- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication,...care or health care providers that meet the program business rules for determination of approval, denial, or pending… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** ... + Being a Subject Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing… 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
- Sedgwick (Long Beach, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze ... preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management… more
- NTT DATA North America (Decatur, IL)
- …Ability Requirements:** + High School Education required. + Minimum 3 years experience of Claims Processing + Minimum 1 year experience processing claims ... the people who work here. NTT DATA seeks a ** Claims Refund Specialist ** on a **project** basis... Manager. This position is responsible for handling the processing of voids and refunds. **Principal Duties & Responsibilities:**… 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
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for… more
- Modernizing Medicine (Tampa, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... positive impact on healthcare. Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc....Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping… more