Claims Specialist

DescriptionResponsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult or...

Job Description Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult...

**Summary**: The EDI Claims Specialist is responsible for retrieving, processing, validating, and posting electronic claim data files into MPM’s core system, EZ-CAP®. Reporting to the Supervisor, EDI Claims, the EDI Claims Specialist will ensure all files are processed timely and meet compliance regulations. **Duties and Responsibilities**: - Download...

**Summary**: The EDI Claims Specialist is responsible for retrieving, processing, validating, and posting electronic claim data files into MPM’s core system, EZ-CAP®. Reporting to the Supervisor, EDI Claims, the EDI Claims Specialist will ensure all files are processed timely and meet compliance regulations. **Duties and Responsibilities**: - Download...

Akkodis is seeking a diligent and detail-oriented Warranty Claims Specialist to join our team. The role will be responsible for managing all aspects of warranty claims, ensuring compliance with established policies and procedures, and providing support to various stakeholders.PAY RATE: $20.00 - $25.00 per HRResponsibilities:Review and process warranty...

Akkodis is seeking a diligent and detail-oriented Warranty Claims Specialist to join our team. The role will be responsible for managing all aspects of warranty claims, ensuring compliance with established policies and procedures, and providing support to various stakeholders.PAY RATE: $20.00 - $25.00 per HRResponsibilities:Review and process warranty...

**Description** Under the general direction of the Manager, Patient Benefits, the Physician Contracts Specialist is accountable for Contract administration, interpreting contract requirements from Corporate Contracting for the daily operations of the Claims system testing, to include but not limited to performing testing of provider contracts and fee...

Under the direction of the Pre-Service Supervisor/Manager/Director, the Senior Pre-Service Specialist has a clear understanding and knowledge of all functions performed by Pre-Service. They are responsible for, but not limited to, scheduling, Pre-Registration, estimates and collections, authorization verification and notice of admission enterprise wide - set...

**Description** Under the direction of the Pre-Service Supervisor/Manager/Director, the Senior Pre-Service Specialist has a clear understanding and knowledge of all functions performed by Pre-Service. They are responsible for, but not limited to, scheduling, Pre-Registration, estimates and collections, authorization verification and notice of admission...

**Description** Under the direction of the Pre-Service Supervisor/Manager/Director, the Senior Pre-Service Specialist has a clear understanding and knowledge of all functions performed by Pre-Service. They are responsible for, but not limited to, scheduling, Pre-Registration, estimates and collections, authorization verification and notice of admission...

Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg, Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park, Owings Mills, Parippany, Rancho Cordova, Rocky Hill, or Woodland Hills. If you are ready for a career move, consider working for a company with a global footprint that offers terrific...

Job Description Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes...

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

Overview: **Physical Therapy Specialist**, a member of the Confluent Health family, is looking for a Full Time Billing Specialist to join our team!** At** **Physical Therapy Specialist** **you’ll find an amazing culture because we want our employees to love coming to work and do what they love - helping our patients get back to their everyday lives. We...

Overview: **Physical Therapy Specialist**, a member of the Confluent Health family, is looking for a Full Time On Site Billing Specialist to join our team!** At** **Physical Therapy Specialist** **you’ll find an amazing culture because we want our employees to love coming to work and do what they love - helping our patients get back to their everyday...

Responsible for administering employee benefits programs and ensuring compliance with applicable laws and regulations. This role involves managing benefits enrollment, processing claims, handling employee inquiries, and maintaining accurate records. Benefits Specialist, Benefits, Specialist, Administrative, Staffing

Overview: Pay Range: $78,000 - $93,000 / year Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful bonus compensation. **Benefits Information**: We are proud to offer best-in-class...

JOB TITLE: Collector / Accounts Receivable Specialist (Temporary) GENERAL SUMMARY OF DUTIES: The insurance billed is responsible for processing all insurance claims, i.e., private, Medicare, workers' compensation, PPO and HMO, including secondary claims. All claims will be coded with CPT and ICD-10 codes according to the findings in the medical record. The...

Job Family: CUS > Care Reps Type: Date Posted: Jun 05, 2024 Anticipated End Date: Jun 19, 2024 Reference: JR118833 Description **Plan to Plan Service Specialist I** The Plan to Plan Service Specialist I is responsible for serving as a single point of contact in responding to all Plan to Plan claims inquiries and resolving related issues. Plan to Plan...