- Northwell Health (New York, NY)
- …a plus) The Claims Specialist will support department operations related to provider communication, pended claim review, reporting, auditing, and ... **Req Number** 166205 Flexstaff is hiring a CLAIMS SPECIALIST on a fulltime Temporary...root causes. Proposes workflow changes to correct and enhance claim processes to prevent returned checks/refunds + Generates routine… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills & Abilities (must have):** + Knowledge and experience of claim operations , health care reimbursement, public health care programs and ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- FlexStaff (Chappaqua, NY)
- **Req Number** 167353 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... FlexStaff is seeking a dynamic Claims Management Specialist for our client to...client to oversee their Medicare, Medicaid, and Out-of-Network Insurance operations in beautiful Chappaqua, NY. If you thrive in… more
- MetLife (Aurora, IL)
- …Organizational and time management skills Preferred: * Bachelor's degree Business Category Operations - Claims At MetLife, we're leading the global ... meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
- Select Medical (Camp Hill, PA)
- **Overview** **Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are ... you results-oriented? If so, our Claims Resolution Specialist position may be a...outgoing calls to patients, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables.… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a...and third party commercial auto insurance claims . A typical day will include the following: Thoroughly… more
- Philadelphia Insurance Companies (Plano, TX)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Specialist - G/L to join our team! Summary: Investigate, evaluate and settle more ... insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a...complex first and third party insurance claims . A typical day will include the following: Communicates… more
- Pacific Medical Centers (Seattle, WA)
- …or equivalent experience in Health Care Business Administration. + 2 years in Managed Care operations . + 1 year of Claims processing experience, in a TPA, MSO, ... **Description** Adjudicates claims submitted by outside purchased services for PMC's...needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued -… more
- DoorDash (Tempe, AZ)
- …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations , and Risk Management & Mitigation. We are looking for ... partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk & Insurance… more