• Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …and complexity **Preferred** + 5 years in Financial Analysis in an acute care hospital or health insurance setting + 5 years in professional billing, facility ... RESPONSIBILITIES** + Analyze and evaluate claim processes specific to professional, hospital , ambulatory surgical center, home health and durable medical equipment… more
    Highmark Health (08/22/25)
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  • Accounts Receivable Representative

    Ellis Medicine (Schenectady, NY)
    …outgoing data is accurate. + Review and resolve outstanding accounts receivable with insurance companies and patients. + Claims in dispute with payers are ... data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. EDUCATION AND EXPERIENCE REQUIREMENTS: + Education: High… more
    Ellis Medicine (08/13/25)
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  • Accts Rec & Denial Spec 2 / PA Third Party Follow…

    Hartford HealthCare (Farmington, CT)
    …Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor, assure timely and accurate submission of claims on UB04 ... remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals, medical group and homecare.… more
    Hartford HealthCare (08/01/25)
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  • Sr. Executive General Adjuster - Northeast Region

    Sedgwick (New York, NY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Northeast Region **PRIMARY PURPOSE** **:** To ... investigate losses or claims internationally on any size National Account (Maintaining a...total combined anticipated revenue of at least $500,000) against insurance or other companies for personal, casualty, or property… more
    Sedgwick (06/29/25)
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  • Executive General Adjuster - Northeast Region

    Sedgwick (Springfield, MA)
    …: To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and ... Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Northeast Region **PRIMARY PURPOSE**… more
    Sedgwick (06/29/25)
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  • Charge Entry Specialist

    TEKsystems (Littleton, CO)
    …a detail-oriented and highly efficient Charge Entry Clerk to support our fast-paced Claims Team. This role is critical in ensuring accurate and timely processing of ... high-volume medical claims . Key Responsibilities:...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
    TEKsystems (09/20/25)
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  • DRG Coding Auditor

    Elevance Health (Richmond, VA)
    …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
    Elevance Health (08/13/25)
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  • Asst College Athl Train

    Covenant Health Inc. (Sevierville, TN)
    …intercollegiate student-athletes. Schedule management for team practices, games & tournaments. Insurance claims processing for the student athlete medical care ... region's top-performing healthcare network and is a 79-bed community hospital located in the heart of Sevier County. We're...+ Incumbent oversees the coordination and processing of medical insurance plans through the claims process. Assists… more
    Covenant Health Inc. (08/08/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …to acquire necessary information and assembly of documentation necessary to submit claims to the patient's insurance for approval including prior authorization ... that prevent patients from receiving their medications. Duties will include insurance coverage determination, patient out of pocket determination, determination of… more
    University of Rochester (08/07/25)
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  • Contents Adjuster

    Sedgwick (Albany, NY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for ... property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies and other records to determine insurance coverage. +… more
    Sedgwick (08/17/25)
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