- Bozeman Health (Bozeman, MT)
- … to third party payers to include insurance follow-up related to no response, returned claims , denied claims , or claim edits preventing claim submission, ... Position Summary: The Insurance Billing Specialist 's main focus is to obtain maximum and...billing policies. Monitor, resolve or escalate payer denials, returned claims , claim edits, correspondence and report payer… 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 ... resolve standard issues or escalate to a more senior specialist . **Specific Duties and Responsibilities** + Uses A/R follow-up...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Tractor Supply Company (Brentwood, TN)
- …mitigate claims expense including, but not limited to consistent medical care, minimizes overutilization, litigation costs and all other vendors are effectively ... Specialist , Workers Comp **Overall Job Summary** This position...+ Develops and implements Workers Compensation and Non Subscriber claim management strategy in coordination with Return-to-Work Program for… more
- Rochester Regional Health (Rochester, NY)
- … billing, medical claims processing and accounts receivable collections. The Medical collection specialist must have the Ability to learn and understand ... SUMMARY The C & D specialist is responsible for reviewing accounts which have been...medical billing protocol and reimbursement issues, work within Meditech and… more
- Travelers Insurance Company (New York, NY)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim ... position does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage… more
- Travelers Insurance Company (Morristown, NJ)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file… more
- UNUM (Portland, ME)
- …an assigned caseload, while exercising discretion and independent judgment. The Benefit Specialist Trainee should provide timely claims decisions and strong ... start date is February 2, 2026. As a Benefit Specialist Trainee, you are primarily responsible for learning and...skills, knowledge, and behaviors necessary to successfully resolve assigned claims , in accordance with Unum's claims philosophy,… more
- Access Dubuque (Dubuque, IA)
- …exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes independent claim determinations, based on the information received, to approve complex ... with claimant and client on all aspects of the claims process including claim approval, decision authority...coded correctly and that adequate documentation is in the claim . + Reviews and analyzes complex medical … more
- BrightStar Care (Naples, FL)
- …a database using this set medical protocol to produce a statement or claim . * Investigate rejected claims , verify this information with the health provider, ... years . We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities...payroll.. Managing Authorizations , appeals and re- submission of claims . Posting cash etc. Must be detail oriented… more
- Travelers Insurance Company (Morristown, NJ)
- …and resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file… more