- Johns Hopkins University (Baltimore, MD)
- …Epic experience. + Understanding of third party payer issues. Classified Title: Coding Specialist II Role/ Level /Range: ATO 40/E/02/OF Starting Salary Range: ... We are seeking a _Coding Specialist II_ is responsible for understanding all aspects...and verifies all information required to produce a clean claim including special billing procedures that may be defined… more
- City of New York (New York, NY)
- …and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II , Sidewalk/Roadway Liability Claims , works under ... in a permanent (not provisional) civil service title of Claim Specialist . Please clearly state your permanent...disallowed, or litigated; - When appropriate, negotiate and settle claims within delegated monetary authority level or… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …addition to Level II qualifications) * Two (2) years of experience in a Level II Claims Specialist role. * Ability to multi-task efficiently to ... Level II (in addition to Level I Accountabilities) * Resolves moderately complex claims...qualifications) * One (1) year of experience in a Level I Claims Specialist role.… more
- TEKsystems (Baltimore, MD)
- The Technical Support Specialist is responsible for providing Level II technical hardware and software support. They will facilitate and resolve a wide ... technical knowledge of hardware and software. The Technical Support Specialist will work independently and as part of a...and special events. * Manage and process Hardware warranty claims and issues, and facilitate warranty repairs with third… more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II ! This role will predominantly work remotely, Monday - Friday daylight hours. The ... adjuster license. The UPMC WorkPartners Workers Compensation Lost Time Claims Specialist II reports to...ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority … more
- UPMC (Pittsburgh, PA)
- UPMC WorkPartners is hiring a full-time Medical Only Claims Specialist II to join the Workers Comp Claims team. This role follows a standard Monday ... Pittsburgh area. The UPMC WorkPartners Workers' Compensation Medical Only Claims Specialist 2 reports to the Workers'...to the Workers' Compensation Supervisor. This is an intermediate level position within the Workers' Compensation Claims … more
- Zurich NA (Sacramento, CA)
- Claims Specialist II (Workers Compensation) 128028 Zurich North America is seeking a skilled and experienced Claims Specialist II to join our ... and flexibility, we'd love to hear from you. The Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation … more
- ENFRA (Metairie, LA)
- …more than just values-they are the pillars of our continued success. **Overview** The Claims Specialist II is responsible for the overall administration of ... any other classification protected by law. Submit a Referral (https://careers-enfra.icims.com/jobs/8442/ claims - specialist - ii /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834357758) **Job Locations** _US-LA-Metairie_ **ID**… more
- Molina Healthcare (Detroit, MI)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing ... claims as a refund or auto debit in claim systems and in recovery application meeting expected production...SKILLS & ABILITIES** : + 1-3 years' experience in claims adjudication, Claims Examiner II ,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …attendance is expected and required. + Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Prioritizes ... on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs...Services department Level III (in addition to Level II Accountabilities) + Assists supervisor with… more