- 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
- Select Medical (Camp Hill, PA)
- …Do you enjoy puzzles and research ? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within ... **Overview** **Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr...management and organizational skills + Proven experience with investigative research . + Ability to work independently and as part… 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....role will also be responsible for timely review and research , as necessary on all new and revised coding… more
- HCA Healthcare (Houston, TX)
- …Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist ? At Parallon, you come first. HCA Healthcare has committed up to ... difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a...to act/decide accordingly. + Ability to collect, create and research complex or diverse information. + Exceptional customer service… more
- Commonwealth Care Alliance (Boston, MA)
- …Quality Assurance for further investigation or configuration updates. + Document all research , findings, and outcomes in claims systems (eg, Salesforce, Facets) ... 011250 CCA- Claims **_This position is available to remote employees...at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims … more
- Prime Therapeutics (Santa Fe, NM)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Claims Specialist Sr **Job Description** The Claims Specialist is ... to inquires from internal and external partners for the research of and resolution of claim issues. Additionally, this...accredited institution or equivalent GED + 1 year of claims experience + Must be eligible to work in… more
- Ascension Health (Austin, TX)
- …outside agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals using support systems to determine appeal outcomes. + ... by Health and Human Services Commission. Perform routine and/or targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. +… more
- New York State Civil Service (Liverpool, NY)
- NY HELP Yes Agency Insurance Fund, State Title Information Technology Specialist 2 (Programming) Claims Med Pay (NYHELPS) Occupational Category IT Engineering, ... City Liverpool State NY Zip Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will play a key role in… more
- Aston Carter (Naperville, IL)
- …+ Arrange with appropriate network and non-network providers to complete claims that cannot be automatically dispatched. + Process provider inquiries and ... assist with special handling claims and service follow-up. + Handle both inbound and...orders by coordinating with both customers and contractors. + Research and negotiate one-time agreements with contractors not under… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external ... for information and resolve accounting discrepancies. + Resolves unidentified payments through research . **Client Responsibility:** + Research and respond to all… more
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