Current jobs related to LTC Claims Pending Specialist - Franklin WI United States - Northwestern Mutual
-
Rhinelander, WI, United States GrapeTree Medical Staffing LTC Full timeJob Title: Travel Nurse RN Long Term Care SpecialistJob Summary: GrapeTree Medical Staffing LTC is seeking a skilled Travel Nurse RN Long Term Care Specialist to join our team in a travel nursing position.Job Responsibilities:Provide high-quality patient care in a long-term care settingCollaborate with healthcare teams to develop and implement individualized...
-
Skilled Nursing Specialist
24 hours ago
Franklin, Nebraska, United States RTG Medical-LTC Full timeJob Opportunity with RTG Medical-LTCJob Summary:RTG Medical-LTC is seeking a skilled nursing professional to join our team for a travel nursing assignment in a skilled nursing setting. This is a 13-week contract with 36 hours per week, working 12-hour night shifts.Key Responsibilities:Provide high-quality patient care in a skilled nursing...
-
Claims Analytics Specialist
1 week ago
Four States, West Virginia, United States AmTrust Financial Full timePosition Overview The Amtrust Claims Workers' Compensation and Managed Care Analytics team is seeking a Claims Data & Analytics Specialist. This role is pivotal in supporting the Claims division by delivering analytical insights and pinpointing opportunities for enhancing operational efficiency and effectiveness. The ideal candidate will adeptly communicate...
-
Claims Analytics Specialist
1 week ago
Four States, West Virginia, United States AmTrust Financial Full timePosition Overview The Amtrust Claims Workers' Compensation and Managed Care Analytics team is seeking a Claims Data & Analytics Specialist. This role is pivotal in supporting the Claims organization by delivering analytical insights and pinpointing opportunities to enhance operational efficiency and effectiveness. The ideal candidate will adeptly communicate...
-
Claims Analytics Specialist
1 week ago
Four States, West Virginia, United States AmTrust Financial Full timePosition Overview The Amtrust Claims Workers' Compensation and Managed Care Analytics team is seeking a Claims Data & Analytics Specialist. This role is crucial in supporting the Claims organization by delivering analytical insights and pinpointing opportunities to enhance operational efficiency and effectiveness. The ideal candidate will effectively...
-
Rhinelander, WI, United States GrapeTree Medical Staffing LTC Full timeJob Title: Travel Nurse RN Long Term Care SpecialistJob Summary: GrapeTree Medical Staffing LTC is seeking a skilled Travel Nurse RN Long Term Care Specialist to join our team in a travel nursing position.Job Responsibilities:Provide high-quality patient care in a Long Term Care settingCollaborate with healthcare teams to develop and implement individualized...
-
Medical Assistant
3 weeks ago
Franklin, United States LTC Provider Care Full timeJob DescriptionJob DescriptionSalary: $18-$22 per hourLTC Physician Care, PC is a new and emerging medical group dedicated to serving patients by providing Primary Care Physician (PCP) services to Skilled Nursing and Long-Term Care facilities across Michigan. Our goal is to improve the overall quality of care, patient outcomes, quality of life, refine...
-
Medical Assistant
2 weeks ago
Franklin, United States LTC Provider Care Full timeJob DescriptionJob DescriptionSalary: $18-$22 per hourLTC Physician Care, PC is a new and emerging medical group dedicated to serving patients by providing Primary Care Physician (PCP) services to Skilled Nursing and Long-Term Care facilities across Michigan. Our goal is to improve the overall quality of care, patient outcomes, quality of life, refine...
-
HealthLock Medical Claims Auditor
3 months ago
Franklin, United States inAssist Full timeJob DescriptionJob DescriptionHealthLock Medical Claims Auditor / Advocate II HealthLock is a leading provider of Healthcare Management Solutions, utilizing our Medical Claims Auditors / Advocates, comprehensive analytics, and tailored technology solutions. Driven by our commitment to our clients, we take pride in delivering exceptional service. The...
-
Claims Data
3 weeks ago
Four States, United States AmTrust Financial Full timeOverview The Amtrust Claims Workers' Compensation and Managed Care Analytics team is looking for a Claims Data & Analytics Specialist who will be responsible for supporting the Claims organization by providing analytics and identifying opportunities to improve efficiency and effectiveness, as well as communicating insights derived from claims data to the...
-
Claims Data Entry
6 days ago
Moorestown, NJ, United States TEKsystems Careers Full time*Claims Specialist/Data Entry* Monday-Friday first shift *Description:* * Scanning all claim forms; * Editing all errors and/or inquiry areas on claim forms; * When/where possible, correcting information using the scanning software edit function, so claim can proceed; * Working to ensure batches are prepared and committed regularly and consistently; *...
-
Revenue cycle specialist
2 weeks ago
Franklin, United States Randstad Full time*This positon is 100% in office* We are seeking a Revenue Cycle Specialist to join our team in Franklin, TN. This position plays a critical role in ensuring the financial health of our organization by managing various aspects of the revenue cycle process. This includes handling appeals and denials management to ensure that claims are processed efficiently...
-
Claims Data Entry
2 weeks ago
Moorestown, NJ, United States TEKsystems Full timeClaims Specialist/Data EntryMonday-Friday first shiftDescription:Scanning all claim forms;Editing all errors and/or inquiry areas on claim forms;When/where possible, correcting information using the scanning software edit function, so claim can proceed;Working to ensure batches are prepared and committed regularly and consistently;Alerting Claims management...
