- Medical Mutual of Ohio (OH)
- …+ Performs other duties as assigned. **Qualifications** + 2 years of experience as a Claims / Customer Care Specialist or equivalent customer service ... workplace and perform pre-employment substance abuse and nicotine testing._ **Title:** _Claims/ Customer Care Specialist (Temporary)_ **Location:** _Ohio_… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....have):** + Knowledge and experience of claim operations, health care reimbursement, public health care programs and… more
- Rising Medical Solutions (Tampa, FL)
- The Claims Specialist will assist in reviewing, processing, and coordinating claims accurately in accordance with the program requirements while ensuring ... + Maintain ongoing knowledge of program requirements + Analyze and process claims for accuracy, eligibility, and benefits coverage + Retain and strengthen… more
- Mass Markets (Killeen, TX)
- …1-3 years of experience in one or more of the following: call center, claims adjudication, insurance adjusting, or technical customer service (preferably in a ... Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), … more
- AssistRx (Phoenix, AZ)
- …of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim reversals, ... The Copay Support/ Claims Processing Specialist is a critical...and mail (emails, USMail) from pharmacies, patients, Sites of Care , Health Care Providers, copay vendors (PDMI,… more
- Pacific Medical Centers (Seattle, WA)
- …for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service ... Health Care Business Administration. + 2 years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO, HMO, PHO or large group… more
- Modernizing Medicine (Tampa, FL)
- …on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where ... Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... service who can work in our San Diego, CA Stage 1 Child Care Payment Services operation. The clerks will be responsible for accurately distributing child care … more
- AIG (Atlanta, GA)
- …Accurate and consistent policy interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics + Policy language skills ... Make your mark in Claims Our Claims teams are the...internal and external stakeholders. Provide a high standard of customer service and adherence to legal and regulatory requirements.… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills...additional service needs according to specific program guidelines. Uses claims processing and care management software to… more