Insurance Claims Resolution Specialist

Job SummaryWe are seeking a highly skilled Customer Service Resolution Specialist to join our team at the Commonwealth of Virginia. As a key member of our customer service team, you will be responsible for resolving customer inquiries, complaints, and billing issues in a timely and professional manner.Key ResponsibilitiesProvide financial counseling to...

Position OverviewThe Insurance Claims Resolution Specialist plays a critical role in the Central Billing Office (CBO) by managing and resolving various insurance billing follow-ups and denial challenges. This position is essential to ensure that all facilities within the Commonwealth of Virginia receive accurate reimbursements from insurance providers.Key...

Position Overview:The Customer Service Resolution Expert is responsible for addressing and resolving inquiries from customers, including questions, complaints, and billing concerns, with the utmost professionalism and courtesy.Core Responsibilities:This role serves as the primary contact point for all inbound communications from customers. The main focus is...

Job OverviewPOSITION SUMMARY:Hunter Wyant - State Farm Agent is in search of a detail-oriented and proactive individual to undertake administrative responsibilities and assist insurance professionals in acquiring and retaining clientele. As an Executive Support Associate within our agency, your meticulous nature, commitment to customer engagement, and...

Job OverviewPOSITION SUMMARY:Hunter Wyant - State Farm Agent is in search of a detail-oriented and proactive individual to take on administrative responsibilities and assist insurance agents in acquiring and retaining clients. As an Executive Assistant for our agency, your meticulous nature, commitment to client service, and sales-oriented mindset will...

About the RoleThis position plays a critical role in ensuring the University of Virginia's compliance with delegated credentialing and enrollment processes for healthcare providers. The successful candidate will be responsible for maintaining accurate and up-to-date enrollment information for Medicare, Medicaid, and managed care payors.Key...

Job OverviewPOSITION SUMMARY:Hunter Wyant - State Farm Agent is on the lookout for a detail-oriented and proactive individual to take on administrative responsibilities and assist insurance professionals in building and maintaining client relationships. As an Insurance Agent Administrative Coordinator, your meticulous nature, commitment to customer service,...

Job SummaryTEKsystems is seeking a skilled Technical Support Specialist to join our team. As a Technical Support Specialist, you will be responsible for providing first contact and incident resolution to customers with hardware, software, and application problems.Key ResponsibilitiesProvide first contact and incident resolution to customers with hardware,...

Job Title: Insurance Appeals Coordinator at Commonwealth of Virginia This role is essential for managing and resolving insurance appeals and denials effectively. Key responsibilities include:Entering denials and rejections into the billing system with accuracy.Addressing complex denial cases with attention to detail and efficiency.Communicating with...

City/State Charlottesville, VA Overview Work Shift First (Days) (United States of America) Sentara Martha Jefferson Hospital is seeking an Authorization Specialist II - Full Time Day schedule Qualifications: High School Diploma or Equivalent is required. Experience in Health Insurance Authorizations, Health Insurance Verification, or Registration/Billing is...

The Information Technology (IT) Systems Analyst (SYSTEMS ANALYSIS) performs a variety of developmental and analytical IT duties in the implementation, maintenance, and troubleshooting of assigned applications. Assists end users in utilizing on-premises and cloud-based IT applications and systems used in carrying out the Center's intelligence analysis and...

Job SummaryThis position will assist Virginia Jobs and UVA Community Health Medical Group (UVACHMG) in complying with all delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/Medicaid/Department of Defense and managed care payors for the provision of professional health care services.Key...

Job SummarySentara Healthcare is seeking a highly skilled Customer Service Representative/Scheduler to join our team. As a key member of our Clinical Access Centralized Scheduling Department, you will be responsible for handling incoming calls, addressing eligibility, claim, and payment issues, and performing patient scheduling and referral...

Position Overview:This is a full-time direct hire opportunity with relocation assistance available.Compensation: $125,000 - $200,000 based on experience.Work Environment: On-site with a hybrid option.Essential Qualifications:Bachelor's degree required.A minimum of 10 years in leadership or management roles.Experience in an academic medical center or teaching...

Job Summary:General Dynamics Information Technology (GDIT) is seeking an Enterprise IT Support Specialist to join our team. As an Enterprise IT Support Specialist, you will provide second-tier support to end-users for PC, server, mainframe applications, and hardware. You will handle problems that the first-tier of help desk support is unable to resolve,...

Position Overview: The Clinical Utilization Specialist plays a pivotal role in the Utilization Management process, acting as a key resource under general supervision. This position involves collaboration with healthcare professionals to ensure adherence to regulatory standards and promote optimal patient care.Key Responsibilities:Documentation Analysis:...

Position OverviewThe Commonwealth of Virginia is seeking a dedicated Radiation Oncology Billing and Referral Specialist to provide essential billing and compliance assistance within the Division of Radiation Oncology. This role encompasses various responsibilities, including charge capture, referral management, denial resolution, data collection, and project...

Job Title: Healthcare Audit Response SpecialistJoin our esteemed organization as a Healthcare Audit Response Specialist. We are seeking a meticulous professional who will oversee all audit-related activities concerning various programs and payers, ensuring prompt evaluation of audit results and timely submission of appeals.Systematically organize and manage...

Position Overview:This is a full-time direct hire opportunity.Relocation assistance is available.Compensation ranges from $125,000 to $200,000, commensurate with experience.Work Environment:This role is primarily on-site with a hybrid option.Key Qualifications:Bachelor's degree required.A minimum of 10 years in leadership or management roles.Experience in an...

Job SummaryThis position plays a critical role in ensuring the University of Virginia's compliance with delegated credentialing and enrollment processes for healthcare providers. The successful candidate will be responsible for managing the enrollment process, including tracking applications, resolving issues, and maintaining accurate records.Key...