- Insight Global (Dallas, TX)
- Job Description Insight Global is seeking a Medical Only Claims Specialist to join our client's team. This candidate will be responsible for managing non-complex ... and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervision. We are a company committed to creating diverse… more
- HCA Healthcare (Plano, TX)
- …**Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an ... you want to work as a Clinical Denial Coding Review Specialist where your passion for creating...researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and… more
- CDPHP (Latham, NY)
- …diploma or GED required. + Minimum of one (1) year experience in health care claims review and adjudication to payment/denial utilizing CPT-4, ICD 10 and HCPCS ... preferred. Strong PC skills and Microsoft Windows and working knowledge with on-line claims processing and procedural review highly preferred. + Experience with… more
- Allied Solutions (Plano, TX)
- Position Summary; This position is responsible for the initial setup and investigation of claims prior to the assignment of the claim to a licensed adjuster. This ... will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim...and assessed for coverage application. This position will also review database information found in systems such as Unitrac,… more
- AIG (Atlanta, GA)
- …Customers Fairly' in claims handling. + You will also proactively identify and review suspect/fraudulent claims on a consistent basis - dealing with such ... regulatory and litigation / procedural requirements for Federal Workers Compensation claims . + Specialist knowledge of Defense Base Act claims is preferred.… more
- 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...handling with feedback and support through the Quality Assurance Review processes + Contribute to maintenance of best practice… more
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... adjudication of claims under the supervision of a licensed pharmacist. This...Rx Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand… more
- UNUM (Chattanooga, TN)
- …candidates to fill various roles related to managing leave requests and disability claims . When you apply, you'll be considered for positions such as Integrated Paid ... Leave Specialist , STD Benefits ...+ Handle leave, short-term disability (STD), or paid leave claims efficiently and accurately. + Determine if employees are… more
- TEKsystems (Canoga Park, CA)
- …of HMO/Medicare claims processes. KeyResponsibilities: + Audit denied provider and member claims for accuracy and compliance + Review and process claims ... JobTitle: Retro Claims Reviewer Location: West Hills/Canoga Park 91304 Compensation:...+ Ensure HIPAA and PHI compliance throughout all claim review activities + Participate in special projects related to… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A Hospital in Los Angeles is seeking a detail-oriented EOB Review Specialist to join the healthcare billing team. The EOB Review Specialist ... records teams to resolve discrepancies. Requirements + Previous experience in EOB review , medical billing, or healthcare claims processing preferred. +… more