- Providence (Mission Hills, CA)
- …Human Resources **Job Schedule:** Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE ... functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. +… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and...for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations,… more
- Dignity Health (Bakersfield, CA)
- …Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related… more
- Pike Corporation (Mount Airy, NC)
- …and maintenance of internal knowledge base. + Handles multiple functions related to business operations, claims processing , and office workflows. + ... Position Overview: The primary purposed of Claims Specialist is to manage various...forms, video evidence, witness statements, and vendor contracts from business clients for use in the claims -handling… more
- NJM Insurance (Trenton, NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... in being a key component in the growth and success of our policyholders' business operations. To meet these expectations, WC Claims Specialists are supported by… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , E&O, D&O | Professional Liabilty **ESSENTIAL FUNCTIONS and ... RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Mass Markets (Killeen, TX)
- …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more