... reasons. + Investigate and resolve claim denials, including requesting and uploading medical records to...and uploading medical records to provider portals. + Contact insurance companies and patients to resolve coordination of benefits… more
    TEKsystems (08/23/25)
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  • Return-to-Work Specialist

    Sedgwick (Richmond, VA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
    Sedgwick (08/29/25)
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  • Financial Operations Recovery Specialist…

    Elevance Health (Norfolk, VA)
    **Financial Operations Recovery Specialist Lead** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration ... is granted as required by law. The **Financial Operations Recovery Specialist Lead** is responsible for the discovery, validation, recovery, and adjustments… more
    Elevance Health (08/27/25)
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  • Inpatient Coding Denials Specialist

    HCA Healthcare (Richmond, VA)
    …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts,… more
    HCA Healthcare (07/26/25)
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  • Accounts Receivable Specialist II

    Cardinal Health (Richmond, VA)
    …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing denied and rejected … more
    Cardinal Health (08/27/25)
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  • IBM i (AS400) Infrastructure Specialist

    Cognizant (Richmond, VA)
    …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... Cognizant is seeking an IBM i (AS400) Infrastructure Specialist to support the IBM i infrastructure for...for this position, subject to applicable eligibility requirements: + Medical/ Dental /Vision/Life Insurance + Paid holidays plus Paid… more
    Cognizant (08/28/25)
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