- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** Medicine Revenue Cycle **Location:** Penn ... office hours per department needs **Summary:** + The Accounts Resolution Specialist II reports to...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- Financial Partners Credit Union (Downey, CA)
- …that are over 5 days past due. This involves achieving resolution through up-to-date payment arrangements, repossession, extensions, legal actions, or charge-offs. ... accounts for field chase when necessary. + Documentation and Claims : + Review and follow up on letters of...letters of guarantee with insurance companies. + File GAP claims and process cancellations of warranties when applicable. Education… more
- Zurich NA (Indianapolis, IN)
- …129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated Claims Specialist II to join our high-performing team. This ... the loss falls within the coverage. + Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... and related health plan functions such as member services, claims , and the referral process. As well as functions...+ Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Prioritizes… 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 ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- HCA Healthcare (Nashville, TN)
- …do. We want you to apply! **Job Summary and Qualifications** The Coding Account Resolution Specialist - II (CARS- II ) works outpatient coding related ... recognized. Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeal Specialist II reviews, analyzes, and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. This role ... feedback to facilities, and communicates payer updates to relevant stakeholders. The Appeal Specialist II collaborates with internal teams to ensure timely and… more
- Needham Bank (Needham, MA)
- …will be in accordance with regulatory compliance guidelines. The Customer Care Center Specialist II will identify the customer's service and banking needs and ... service and banking solutions, education and information and issue resolution to our Needham Bank customers and communities via...the Customer Care Center channel. A Customer Care Center Specialist will advise, advocate and deliver on the service… more
- Guthrie (Sayre, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more