- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC… more
- Commonwealth of Pennsylvania (PA)
- Real Estate Specialist Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5167956) Apply Real Estate Specialist Salary $51,971.00 - ... the next step in your career by applying for the role of Real Estate Specialist , where you will engage in essential tasks such as acquiring real estate for public… more
- Beth Israel Lahey Health (Charlestown, MA)
- … through the Epic Billing System. * Works higher level of complexity specific claim edit work queue(s) daily and resubmit claims through the Epic billing ... the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient...system * Works higher level of complexity External claim edits from Clearinghouse and resubmits claims … more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information Technology ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... which might prevent or delay payment of a particular claim or group of claims . Prepares appeals...guidance and training to other HIM Coding Denials Management Specialist , and will assist with escalated issues. Essential Duties:… more
- AIG (Atlanta, GA)
- …Adjuster Estimated Travel Percentage (%): No Travel Relocation Provided: No Fast Track Claim Adjuster Who we are American International Group, Inc. (AIG) is a ... you need to know: The role of a Fast-Track Claim Adjuster is to investigate, evaluate and resolve first...investigate, evaluate and resolve first and third-party auto liability claims , minor injury claims and low complexity… more
- Raphael and Associates (Rutherford, NJ)
- …are looking for a detail-oriented and organized individual to join our team as a Claims Setup Specialist . This entry-level role is focused on the initial setup ... adjuster and supervisor. + Set adjuster diaries with new claim notifications and necessary actions. + Claims ...new claim notifications and necessary actions. + Claims Acknowledgement Letters: + Generate and send acknowledgement letters… more
- Sedgwick (Irving, TX)
- …resolution. + Communicates clearly with claimant and client on all aspects of the claims process including: claim approval, decision authority level to move the ... Workplaces in Financial Services & Insurance Advocacy Coordination Team Specialist **Considered candidates must have Lockheed Martin client experience.** **PRIMARY… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …it most, we invite you to grow with us. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and ... Adjudication Specialist Job Details Job Location Polaris Pharmacy Services...and ensure compliance with policy terms. + Resolve Rejected Claims : + Calculate benefit payments and approve claim… more
- PruittHealth (Norcross, GA)
- …variances, make corrections, and take appropriate corrective actions to ensure timely claim resolutions. 8. Evaluates accounts, resubmits claims , and performs ... all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for… more