- Clearway Pain Solutions (Annapolis, MD)
- …from billing company in a timely fashion. Researches denials and submits correct claims / medical documentation. Reviews and manages claims within the work ... The Billing Specialist supports the complete and timely collection of...billing system. This position will track all high dollar claims from charge entry to payment and will resolve… more
- Corvel (Charlotte, NC)
- The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated ... payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers'...be modified at any time. For leveled roles (I, II , III, Senior, Lead, etc.) new hires may be… more
- Vinfen (Cambridge, MA)
- …Mon-Fri 9am-5pm Salary: $25.00-$26.50 / hour (DOE) The Reimbursement & Billing Specialist is coordinates the analysis and effective resolution of denied claims ... of reducing overall denials and increasing revenue. The Reimbursement & Billing Specialist is responsible for prioritizing and managing to resolution denied … more
- Alameda Alliance For Health (Alameda, CA)
- …staffed classification and work is expected to be performed minimally at the MRS II level. However, the initial selection will be made at the entry level MSR ... be eligible to be promoted to a Member Services II or III role. Member Services Representative I staff...for members, providers and others for questions related to claims , benefits, authorizations, pharmacy, member eligibility and other questions… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan and WorkPartners is hiring a full-time Medical Only Claims Specialist II . This role will predominantly work remotely. The UPMC ... WorkPartners Workers' Compensation Medical Only Claims Specialist II reports to the Workers' Compensation Supervisor. This is an intermediate level… 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...internal and external stakeholders, including: NJM policyholders, injured workers, medical providers, the NJM Medical Claims… more
- AON (Garden City, NY)
- Aon 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 ... claim submissions and documentation to confirm coverage. + Review medical records, itineraries, and other documentation to make determinations....and policies. #li-am4 2558520 Aon is looking for a Claims Specialist II Do you… more
- City of New York (New York, NY)
- …involvement on the claim submission and, issuing verification letters to claimants and medical providers; 2) Review and disallow claims for improper service or ... a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY...Adjustment (BLA), negotiates and approves all monetary settlement of claims and lawsuits involving the City of New York.… more
- MetLife (Cary, NC)
- Long Term Disability Claims Specialist II Job Location: Virtual but must be commutable to the following office locations: * Aurora, IL * Bloomfield, CT * ... Effectively manages with minimal oversight an assigned caseload of moderately complex claims which consists of pending, ongoing/active and appeal reviews. The LTD CS… more
- Insight Global (Nashville, TN)
- Job Description . Support a remote claims processing team, including coordination with an offshore team based in India. . Assisting with end-to-end claims ... accuracy, timeliness, and compliance. . Assist with Processing & Review on complex claims , including Physician and Facility claims . . Provide expert guidance on… more
