- MetroPlusHealth (New York, NY)
- …to enable New Yorkers to live their healthiest life. Position Overview As a Claims Adjustment Specialist I, this individual will be responsible for analyzing ... require in depth research to determine accuracy and mitigate payment errors. The Claims Adjustment Specialist I will also be responsible for adjusting medical… more
- Horizon (Getzville, NY)
- …into action? Then you've come to the right place! Apply to be a Medical Billing Claims Specialist today! What will your day look like? At Horizon, you'll enjoy a ... success in your new role. As a Medical Billing Claims Specialist at Horizon, you will Review...including site addresses Track and ensure plan acceptance of claims for adjudication , including audit and correction… more
- Chubb (Wilmington, DE)
- …years of claims experience. A background in marine surveying, recreational marine claims adjudication or an understanding of marine (boat & yacht) repairs is ... This position manages pending inventory and daily workflow of incoming marine claims while ensuring high customer service levels and compliance with best practices… more
- Movn Health (Los Angeles, CA)
- …billing and A/R management Deep knowledge of payer reimbursement methodologies and claims adjudication Proficiency with multiple EHRs Strong command of medical ... seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims ...A/R Specialist to take full ownership of claims processing and accounts receivable recovery. This is a… more
- Strategic Health Partners (Kennesaw, GA)
- …resolving appeals with third-party payers. Research and resolve payer rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for ... and spelling. *Identify contract issues related to denials and delayed adjudication ; communicate those issues to Manager. *Transmit required documentation to… more
- Rezolut (Syracuse, NY)
- …system applications to determine the next appropriate work activity Verify claims adjudication utilizing appropriate resources and applications. Initiate ... Rezolut Imaging is seeking an Accounts Receivable Specialist to join our team! Who is Rezolut?...checking claim status, process appeals on denied and underpaid claims , etc. Identify issues and trends and provide suggestions… more
- Mass Markets (Killeen, TX)
- …trusted partner in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume… more
- Polaris Pharmacy Services of Minnesota, LLC (Livermore, CA)
- …Livermore, CA Position Type Full Time Job Category Pharmaceutical Description THIRD PARTY ADJUDICATION CLAIMS SPECIALIST WHO WE ARE Polaris Pharmacy Services ... for career advancement to all our team members. OVERVIEW The Third-Party Adjudication Claims Specialist is responsible for managing and identifying a… more
- AON (Garden City, NY)
- …is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your ... strong technological skills. Experience: + Minimum of 2 years claims adjudication experience. + General Adjustor license... Specialist II Do you have experience in claims adjudication and enjoy resolving issues for… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan and WorkPartners is hiring a full-time Lost Time Claims Specialist I. This role will predominantly work remotely. The UPMC WorkPartners Workers ... Compensation Lost Time Claims Specialist I reports to the Workers...adjudication of the following: Workers' compensation medical only claims Workers' compensation claim investigations and compensability decisions. **Licensure,… more
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