Medical Claims Specialist

Medical Billing Job Description **Job Summary** We are seeking a skilled Medical Claims Specialist to join our team at Monroe Community Hospital. As a Medical Claims Specialist, you will be responsible for the timely submission of medical claims to insurance companies, including Medicare and Medicaid. **Key Responsibilities** * Track outstanding balances...

Job SummaryWe are seeking a highly skilled Medical Claims Specialist III to join our team at The University of Rochester. As a key member of our healthcare team, you will be responsible for resolving aged insurance accounts that have not been collected through billing and routine follow-up activities.Key ResponsibilitiesAssess payment probability to...

Job Description**About the Role**This position is located at our office, with the option for a hybrid schedule after the training period. As a Complex Claims Specialist at Primma, LLC, you will be responsible for the direct management of claims handling, including coverage verification, investigation, reserving, negotiation, and litigation management.**Key...

Position OverviewAs an Environmental Insurance Claims Specialist, you will be responsible for managing and overseeing intricate long tail and latent claims processes. This role is crucial in ensuring that all claims are handled with precision and expertise.Key ResponsibilitiesReview and assess loss notifications and policy coverage.Establish reserves and...

Job SummaryWe are seeking a skilled Medical Biller to join our team at Monroe Community Hospital. As a Medical Biller, you will be responsible for the timely submission of medical claims to insurance companies, including Medicare and Medicaid.Key ResponsibilitiesTrack outstanding balances owed and maintain payment records of patients/residents and...

Job SummaryWe are seeking a highly skilled Medical Claims Adjuster to join our team at Erie Insurance. As a Medical Claims Adjuster, you will be responsible for handling medical management claims with limited supervision.Key ResponsibilitiesHandles first-party medical benefit claims, including fatalities and wage loss claims.Evaluates and makes decisions...

About the Role:We are seeking a highly skilled and detail-oriented NY PIP No Fault Claims Specialist to join our team at Erie Insurance Group. As a key member of our claims team, you will be responsible for handling medical management claims with limited supervision.Key Responsibilities:Manage medical management claims within designated authorityWork closely...

Job SummaryWe are seeking a highly organized and detail-oriented Medical Billing Specialist to join our team at Earlene C Siebold MD PC, a private independent Ophthalmology practice.Key ResponsibilitiesProcess and post medical claims in a timely and accurate mannerObtain insurance approvals and authorizations for patient servicesManage and track accounts...

Job SummaryWe are seeking a highly skilled and experienced Special Investigations Unit (SIU) Investigator to join our team at Allied Universal Compliance and Investigations. As an SIU Investigator, you will be responsible for investigating claims with red flags that suggest fraudulent behavior in relation to an insurance claim.Key...

Nesco Resource is seeking a Claims Recovery Specialist to become a vital part of our client's operations for a duration of 12 months. This role offers a Hybrid Work Arrangement, requiring in-office attendance from Monday to Wednesday, while allowing for remote work on Thursdays and Fridays.Compensation: $21 per hourWork Schedule: 11:00am - 8:00pmRole...

About the RoleWe're seeking a Claims Adjuster Trainee to join our team at Progressive Insurance. As a Claims Adjuster Trainee, you'll play a critical role in helping customers navigate the claims process and ensuring they receive fair compensation for their losses.Key ResponsibilitiesDetermine coverage and liability for claimsInterview customers, claimants,...

About the RoleWe are seeking a highly skilled Claims Examiner to join our team at Sedgwick. As a Claims Examiner, you will play a critical role in analyzing and processing Workers Compensation claims on behalf of our valued clients.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to an appropriate and timely resolution by...

About the RoleWe are seeking a highly skilled and experienced Claims Adjuster - Property Field to join our team at American Family Insurance. As a Claims Adjuster - Property Field, you will be responsible for handling homeowner property field claims, working closely with customers, and ensuring that claims are resolved efficiently and effectively.Key...

Job SummaryWe are seeking a skilled Claims Adjuster to join our team at Erie Insurance. As a Claims Adjuster, you will be responsible for handling medical management claims with limited supervision.Key ResponsibilitiesHandles first-party medical benefit claims, including fatalities and wage loss claims.Evaluates and makes decisions regarding...

About the RoleCrawford & Company is seeking a highly skilled Claims Adjuster - Multi-Line to join our team. As a Claims Adjuster - Multi-Line, you will be responsible for investigating and resolving claims in multiple lines of business, including casualty, property, and liability.Key ResponsibilitiesInvestigate claims by interviewing claimants, witnesses,...

Job Title: Medical Nurse SpecialistRTG Medical-Nursing is seeking a skilled Medical Nurse Specialist for a travel nursing position in Rochester, New York.Job Details:Shift: 12 hours, nightsEmployment Type: TravelThe pay package is based on 12 hour shifts and 36 hours per week, with a tax-free stipend amount to be determined.About RTG Medical-NursingAs a...

About UsDermatology Associates of Rochester is a dynamic and growing dermatology practice that combines advanced medical expertise with a patient-centered approach. Our team is dedicated to delivering exceptional care and services in a warm and welcoming environment.Job SummaryThe Medical Biller will play a critical role in managing the billing processes of...

Job SummaryWe are seeking an experienced Auto Damage Claims Adjuster to join our team at Progressive Insurance. As a key member of our claims team, you will be responsible for handling auto damage claims from start to finish, ensuring that our customers receive fair and timely resolutions.Key ResponsibilitiesConduct thorough vehicle inspections to determine...

Join ForTec Medical - Make a Difference in Patient CareForTec Medical is a leading provider of innovative surgical technologies, dedicated to improving patient health through exceptional service and support. We're seeking highly motivated individuals to join our operations team as Clinical Technology Specialists, working closely with top surgeons to deliver...

Medical Talent is a distinguished company that prides itself on being Women-owned, Veteran-founded, and Joint Commission certified. With over 30 years of experience in the healthcare staffing industry, the company has made a significant impact in the field. Medical Talent is highly regarded by traveling healthcare professionals due to its commitment to...