- AIG (Atlanta, GA)
- …Adjuster is to investigate, evaluate and resolve first and third-party auto liability claims , minor injury claims and low complexity general liability losses. ... This requires accurate and thorough documentation, as well as, resolution action plans based upon the applicable law, coverage...+ Communicates effectively with internal and external customers on claims and account issues. + Maintain and manage a… more
- Prime Therapeutics (Annapolis, MD)
- … claims research for escalated pharmacy and client inquiries, offering issue resolution for claims processing and pharmacy payment in order to resolve ... build the future of pharmacy with us. **Job Posting Title** Provider Relations Specialist - Remote **Job Description** The Provider Relations Specialist is… more
- TEKsystems (Denver, CO)
- …problem‑solving-owning complex research, writing strategic appeals, and driving high‑stakes follow‑ups to resolution . What you'll do 1) Research & Claims Audit ... Medical Appeals Specialist (Fully Remote) Make a measurable impact by...confirm submission pathways, and generate "out‑the‑door" rebills for already-vetted claims . + Coordinate with payers and clients to ensure… more
- UPMC (Bridgeville, PA)
- …via telephone, e-mail and face to face required. + Knowledge of electronic claims adjudication and resolution required + Experience with prioritizing and ... is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides...This position provides prescription data entry and adjudication of claims under the supervision of a licensed pharmacist. This… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II, D-SNP Team (12 month Assignment) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
- AIG (Atlanta, GA)
- …investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned ... cases to a timely, proper resolution . This requires accurate and thorough documentation, as well...upon the applicable law, coverage and supporting evidence. Assigned claims typically consists of medium to moderate complex litigated… more
- Sedgwick (Greensboro, NC)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and ... Repair Solutions internal payment team. + Assists with research, review and resolution of carrier issues/concerns.Communicates and coordinates resolution to all… more
- Mount Sinai Health System (New York, NY)
- …payment of claims and collection, and in analysis and problem resolution . **Qualifications** + Associates Degree or high school diploma/GED plus 3 years of ... **Job Description** The Billing Specialist is responsible for multiple components of the...coder required + Experience in medical billing or health claims , with experience in EPIC & IDX billing systems… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …ZOLL the ideal place to build your career. Job Summary The Collections Specialist is responsible for working with insurance companies to facilitate the reprocessing ... of denied, incorrectly paid and unprocessed claims to result in a favorable return. Essential Functions...+ Monitor and manage assigned accounts timely to claim resolution + Perform other duties as assigned by Management… more
- Stony Brook University (East Setauket, NY)
- …following, but are not limited to:** + Develops staff work listing logic/strategy and claims resolution work flows. + Educates and trains new staff regarding ... Senior Revenue Cycle Specialist **Position Summary:** At Stony Brook Medicine, the...+ Assists in maintaining and creating payer report cards, claims tracking and management reporting as requested. + Assists… more