- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- Marriott (Bethesda, MD)
- …daily assignment of international claims , document handling, mail routing and check processing . The Claims Support Specialist reports to the Sr. ... $19.95 - $33.12 per hour This is a temporary position. The Claims Support Specialist will provide administrative support for Claims Operations, including… more
- Fairview Health Services (Hibbing, MN)
- …and procedural codes to medical records for purposes of data retrieval, analysis and claims processing . The coding specialist is responsible for effectuating ... **Job Overview** **Fairview Range is hiring** **a Concurrent Inpatient Coding Specialist ** **in** **Hibbing, MN (REMOTE)** **.** As a Concurrent Inpatient Coding … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Administration Specialist performs timely and accurate data-entry and transactional processing in the claims administration system. The incumbent processes ... addition to Level I Accountabilities) * Resolves moderately complex claims processing and claims history...One (1) year of experience in a Level I Claims Specialist role. * Adept at multi-tasking… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and...for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations,… more
- Dignity Health (Bakersfield, CA)
- …Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related… more
- NJM Insurance (Parsippany, NJ)
- …basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Ability to manage return to work expectations ... The Workers Compensation department is searching for a Claims Account Specialist (I). The Claims Account Specialist will be responsible for contacting… more
- Pike Corporation (Mount Airy, NC)
- Position Overview: The primary purposed of Claims Specialist is to manage various claims made related to auto, general liability, property damage and ... worker's compensation. This Specialist will be responsible to successfully process and/ or...base. + Handles multiple functions related to business operations, claims processing , and office workflows. + Recognizes… more
- Axis (Short Hills, NJ)
- …for candidates taking part in the selection process. About the Team AXIS is hiring a Claims Specialist , Health Care Claims , for its North America Claim Team. ... resolve complex or contentious claims . Leading initiatives to enhance claims processing efficiency and accuracy within the team. Providing expert opinions on… more
- Illumination Foundation (Santa Ana, CA)
- …Angeles County and the Inland Empire. Job Description The role of a Billing Claims Specialist involves overseeing the billing process for customers or patients, ... processing payments, maintaining financial records, and ensuring accurate billing...billing and claims submissions. In addition, the Claims specialist is also responsible for keeping… more
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