Claims Process Specialist

POSITION OVERVIEW/RESPONSIBILITIES Frontier Management is seeking skilled CLAIMS Analysts to join our dynamic team, focusing on our comprehensive healthcare programs. The CLAIMS Analysts will evaluate intricate issues related to claim settlements, eligibility criteria, supplementary insurance, transplant cases, and system-related challenges that exceed...

Overview:Smile Brands is a leading entity in the dental industry, currently in search of an Insurance Billing & Collections Specialist to enhance our Revenue Cycle Management team. We are looking for a meticulous individual with a background in claims appeals and a solid understanding of Explanation of Benefits (EOBs). The ideal candidate will thrive in a...

Position Overview:This role is for a dedicated and experienced Claims Manager within a leading healthcare organization. The ideal candidate will be instrumental in overseeing the medical claims processing operations, ensuring accuracy and compliance with industry standards.About Us:We are a reputable healthcare network committed to delivering exceptional...

About the Role:Become a part of EControls, a prominent global entity renowned for its innovative integrated control solutions tailored for internal combustion engines and electric drive systems across diverse sectors. Our committed workforce engineers exceptional engine management systems for leading OEMs around the globe, guaranteeing peak performance and...

About Elevate Claims SolutionsWe are a leading provider of claims solutions, founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our partners, clients, and ourselves.Job DescriptionWe are seeking a highly skilled and experienced Property Claims Adjuster to join our team in San Antonio, Texas....

Company OverviewAmerican Specialty Health Incorporated is on the lookout for a dedicated Claims Examiner to operate within a dynamic production environment. This role is pivotal in ensuring the precise examination, entry, and adjudication of claims, adhering to regulations, ASH standards, and the contractual commitments of the organization. The Claims...

Job OverviewBecome a vital part of the San Francisco community by stepping into the role of a full-time Claims Examiner at San Francisco Health Plan.This position entails managing claims processing, evaluation, and investigation while ensuring adherence to the latest claim processing protocols. You will be responsible for upholding exceptional standards of...

Job OverviewAs a vital member of the San Francisco Health Plan, you will have the opportunity to enhance the health services in the community by taking on the role of a full-time Claims Examiner.Your primary duties will encompass the processing, adjudication, and investigation of claims while ensuring adherence to the latest claim processing protocols. This...

Job OverviewBecome an integral part of the San Francisco community by taking on the role of a full-time Claims Examiner at San Francisco Health Plan.This position involves essential tasks such as claims evaluation, adjudication, and thorough investigation while keeping abreast of the latest claim processing protocols. You will be expected to uphold...

Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care services to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing and claims process.Key Responsibilities:Documentation Review: Conduct thorough reviews of...

Job DescriptionAt Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing process.Key Responsibilities:Documentation Review: Thoroughly review medical documentation to...

Job OverviewPosition Title: Claims Processor 1 Department: Claims ManagementBargaining Unit: OPEIU 29 Grade: 16Employment Type: Non-Exempt Weekly Hours: 40Position SummaryThe Claims Processor plays a crucial role in delivering exceptional customer service while managing the processing of standard health and welfare claims for designated accounts. This role...

About AutoNation: AutoNation stands as one of the premier automotive retailers across the United States, delivering innovative products, outstanding services, and comprehensive solutions that empower our customers to make informed decisions tailored to their needs. Our extensive network of dealerships, backed by a well-recognized brand, offers a diverse...

Job OverviewA leading full-service dermatology practice is seeking a skilled candidate for the role of Claims Processing Specialist focused on insurance claims management and payment posting. The ideal candidate will possess a dynamic personality, integrity, a quick learning ability, and strong multitasking skills. Interested applicants should provide a...

At 052 SLIC Insurance Agency, LLC, we are seeking a skilled Claims Examiner II to join our team. As a Claims Examiner II, you will play a critical role in assessing and reviewing incoming claims for payment or denial, serving as a liaison between the carrier and the financial institution.This role provides the opportunity to make a meaningful impact on...

Medical Claims AdjudicatorAs a Medical Claims Adjudicator at University Health, you will play a critical role in ensuring the accuracy and efficiency of medical claims processing.Key Responsibilities:Adjudicate medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements.Maintain audit standards as defined by the...

POSITION OVERVIEWAccountable for the daily acquisition of grant and entitlement claims.Key Responsibilities:Conduct thorough reviews of clinical documentation for billing efficiency, ensure precise billing and tracking, and collaborate with clinics to rectify billing discrepancies and gather necessary information. Provide regular updates on critical...

Job SummaryUniversity Health System is seeking a highly detail-oriented and analytical Claims Examiner to play a critical role in ensuring the accuracy and fairness of medical and hospital claims for Medicaid, Commercial, and CHIP programs.Key ResponsibilitiesAdjudicate medical (HCFA) and hospital (UB 92) claims in accordance with departmental and regulatory...

Job Title: Claims Adjuster SpecialistCompany: Fred Loya InsuranceThe Claims Adjuster Specialist position focuses on managing cases represented by legal counsel, assessing, and negotiating settlements with attorneys in a professional manner. Additionally, unrepresented claimants will be addressed as necessary.Benefits:Incentive payComprehensive training...

Include communicating with the market and other involved parties, investigating and resolving claims according to company protocols, quality, and customer service standards. This field position requires regular face-to-face and/or telephonic communic Claims Specialist, Claims, Property, Field, Specialist, Customer Service, Business Services