Medical Claims Specialist

Job Title: Medical Claims SpecialistVolt is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring timely and accurate payment of medical claims.Key Responsibilities:Review and analyze medical claims to identify potential issues and discrepancies.Communicate with payors...

Job SummaryAt Medix, we are seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key ResponsibilitiesReview claims for accuracy and completeness, ensuring that all necessary information is included.Expedite...

Job SummaryThe Medical Claims Specialist is responsible for the accurate and timely adjustment of hospital risk claims, ensuring compliance with regulatory requirements and contractual obligations. This role involves researching and reviewing claims, collaborating with providers and other departments to resolve issues, and suggesting process improvements to...

Job SummaryMedPOINT Management is seeking a highly skilled Medical Claims Recovery Specialist to join our team. As a key member of our team, you will be responsible for preparing, submitting, and auditing payments for high-cost members who meet our clients' Stop Loss deductible thresholds.Key ResponsibilitiesRun monthly Stop Loss reports for each client to...

Job Summary:A skilled Billing Specialist is required to maintain a current understanding of billing and coding guidelines to ensure claims are consistently billed properly. The primary accountability for this role is to support Soarian Financials Billing Edits and Billing Processes for the company.Key Responsibilities: Review and resolve claim edits in the...

Job SummaryZenith Insurance Company is seeking a skilled Workers' Compensation Claims Specialist to join our team. As a key member of our claims team, you will be responsible for investigating, analyzing, and determining the extent of company liability concerning claims and attempting to effect settlement with claimants.Key ResponsibilitiesInvestigate and...

Claims Litigation Specialist OpportunityAn exciting opportunity to be part of a dynamic in-house legal team for a well-established and successful organization offering a great culture, commitment to legendary service, and competitive compensation package.We are seeking an experienced Claims Litigation Specialist to join our team. The successful candidate...

Job Title: Personal Injury Claims SpecialistAbout the Role:We are seeking a highly skilled Personal Injury Claims Specialist to join our team at The Accident Guys. As a Personal Injury Claims Specialist, you will be responsible for managing a high volume of cases, providing exceptional customer service, and working closely with clients to ensure their claims...

Job SummaryWe are seeking a highly skilled Personal Injury Claims Specialist to join our team at Frish Law Group, APLC. As a key member of our personal injury team, you will play a critical role in assisting clients who have been injured in various types of accidents, including car crashes, slip/trip and falls, bike crashes, motorcycle crashes, and other...

Job DescriptionFrish Law Group, APLC is seeking a skilled Personal Injury Claims Specialist to join our team. As a key member of our personal injury team, you will work closely with clients who have been injured in various accidents, including car crashes, slip/trip and falls, bike crashes, motorcycle crashes, and other personal injuries. This is a hybrid...

Job SummaryWe are seeking a highly skilled Personal Injury Claims Specialist to join our team at Frish Law Group, APLC. As a key member of our personal injury team, you will work closely with clients who have been injured in various accidents, including car crashes, slip/trip and falls, bike crashes, motorcycle crashes, and other personal...

**Job Summary**Cedars-Sinai is seeking a skilled Claims Examiner to join our team in Managed Care. As a Claims Examiner, you will be responsible for accurately and consistently adjudicating claims in accordance with policies, procedures, and guidelines.**Key Responsibilities:**Process claims according to all CMS and DMHC guidelines.Investigate and complete...

Job DescriptionAt JBA International, we are seeking a skilled Case Manager - Injury Claims Specialist to join our team. The ideal candidate will have experience with personal injury claims and a strong understanding of medical terminology. Key responsibilities include drafting and responding to written and phone communication with insurance providers,...

Job SummaryAs a Senior Claim Specialist at Chubb, you will play a critical role in resolving workplace claims in a collaborative and paperless environment. With a strong analytical mindset and excellent communication skills, you will work closely with defense counsel and insureds to negotiate settlements and resolve discrimination, harassment, and other...

We are seeking a highly skilled Medical Biller to join our team at Health Atlast West LA.The ideal candidate will have experience with medical billing from start to finish, including setting up patient accounts, verifying information, and uploading claims to clearing houses.Responsibilities will include authorizing and verifying insurance benefits, billing...

Job DescriptionWe are seeking a detail-oriented Medicare Claims Appeals Specialist with a comprehensive understanding of Medicare claims processing, including provider contracts, Division of Financial Risk (DOFR), explanation of benefits, and claim edits.Key Responsibilities:Review and process Medicare provider appeals cases for California clients, adhering...

Job SummaryAXA XL is seeking a highly skilled Senior Construction Claims Specialist to join our team. As a key member of our Construction Defect Claims team, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims.Key ResponsibilitiesInvestigate and evaluate complex...

Property Damage Specialist Role At Wilshire Law Firm, we are seeking a skilled Property Damage Specialist to join our Personal Injury PreLitigation department. As a key member of our team, you will have the opportunity to assist clients in resolving their property damage claims. Key Responsibilities: Communicate with clients regarding their property damage...

Job Title: Claims Specialist - Quality Standards and ComplianceJob Summary:We are seeking a highly skilled Claims Specialist to join our team at Vista Del Mar Child & Family Services. As a Claims Specialist, you will be responsible for managing client information and funding eligibility of clients billed through the Los Angeles County Department of Mental...

Job OverviewMedPOINT Management is a leading provider of healthcare services, and we are seeking a highly skilled Healthcare Claims Compliance Specialist to join our team.