- 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 ... policies and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as a next step in your… more
- Ascension Health (Austin, TX)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + Composes ... offer._ **Responsibilities** Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance with… 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 (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 ... the most effective, efficient way while delivering a customer-centric claims service. They will also provide support ...Area Claims Managers either as a local claims specialist in the facilitation of general… more
- ICW Group (Lisle, IL)
- …everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on ... to an equitable resolution within Company standards. The Claims Specialist works with a sense of...coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes. **ESSENTIAL DUTIES… more
- Zurich NA (Rocky Hill, CT)
- General Liability Claims Specialist I 128253 At Zurich..., you will work with a diverse team of claims professionals. This environment will support your ... Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims... Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred… more
- Molina Healthcare (Albuquerque, NM)
- …The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing ... 5:00pm. **Essential Job Duties** * Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which… more
- Modernizing Medicine (Tampa, FL)
- …across the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a ... Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring… 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...Providence Swedish?** Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing… more
- Globus Medical, Inc. (Collegeville, PA)
- …prior authorization, appeals support , detailed claims review, and hotline support . The Patient Access Specialist will be responsible for providing payer ... Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support... Specialist will focus on providing payer coverage support to customers from the initial processing of received… more
Recent Jobs
-
Oncology Sales Consultant - Portfolio - Pacific South
- Bayer (Los Angeles, CA)