- Kelsey-Seybold Clinic (Pearland, TX)
- …meet work standards and performance measures for this position **Job Title: Claims Processing Specialist ** **Location: Pearland Administrative Office** ... laws and regulations governing Medicare billing practices, medical billing systems, and claims processing . Preferred: IDX/EPIC, PC skills, and understanding of… 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
- CVS Health (Baton Rouge, LA)
- …+ Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Applies medical necessity guidelines, ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- Copperhead is seeking multiple Audit and Quality Control Claims Specialist for a potential contract to support disaster relief. This position involves receiving, ... evaluating, and processing claims for compensatory damages for injuries...and adherence to FEMA guidelines. Audit and Quality Control Claims Specialist will objectively review, investigate, process,… more
- Kelly Services (Glastonbury, CT)
- **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM - ... Summary:** We are currently seeking a detail-oriented, organized, and compassionate **Medical Claims Processor / Medical Claims Specialist ** to join… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Risk and Claims Specialist RISK MANAGEMENT (BILLINGS ... $23.92 - 29.90 Under general supervision, the Risk & Claims Specialist is responsible for providing administrative,...Management Plan that organizes both risk prevention measures and claims processing and management systems for Billings… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York....Set up No-fault claim files which includes issuing and processing NF2 application, confirming the City's involvement on the… more
- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/Sr.) . This is a full-time position and offers a hybrid schedule after training with a ... another day in our West Trenton office. The WC Claims Specialist will be responsible for contacting...decision-making capabilities + Working knowledge utilizing an automated claim processing system and Microsoft Office tools including Word and… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …and complex administrative and clerical tasks to remain current on procedures and medical claims processing resources, and to update CHS RPMS claims systems ... (2) years in depth knowledge of all aspects of benefits claims processing and two (2) years customer service background. SPECIFIC SKILLS/KNOWLEDGE/ABILITIES… more
- Sedgwick (Indianapolis, IN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
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