-
Revenue Cycle Specialist
2 weeks ago
Franklin, United States Randstad North America, Inc. Full timeThis positon is 100% in office - We are seeking a Revenue Cycle Specialist to join our team in Franklin, TN. This position plays a critical role in ensuring the financial health of our organization by managing various aspects of the revenue cycle pro Revenue, Cycle, Specialist, Manufacturing, Staffing, Claims
-
Revenue Specialist, Denials
3 months ago
Franklin, United States enablecomp Full timeRecognized as a 2023 Top Workplace by the Tennessean, EnableComp is the leading source of revenue cycle management solutions for complex claims in the US. We proudly partner with well over 1000+ hospitals across the US to help them maximize their revenue from complex claims. Our Mission We partner with healthcare providers to maximize reimbursement from...
-
Travel Nurse RN Long Term Care Specialist
23 hours ago
, OH, United States GrapeTree Medical Staffing LTC Full timeGrapeTree Medical Staffing LTC is seeking a skilled travel nurse RN Long Term Care professional to fill a travel nursing position in a long-term care setting.Job DetailsSpecialty: Long Term CareDiscipline: RNEmployment Type: TravelGrapeTree Medical Staffing LTC offers a competitive pay package based on 8 hour shifts and 40 hours per week, with a tax-free...
-
Billing and Collections Specialist
1 week ago
Franklin, Tennessee, United States Acadia Healthcare Full timePosition Overview:Now Hiring: Revenue Cycle SpecialistLocation: HybridAbout Us:At Acadia Healthcare, we are dedicated to Leading Care With Light. Our mission is to provide exceptional quality care to our patients while actively combating the opioid crisis. We are committed to treating the entire spectrum of addiction, ensuring comprehensive support for those...
-
Revenue Cycle Specialist
4 weeks ago
Franklin, United States Acadia Healthcare Full timeOverview: Now Hiring: Revenue Cycle Specialist Franklin, TN - Hybrid Our Passion: We exist to Lead Care With Light. We need passionate, talented people working together who share our desire to provide the best quality care to our patients and lead the fight against the opioid epidemic. We are prepared to treat the entire disease, not just a piece of it. ...
-
Account Specialist, MVA
1 month ago
Franklin, United States EnableComp Full timeRecognized as a 2024 Top Workplace by the Tennessean, EnableComp is the leading source of revenue cycle management solutions for complex claims in the US. We proudly partner with well over 1000+ hospitals across the US to help them maximize their revenue from complex claims. Our Mission We partner with healthcare providers to maximize reimbursement from...
-
Long Term Care Travel Nurse RN Position
1 day ago
Rhinelander, WI, United States GrapeTree Medical Staffing LTC Full timeJob Title: Travel Nurse RN Long Term Care SpecialistJob Summary: GrapeTree Medical Staffing LTC is seeking a skilled Travel Nurse RN Long Term Care Specialist to join our team in a travel nursing position.Job Responsibilities:Provide high-quality patient care in a Long Term Care settingCollaborate with healthcare teams to develop and implement individualized...
![Northwestern Mutual](https://media.trabajo.org/img/noimg.jpg)
LTC Claims Pending Specialist
1 month ago
Primary Duties and responsibilities
- Determines the applicability of benefits claimed by interpreting contract provisions, and state regulations, and uses claim knowledge in interpreting and analyzing facts to reach claim decisions on new and continuing claims, consistent with Northwestern Long Term Care's claim philosophy.
- Orders and reviews appropriate medical, investigative, service provider, and other information needed to determine the eligibility of long-term care claims including reimbursement of eligible expenses.
- Conduct interviews to gather pertinent claim information from the insured or their representative.
- Answer incoming calls from the field and insureds or their representatives to explain claims status, hypothetical claim situations, and contract provisions.
- Communicate effectively verbally and in writing with Insureds and their representatives, Field Force, medical practitioners, and related service providers, attorneys, other insurance companies, and divisional resources involving negotiation and conflict resolution.
- Preserves Northwestern Long Term Care's image and reputation in the approval or denial of benefits despite difficult and delicate circumstances.
- May be called upon for project and committee work as a Subject Matter Expert (SME), including the development of process improvements.
- Work cohesively with team members to meet the goals of the team and division.
- Qualifications
- Registered Nurse or Social Work license preferred
- Healthcare background OR minimum 3+ years of long-term care insurance experience highly desirable
- Bachelor's degree or equivalent combination of education and work experience will be considered
- Experience with insurance claims desirable
- Strong written and verbal communication skills required
- Strong technology skills required
- Demonstrates initiative and strong support of team results
- High degree of analytical skills, personal organization, and time management
- Strong client focus and customer service skills
- Ability to manage ambiguity and maintain a positive outlook in the face of change
- Ability to identify process improvement opportunities.
Compensation Range:
Pay Range - Start:
$51,170.00
Pay Range - End:
$95,030.00
Northwestern Mutual pays on a geographic-specific salary structure and placement in the salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity as well as the cost of labor in the market; and other conditions of employment. At Northwestern Mutual, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. Please note that the salary range listed in the posting is the standard pay structure. Positions in certain locations (such as California) may provide an increase on the standard pay structure based on the location. Please click here for additiona l information relating to location-based pay structures.
Grow your career with a best-in-class company that puts our client’s interests at the center of all we do. Get started now
We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, disability, age or status as a protected veteran, or any other characteristic protected by law.
If you work or would be working in California, Colorado, New York City, Washington or outside of a Corporate location, please click here for information pertaining to compensation and benefits.
FIND YOUR FUTURE
We’re excited about the potential people bring to Northwestern Mutual. You can grow your career here while enjoying first-class perks, benefits, and commitment to diversity and inclusion.
- Flexible work schedules
- Concierge service
- Comprehensive benefits
- Employee resource groups