- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …and apply them to insurance claims . Research unpaid and denied insurance claims to ensure account resolution and claim payment . Verify accuracy and ... patients need to keep moving and keep enjoying their life. The Insurance Specialist - Spine is responsible for performing accounts receivable for spine patients with… more
- Maxim Healthcare (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Maxim Healthcare is hiring for a Reimbursement Specialist who will serve as liaisons between office...reviewing office sales for appropriate documentation, generating and billing claims and invoices, and follow up on unpaid accounts.… more
- CareFirst (Baltimore, MD)
- …capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting ... to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated...proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice… more
- ConvaTec (Massapequa, NY)
- …requires some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private ... prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- CDM Smith (Missoula, MT)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- PennyMac (Carrollton, TX)
- …through the complete mortgage journey. A Typical Day The Senior Business Control Specialist assists in the development of a mortgage centric compliance program that ... assists in creating an effective control environment. The Senior Business Control Specialist will : + Utilizing investor guidelines, research repurchase claims … more
- Jack Link's (Minneapolis, MN)
- …, Mariani and Local Legends Meat Snacks. The Sr. Regulatory Affairs Specialist is responsible for creating and assuring compliance of federally regulated product ... label information, including nutrition, ingredient declaration, allergens, claims and associated product communication. This position manages several projects while… more
- Zurich NA (Nashville, TN)
- Underwriting Specialist OR Executive Underwriter- Construction Casualty 127363 Zurich gives you the tools and support to construct a rewarding career in the ... Insurance industry. We are looking for an Underwriting Specialist OR Executive Underwriter- Construction Casualtyto work remotely in...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Sacramento, CA)
- Underwriting Specialist OR Executive Underwriter- Middle Market 129310 Zurich Middle Markets has delivered double-digit growth over the last four consecutive years, ... work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining… more