Insurance Claims Specialist
5 days ago
We are seeking a highly organized and detail-oriented Insurance Verification Specialist to join our team at Gonzaba Medical Group. In this role, you will be responsible for ensuring the financial integrity of patient accounts, verifying insurance information, and communicating with patients and clinical staff to streamline the process.
Key Responsibilities- Collect and verify patient demographics and insurance information to ensure accurate billing and reimbursement.
- Verify patient eligibility and benefit package information to ensure compliance with contractual requirements.
- Communicate with patients and clinical staff to explain financial responsibilities and co-payment collection.
- Obtain necessary information from PCP and HMO payers to initiate managed care authorizations and pre-certification.
- Review scheduling reports to ensure all patients are worked prior to appointment date.
- Work closely with managers and designated personnel to resolve insurance-related issues.
- Minimum two years of general office/customer relations experience, preferably in a medical setting.
- Data entry, telephone service experience, and medical insurance knowledge required.
- Ability to complete efficient and accurate data entry at a computer terminal, typing at least 30 words per minute.
- Excellent interpersonal and communication skills, with ability to maintain confidentiality.
This role is based in a clinic setting, requiring manual dexterity, sitting, standing, and lifting up to 40 pounds. Close vision and ability to adjust focus are also required for extensive telephone work.
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Claims Examiner II
3 weeks ago
San Antonio, Texas, United States 052 SLIC Insurance Agency, LLC Full timeJob Summary052 SLIC Insurance Agency, LLC is seeking a skilled Claims Examiner II to join our team. As a Claims Examiner II, you will be responsible for reviewing and evaluating incoming claims for payment or denial, and acting as a liaison for the carrier and the financial institution.Key ResponsibilitiesClaims Adjudication: Adjudicate routine to moderately...
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Automotive Claims Specialist
16 hours ago
San Antonio, Texas, United States Alternative Claims Management Full timeJob Title: Automotive Claims AdjusterWe are seeking a highly skilled and experienced Automotive Claims Adjuster to join our team at Alternative Claims Management.Job SummaryThe successful candidate will be responsible for settling and collecting money owed to clients by customers, insurance carriers, and other liable parties. This is a unique role that...
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Insurance Claims Adjuster
1 day ago
San Antonio, Texas, United States Fred Loya Insurance Full timeJob SummaryWe are seeking a highly motivated and customer-focused Insurance Claims Adjuster to join our team at Fred Loya Insurance. As a key member of our team, you will be responsible for investigating and verifying coverage, determining liability, and providing exceptional customer service to all parties involved in the claims process.Key...
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Insurance Claims Adjuster
1 month ago
San Antonio, Texas, United States Fred Loya Insurance Full timeJob OverviewPosition: Insurance Claims AdjusterLocation: San Antonio, TXJob ID: JOB DESCRIPTIONRole SummaryThe Insurance Claims Adjuster is responsible for evaluating and managing claims to ensure fair and timely resolution. This role involves assessing coverage, determining liability, and providing exceptional service to all parties involved in the claims...
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Insurance Claims Adjuster
17 hours ago
San Antonio, Texas, United States Cincinnati Insurance Company, Inc. Full timeMake a Difference with a Career in InsuranceCincinnati Insurance Company, Inc. is a relationship-based organization that values diversity and equality. We're seeking a Field Claims Representative to join our team in San Antonio, TX. As a Field Claims Representative, you will investigate and evaluate multi-line insurance claims, providing accurate settlements...
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San Antonio, Texas, United States Elevate Claims Solutions Full timeAbout 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....
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Claims Adjuster Specialist
4 weeks ago
San Antonio, Texas, United States Fred Loya Insurance Full timeJob 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...
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San Antonio, Texas, United States Elevate Claims Solutions Full timeAbout Elevate Claims SolutionsWe are a company founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves.Our MissionWe are committed to receiving feedback on how we can best support your progression and advancement towards your goals.What We...
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Insurance Claims Specialist
6 days ago
San Antonio, Texas, United States Sports Medicine Associates of San Antonio Full timeJob SummarySports Medicine Associates of San Antonio is seeking a highly skilled Insurance Verification professional to join our Business Office department. As an Insurance Verification specialist, you will play a critical role in ensuring accurate and timely insurance coverage verification for our patients.Key ResponsibilitiesVerify patient insurance...
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San Antonio, Texas, United States South Texas Radiology Group Full timeJob Title:Correspondence and Insurance Claims ClerkJob Summary:The Correspondence and Insurance Claims Clerk is responsible for the efficient and timely processing of Requests for Information (RFI) and ensuring that all correspondence activity is properly documented. This role also involves the final review and mailing of paper insurance claims in accordance...
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San Antonio, Texas, United States South Texas Radiology Group Full timeJob Title: Correspondence and Insurance Claims ClerkJob Summary:The Correspondence and Insurance Claims Clerk plays a vital role in the efficient processing of Requests for Information (RFI) and ensuring that all correspondence is properly documented. This position is responsible for the timely review and mailing of paper insurance claims, as well as...
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Claims Examiner II
4 weeks ago
San Antonio, Texas, United States 052 SLIC Insurance Agency, LLC Full timeAt 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...
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Claims Process Specialist
6 days ago
San Antonio, Texas, United States SafeRide Health Full timeJob Title: Claims Process SpecialistSafeRide Health is seeking a highly skilled Claims Process Specialist to join our team. As a Claims Process Specialist, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Facilitate data processing and payment to NEMT/TNC/IPT providers.Perform...
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Insurance Claims Analyst
1 month ago
San Antonio, Texas, United States University Health System- San Antonio Full timePOSITION OVERVIEW AND RESPONSIBILITIES The Claims Auditor is accountable for the creation and upkeep of a comprehensive auditing framework for claims across various business sectors, aimed at enhancing claims processing protocols and assessing the quality of service provided to clients. This role involves pinpointing training requirements for processors and...
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Insurance Claims Manager
3 weeks ago
San Antonio, Texas, United States The Hartford Full timeJob SummaryWe are seeking a highly skilled Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex Workers' Compensation...
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Fertility Claims Specialist
4 weeks ago
San Antonio, Texas, United States Assure Fertility Partners of San Antonio Full timeJob 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...
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Fraud Claims Specialist
1 week ago
San Antonio, Texas, United States Apex Systems Full time{"Job Title": "Fraud Specialist", "Job Summary": "We are seeking a highly skilled Fraud Specialist to join our team at Apex Systems. As a Fraud Specialist, you will be responsible for processing actionable alerts, conducting research, and analyzing fraud claims. You will also be responsible for reviewing accounts and transactions for fraud activity, taking...
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Fertility Claims Specialist
4 weeks ago
San Antonio, Texas, United States Assure Fertility Partners of San Antonio Full timeJob 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...
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Bilingual Field Claims Adjuster
2 weeks ago
San Antonio, Texas, United States American Family Insurance Full timeJob SummaryWe are seeking a highly skilled and bilingual Field Claims Adjuster to join our team at American Family Insurance. As a Field Claims Adjuster, you will be responsible for investigating and maintaining property/casualty claims, determining liability, securing information, reviewing coverages, arranging appraisals, and settling claims.Key...
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Auto Insurance Claims Adjuster
4 weeks ago
San Antonio, Texas, United States SWBC Real Estate, LLC Full timeJob SummarySWBC Real Estate, LLC is seeking a skilled Claims Adjuster to investigate, evaluate, and negotiate auto claims, CPI and GAP, to determine the extent of liability by interpreting and calculating settlement. The ideal candidate will have a strong analytical mind, excellent communication skills, and the ability to work independently.Key...