- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining ... HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as...growth. COMPENSATION: $19.00/hour EXPERIENCE: + Familiarity with the 1500 claim forms, and DMEPOS services + Knowledge of ICD-10,… more
- TEKsystems (Earth City, MO)
- Job Title: Mechanical Claims Specialist Start Date: December 1st Location: Remote/Hybrid (Initial training in Deerfield Beach, FL or St. Louis, MO) Are you a ... repairs using provided guidelines. + Customer Questions - Explain claim decisions and guide customers through the claims... claim decisions and guide customers through the claims process. + Repair Guidance - Advise customers on… more
- MetLife (Bloomfield, CT)
- …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. These calls are… more
- Ascension Health (Austin, TX)
- …Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- Pilgrim's (Greeley, CO)
- **Description** Claims /Deductions Specialist Purpose and Scope/General Summary: We are looking for a Claims /Deductions Specialist for Pilgrim's who ... + Use critical thinking skills to investigate root causes of claims /deductions (transportation, plant, sales, customer error etc.) + Acquire required documentation… 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
- Insight Global (Downers Grove, IL)
- Job Description Insight Global is looking for a Claims Specialist to join a third party workers compensation organization headquartered in Chicago, IL. The ... Claims Specialist manages within company standards and...requirement to achieve the best possible outcome in the claim , supporting the goals of claims department… more
- Zurich NA (St. Paul, MN)
- RCIS Crop Claims Specialist (West or Central MN) 127970 Zurich is currently looking for a or an experienced Crop Claims Specialist to join our Rural ... will also provide support to Area Claims Managers either as a local claims specialist in the facilitation of general day to day operations and claims … more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Zurich NA (Springfield, IL)
- RCIS Crop Claims Specialist 127491 Zurich is looking for an RCIS Crop Claims Specialist to work out of Illinois state. This incumbent will work from a ... is a great opportunity to serve the agricultural community. As a Crop Claims Specialist , your primary accountabilities will include: + Work the most complex … more