Medical Claims Specialist

Job SummaryWe are seeking a highly skilled Medical Claims and Collections Specialist to join our team at Randstad. As a key member of our healthcare team, you will be responsible for managing outstanding receivables, preparing and submitting medical claims, and resolving billing issues.Key ResponsibilitiesManage outstanding receivables, ensuring prompt...

Job Summary:As a Medical Claims Specialist at Methodist Health System, you will play a vital role in managing the organization's third-party payer appeals. Your primary responsibility will be to analyze, research, and successfully appeal third-party claims within timely filing timelines. You will also provide excellent customer service, write Appeal and...

Job Title: Claims SpecialistAs a Claims Specialist at Chubb, you will be responsible for investigating and settling claims promptly and equitably. You will work under the direction of the Claims Team Leader to ensure that claims are handled in accordance with established best practices guidelines.Key Responsibilities:Investigate and settle claims in a timely...

Job SummaryParkland Health and Hospital System (PHHS) seeks a skilled Medical Claims Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for resolving outstanding balances and securing accurate and timely payments from third-party payors.Key ResponsibilitiesResolve outstanding claims for assigned accounts by...

Job SummaryWe are seeking a highly skilled Claims Recovery Specialist to join our team at Della Infotech. The successful candidate will be responsible for reviewing and analyzing delinquent accounts receivable, identifying outstanding insurance claims, and determining appropriate action steps for recovery.Key ResponsibilitiesClaim Review and Analysis: Review...

Job Summary:AIG is seeking a highly skilled Senior Medical Claims Processor to join our team. As a Senior Claims Management Analyst, you will be responsible for overseeing claim-specific TPA activities, reviewing and analyzing TPA claim financials, and completing independent analyses to evaluate claim exposure.Key Responsibilities:Oversee claim-specific TPA...

Sun Holdings Corporate is seeking a detail-oriented Corporate Claims Specialist to manage the overall claims process. The ideal candidate will have a strong analytical background, excellent communication skills, and the ability to work with minimal supervision. Key responsibilities include inputting first reports into the claims system, assisting in...

Job DescriptionExceptional Healthcare Inc. is seeking a skilled Medical Billing AR Specialist to join our team. The ideal candidate will be responsible for following up on insurance claims to ensure timely reimbursement.Key ResponsibilitiesFollow up on assigned insurance claims to ensure accurate and timely reimbursement.Process assigned AR work lists in a...

At Bankers Financial Corporation, we're dedicated to delivering exceptional service and protection to our clients. As a Warranty Claims Specialist, you'll play a critical role in ensuring that our customers receive timely and accurate responses to their warranty claims.The ideal candidate will possess strong organizational and multitasking abilities, with a...

Healthcare Claims SpecialistAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Healthcare Claims Specialist, you'll play a critical role in ensuring that patients receive the care they need. Your responsibilities will include processing medical record submissions, managing...

About the Role:Gallagher is seeking a highly skilled Federal Claims Specialist to join our team. As a key member of our Federal Claims Adjuster team, you will investigate, evaluate, and resolve workers compensation claims, applying your analytical skills to make informed decisions and bring claims to resolution.Key Responsibilities:Investigate and evaluate...

Overview:At CCMSI, we are seeking a skilled Medical-Only Claims Adjuster to join our Dallas office, with the option for hybrid work arrangements depending on your location. The ideal candidate must have a strong background in managing medical-only workers' compensation claims, particularly in Texas, and possess experience with school districts and/or public...

Job Title: Senior Claims Technical Operations SpecialistAmTrust Financial Services is seeking a highly skilled Senior Claims Technical Operations Specialist to join our team. As a key member of our Claims Operations department, you will be responsible for assisting in the development of claims functional and process requirements for projects, enhancements,...

Help People Restore Their LivesAt Mercury Insurance Group, we're passionate about providing the best customer experience in property claims. As a Property Claims Specialist II, you'll play a critical role in helping people restore their lives when the unexpected happens to their homes. Your expertise will ensure that our customers receive the support they...

At Elara Caring, we strive to provide exceptional care to our patients in the comfort of their own homes. To achieve this goal, we need a dedicated Workers Compensation Specialist to ensure that our employees receive the support they need in case of work-related injuries.The ideal candidate will have a strong background in claims management, risk assessment,...

Job DescriptionThe Non-Subscriber Claims Specialist plays a crucial role in managing Texas Non-Subscriber claims within delegated limited authority to achieve the best possible outcome. This position reports directly to a supervisor and supports the goals of the claims department and CorVel Enterprise Comp, Inc.This is a hybrid position that requires strong...

Claims Resolution SpecialistIMA Financial Group is seeking a Claims Resolution Specialist to join our team. This role is responsible for advocating for and interacting with clients on claim resolutions and matters.A successful applicant must have strong relationship building and management skills, possess self-direction, and have effective problem-solving...

We are seeking a highly skilled Claims Advocate to join our team at Alliant Insurance Services. In this role, you will be responsible for providing exceptional customer service and supporting Producers by servicing existing accounts and soliciting new business.As a Claims Advocate, you will act as an advocate and claims specialist to provide support to...

Job Overview: At Medix, we are seeking a skilled Clinical Research Biller and Coder to join our team. As a key member of our clinical research team, you will play a crucial role in ensuring accurate billing and coding for clinical trials. Your attention to detail and understanding of clinical research regulations will be essential in maintaining compliance...

Job SummaryAs a Claims Analysis Specialist at UnitedHealth Group, you will be responsible for reviewing and researching claims to ensure accurate and timely processing. You will analyze data to identify trends and provide reports as needed, consistently meeting established productivity and schedule adherence goals.Key Responsibilities:Review and research...