- 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 ... of claims , ensuring...system. You will play a key role in preparing claims for further processing by entering data,...key role in preparing claims for further processing by entering data, verifying policy details, and assigning… more
- Robert Half Accountemps (St. Louis, MO)
- …with a strong background in healthcare AR follow-up, insurance claim collection, and claims processing . This role is critical in understanding the complexities ... insurance claims , ensuring accuracy and completeness. Execute comprehensive claims processing , proactively addressing potential denial factors. Demonstrate… more
- Rising Medical Solutions (Tampa, FL)
- The Claims Specialist will assist in reviewing, processing , and coordinating claims accurately in accordance with the program requirements while ensuring ... + Maintain ongoing knowledge of program requirements + Analyze and process claims for accuracy, eligibility, and benefits coverage + Retain and strengthen… more
- NTT DATA North America (Decatur, IL)
- …Ability Requirements:** + High School Education required. + Minimum 3 years experience of Claims Processing + Minimum 1 year experience processing claims ... the people who work here. NTT DATA seeks a ** Claims Refund Specialist ** on a **project** basis... Manager. This position is responsible for handling the processing of voids and refunds. **Principal Duties & Responsibilities:**… more
- CVS Health (Boston, MA)
- …Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Mass Markets (Killeen, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
- Select Medical (Camp Hill, PA)
- …Equivalent + One year of experience within a medical billing, medical collecting or claims processing role. + Private and commercial claims collection ... **Overview** **Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are… more
- Commonwealth Care Alliance (Boston, MA)
- …certifications **Required Experience (must have):** + 3+ years in healthcare claims processing , provider reimbursement, or payment integrity. + Experience ... 011250 CCA- Claims **_This position is available to remote employees...at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims … more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...+ Ability to create routine reports + Prior word processing , spreadsheet and internet software experience including p roficiency… more