- AIG (Atlanta, GA)
- …Accurate and consistent policy interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics + Policy language skills ... Make your mark in Claims Our Claims teams are the...(where relevant) and quantum analysis, to timely and accurate resolution ; ensuring mitigation of indemnity and expense exposure, while… more
- State of Montana (Helena, MT)
- …This position is with the Health Resources Division. This position is a Medicaid Claims Specialist and provides technical support primarily in the areas of ... disputed or pending claims resolution , pricing of specialized procedures, and maintenance of data systems for claims adjudication. Based on paid claims … more
- BCA Financial Services, Inc. (Columbia, SC)
- … claims , insurance claims resolution , insurance collector, claims follow up, revenue cycle specialist , revenue cycle representative Powered by ... Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday through Friday schedule +… more
- MyFlorida (Tallahassee, FL)
- …Principle duties consist of the following: + The Workers' Compensation Specialist conducts detailed investigations of workers' compensation claims submitted ... through subrogation or the Special Disability Trust Fund. + The Workers' Compensation Specialist handles workers' compensation claims that have been assigned to… more
- Johns Hopkins University (Middle River, MD)
- …registration based on an understanding of the outpatient registration process. The Specialist will use an understanding of claims submission requirements for ... We are seeking an **_AR Revenue Cycle Specialist III_** who will be responsible for the...be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and… more
- Travelers Insurance Company (Frankfort, KY)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- Guthrie (Towanda, PA)
- …payers. Reports possible payer or submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train ... payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy,...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
- USAA (Raleigh, NC)
- …+ Partners with vendors and internal business partners to facilitate complex claims resolution . May also involve external regulatory coordination to ensure ... special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Community Health Systems (Franklin, TN)
- …with payers, facility representatives, and internal teams, ensuring efficient issue resolution and proper follow-up on outstanding claims . + Performs ... **Job Summary** The Billing Specialist I is responsible for processing, auditing, and...for processing, auditing, and submitting primary and secondary insurance claims , ensuring accuracy, compliance, and timely reimbursement. This role… more
- St. Luke's University Health Network (Allentown, PA)
- …with optimal goal of receiving accurate payments and maximum reimbursement. + Statuses claims resolution , appeals and corrected claims via payer websites ... ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection...I is responsible for accurate and timely submission of claims to third-party payers, intermediaries and guarantors in accordance… more
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