- US Tech Solutions (Canton, MA)
- …**2026** **Overview** + Under the general direction of the Quality Program Manager(s), the Medical Claims Research Specialist (s) will review medical ... using claims reports + Document and track claims research steps and outcomes using MS... terminology and provider specialties + Experience working in medical claims systems + Healthcare experience (including… 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 ... discretion and secure information management. **Additional Data** **Your benefits as a Claims Resolution Specialist :** Select Medical strives to provide… more
- Amentum (Denver, CO)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... activities/projects as assigned including the preparation and distribution of computer reports. ** Claims Specialist Requirements:** + 3-5 years of experience as… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a...19 years in a row for providing the highest-quality medical care in Los Angeles. We provide an amazing… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... role will also be responsible for timely review and research , as necessary on all new and revised coding...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for… more
- Swedish Health Services (Seattle, WA)
- …they have been paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance companies. Submit ... **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers,...Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused,… more
- Guidehouse (Lewisville, TX)
- …**Clearance Required** **:** None **What You Will Do:** The **Credit Balance Specialist ** **(Physician Claims )** will manage credit balance workloads and respond ... for information and resolve accounting discrepancies. + Resolves unidentified payments through research . + Research and respond to all patient inquiries received… more
- Citizens (Johnston, RI)
- Description As the Fraud and Claims Consumer QA QC Sr. Specialist you will work to understand, monitor and process requests that relate to high risk or complex ... + 1-3 years' experience in financial industry + Strong organizational, research and communication skills + Intermediate proficiency in Microsoft Suite (Excel,… more
- University of Washington (Seattle, WA)
- …patients in compliance with evolving regulatory requirements. **Position Purpose** **:** Clinical Research Billing Specialist position will enable the Clinical ... systems changes (eg, CTMS Target 3 rollout). The Clinical Research Billing Specialist will: + Support Billing...aging accounts + Charge Review and Claim Edit: Ensure research charges/ claims have required coding for billing… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** We are currently seeking a talented and driven Technical Research Specialist who is passionate, curious, and radiates optimism. The ... Enterprise Technical Research Specialist will serve as a versatile...will leverage a technical, consultative approach to our EDI Claims Management solutions and support, enhancing the experience for… more