Claims Review Specialist

Position Overview: We are looking for a meticulous and empathetic Claims Review Specialist to become a part of a reputable Healthcare Organization. In this capacity, you will be tasked with evaluating and managing appeals and grievances submitted by patients and healthcare providers, ensuring timely resolution in compliance with regulatory standards.Key...

Job SummaryThe Insurance Claims Specialist is responsible for managing and resolving outstanding insurance claims for Cook Children's Physician Network providers. This role requires strong communication and problem-solving skills to navigate complex claims processes and ensure timely resolution.Key ResponsibilitiesManage claims workqueues and prioritize...

Job OverviewThe Claims Processing Specialist is tasked with the critical responsibility of receiving and inputting medical claims while ensuring precision and adherence to turnaround expectations. This role is integral to the Setup department, fostering personal development and contributing to the overarching objectives of CorVel Healthcare Corporation.KEY...

Job SummaryCook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist II to join our team. As a key member of our insurance follow-up team, you will be responsible for ensuring timely and accurate reimbursement for our patients.Key ResponsibilitiesFollow up on outstanding insurance claims to ensure timely resolution and...

Job OverviewThe role of the Correspondence Specialist I involves the meticulous handling and input of medical claims, ensuring precision and adherence to turnaround expectations. This position plays a crucial role in supporting the objectives of the Setup department while fostering personal development and contributing to the mission of CorVel Healthcare...

Job SummaryCook Children's Health Care System is seeking a highly skilled Insurance Claims Specialist II to join our team. As a key member of our healthcare team, you will be responsible for managing insurance claims, analyzing reimbursement data, and providing exceptional customer service to our patients and healthcare providers.Key Responsibilities:Manage...

Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor will play a crucial role in the analysis and oversight of claims audit data across various systems. This position involves performing follow-up activities to...

Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor will play a crucial role in the analysis and oversight of claims audit data across various systems. This position involves executing follow-up tasks to guarantee...

Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Revenue Cycle Analyst plays a crucial role in analyzing and overseeing claims audit data across various systems. This position involves executing follow-up tasks to guarantee the...

Job SummaryWe are seeking a highly skilled and detail-oriented Hospital Bill Audit Nurse to join our team at CorVel. As a Clinical Claims Auditor, you will be responsible for conducting thorough reviews of hospital bills to ensure accuracy and compliance with industry guidelines.Key ResponsibilitiesConduct audits of hospital bills to identify overcharges,...

Claims Supervisor Transportation is a pillar for any supply chain, and at DHL Supply Chain you are a part of everyday life; because a storm or the breakdown of a truck shouldn't stop our customer's products from getting to the consumer when they need them the most. Working in transportation, you will be a part of our business. All members of our...

About UsAt Bank of America, we are driven by a shared mission to enhance financial well-being through meaningful connections.Role OverviewThe Senior Claims Analyst plays a crucial role in our organization, focusing on the following responsibilities:Client Support: Provide exceptional assistance to clients regarding claims inquiries.Analytical Expertise:...

Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor is tasked with the analysis and oversight of claims audit data across various systems. This role involves executing follow-up activities to guarantee the accuracy...

Professional Review SupervisorThe Professional Review Supervisor plays a crucial role in conducting thorough evaluations of medical documentation to ensure accurate application of the Fee Schedule and adherence to relevant coding standards. This position requires expertise in various review methodologies tailored to the specific regulations of each state...

Professional Review SupervisorThe Professional Review Supervisor plays a crucial role in conducting thorough evaluations of medical documentation to ensure accurate application of Fee Schedules and adherence to coding regulations. This position requires expertise in various review methodologies tailored to the specific requirements of each state serviced....

Company Overview: CornerStone Staffing is collaborating with a prominent healthcare organization to identify a skilled Claims Processor/Revenue Cycle Analyst. Position Summary: The Claims Processor is tasked with the analysis and oversight of claims audit data across various systems. This role involves performing follow-up activities to ensure the precision...

Position Overview: We are looking for a meticulous and empathetic Appeals Coordinator to become a part of a reputable Healthcare Company. In this capacity, you will be tasked with evaluating and managing appeals and grievances submitted by patients and healthcare providers, ensuring timely resolution in compliance with regulatory standards. Key...

Job SummaryCorVel is seeking a highly skilled Insurance Customer Service Representative to join our team. As a key member of our customer service team, you will be responsible for addressing client and provider inquiries in a timely and professional manner.Key ResponsibilitiesRespond to client and provider inquiries via phone, email, or written...

Job Summary:We are seeking a highly skilled Medical Claims Analyst to join our team at CorVel Corporation. As a Medical Claims Analyst, you will be responsible for receiving and processing medical claims with accuracy and efficiency.Key Responsibilities:Ensure that medical claims are eligible for review and processingOrganize and prioritize claims for timely...

Position OverviewCreative Solutions in Healthcare is seeking a dedicated Medicaid Billing Specialist to join our team. The successful candidate will possess a minimum of 2-5 years of experience in a billing environment specific to Long-Term Care.Employee Benefits:Comprehensive Health, Dental, and Vision InsuranceAdditional policies including Accidental Death...