- Select Medical (Camp Hill, PA)
- **Overview** ** Claims Resolution Specialist** **Starting at $18.50 per hour** **ON-SITE** Do you enjoy puzzles and research? Are you results-oriented? If so, our ... Claims Resolution Specialist position may be a phenomenal career...responsible party to establish reason for non-payment document in system all verbal and written communication relative to open… more
- Pilgrim's (Greeley, CO)
- **Description** Claims / Deductions Coordinator Purpose and Scope/General Summary: We are looking for a Claims / Deductions Coordinator 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
- TEKsystems (Earth City, MO)
- …from the shop floor to a professional office environment? We are seeking Mechanical Claims Analysts to join a growing customer contact team. In this role, you'll ... leverage your automotive expertise to assess and process mechanical claims while providing exceptional customer service. This position offers a refreshing change of… more
- TEKsystems (Concord, CA)
- …complex issues to leadership and external partners. + Technology Savvy: Familiarity with claims systems (Epic Tapestry experience is a plus). Why This Role ... Claims Director About the Role: We're looking for...for efficiency. + Manage vendor relationships and Epic Tapestry system enhancements (training provided). + Ensure compliance with Medi-Cal,… more
- State of Massachusetts (Boston, MA)
- …questionable or difficult to determine. 7. Prepare accurate case notations within claims management system which contain accurate, specific, and sufficient facts ... * Claims Examiner/Job Service Representative I| Department of Family...reports generated by the agency and/or agency partners computer systems . 3. Identify discrepancies or issues and escalate or… more
- Access Dubuque (Dubuque, IA)
- …the client program. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Sets up and enters new claims into claims management system . + Inputs and reviews ... notes/diaries in claims management system as instructed. + Processes payments. + Processes mail;...and learning resources that focus on our culture, procedures, systems and performance expectations. We evaluate the educational needs… more
- Woodlands Senior Living LLC (Augusta, ME)
- …denied claims and provides recommendations for process improvements and claim reimbursement resolution. Escalates concerns to Accounting Supervisor. + Acts as ... Provider Practice Billing & Claims Specialist Augusta, ME (http://maps.google.com/maps?q=108+Anthony+Avenue+Augusta+ME+USA+04330) * Consulting Office Job Type… more
- TEKsystems (Earth City, MO)
- …and repair facilities, all while maintaining the integrity of the payment systems . This is a high-volume, detail-oriented role ideal for someone who thrives ... and enjoys working independently + Review and validate authorized automotive claims submitted by dealerships and repair facilities. + Compare repair orders… more
- US Tech Solutions (Whittier, CA)
- …and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. **SPECIFIC SKILLS NEEDED** Knowledge of HMO/or IPA ... questions in a timely manner 9.Create, maintain and generate system reports 10.Interface with the Claims Director to ensure claims processing functions meet… more
- CVS Health (Annapolis, MD)
- …rules,HSCRC,provider types, benefit structures, and encounter reporting. + Experience with major claims systems (eg, QNXT). + Problem solving mindset; adaptable, ... all with heart, each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory… more