- Providence (Mission Hills, CA)
- **Description** Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of ... the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS… more
- Insight Global (Dallas, TX)
- Job Description Insight Global is seeking a Medical Only Claims Specialist to join our client's team. This candidate will be responsible for managing non-complex ... and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision. We are a company committed to creating diverse… more
- Agile Cold Storage (Claymont, DE)
- Position Overview: The Billing and Claims Specialist will be responsible for managing all aspects of customer billing, including preparing invoices, reconciling ... accounts, claims and resolving billing discrepancies. The ideal candidate will...and customers. + Maintain accurate and organized billing and claims records. + Collaborate with operations and sales teams… more
- Trinity Health (Columbus, OH)
- …**Description:** Successful candidates will have a strong understanding of Medical claims particularly within Medicare guidelines. Researching claims that do ... audit, provider relations and more. **Position Purpose** Contracts/Benefits Configuration Specialist position performs a variety of analytical and configuration… more
- New York State Civil Service (Liverpool, NY)
- NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT ... Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will...of permanent, competitive class service as an Information Technology Specialist 2; OR * One year of permanent, competitive… more
- CVS Health (Franklin, TN)
- …each and every day. **Position Summary** This role will have a focus on training Claims processing and Claims Call Center staff for all products including Final ... to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three (1-3) years call center… more
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. Answer ... all information requests from those payers, and trace all claims to those payers making sure they have been...paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance… more
- CDM Smith (Albuquerque, NM)
- …process. * Performs other duties as assigned. \#LI-LP2 **Job Title:** FEMA Claims Specialist **Group:** WAF Field Mod Fringe **Employment Type:** Temporary ... for two years in developing policy, procedures, and processing claims in support of the Hermit's Peak Calf/Canyon fire....fire. We are looking for additional staff to process claims with a focus on high quality output. Staff… more
- Healthfirst (NY)
- …hospital partners including but not limited to roster maintenance and claim issue root cause analysis_** + **_Managing education//training regarding company-wide ... initiatives including but not limited to new product implementation, regulatory initiatives, and other various health plan business objectives_** + **_Serving as an advocate for Hospital Providers within Healthfirst_** + **_Work closely with numerous… more
- Guidehouse (Lewisville, TX)
- …**Clearance Required** **:** None **What You Will Do:** The **Credit Balance Specialist ** **(Physician Claims )** will manage credit balance workloads and respond ... service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities.… more