Claims Adjudication Expert

At Central City Health, we strive to provide exceptional care to our patients and communities. As a Medical Claims Specialist, you will play a vital role in ensuring that our organization receives timely and accurate reimbursements for the services we provide.About the JobThis position is responsible for preparing complex claims for various service lines,...

In this Healthcare Claims Expert role, you will be responsible for medical billing and coding, ensuring accurate and timely claims processing.The estimated annual salary for this position is $94,800 based on a 40-hour workweek at $45/hour.You will work closely with our team in Detroit, MI, and have the flexibility of a hybrid work arrangement.Key...

About the RoleWe are looking for a highly skilled Revenue Cycle Professional to join our team at Centers for Neurosurgery Spine & Orthopedics in Wayne, NJ. The ideal candidate will have 3+ years of experience in medical billing and collections, with a strong understanding of claims adjudication processes, insurance guidelines, and coding requirements.This...

Michigan Workers' Compensation Claims ExaminerThis role requires a highly specialized individual to handle complex Workers' Compensation Lost Time claims throughout the state of Michigan.Key Responsibilities:Investigate and Evaluate Claims: Determine validity and extent of liability, ensuring compliance with applicable workers' compensation...

About the JobWe are looking for a highly motivated Insurance Adjuster Associate to join our team in Detroit, Michigan.In this role, you will be responsible for managing PIP/No-Fault claims from start to finish.The ideal candidate will have at least 1 year of experience in PIP/No-Fault claims with an insurance carrier.The estimated annual salary for this...

Job Description:Clients rely on us to deliver expert claims solutions, and we need a talented Residential and Commercial Claims Specialist to help us achieve this goal. In this role, you will be responsible for investigating claims, recommending claim reserves, and maintaining acceptable product quality.The estimated salary for this position is $70,000 -...

Job OverviewCenters for Neurosurgery Spine & Orthopedics is seeking a highly skilled Medical Billing Specialist to join its revenue cycle team in Wayne, NJ. As a key member of the department, you will be responsible for ensuring timely and accurate processing of medical claims, managing aging reports, and communicating with insurance companies.With 3+ years...

Job OverviewCenters for Neurosurgery Spine & Orthopedics is a multi-specialty neurosurgery and spine office that provides uncompromising outstanding surgical, pain management, and physical therapy care. We are seeking a skilled Clinical Claims Manager to join our revenue cycle department in Wayne, NJ.The successful candidate will have 3+ years of experience...

Job Description:We are looking for a Coding and Compliance Expert to join our team at Kyyba. In this role, you will be responsible for reviewing and researching new code changes released by the Coding Authorities (AMA, CMS) for system implementation in PPO and HMO Commercial Business.Main Responsibilities:Analyze and investigate new code changes to ensure...

Job DescriptionWe are seeking a skilled Medical Billing Specialist to join our team at Centers for Neurosurgery Spine & Orthopedics in Wayne, NJ. The ideal candidate will have 3+ years of experience in medical billing and collections, with a strong understanding of claims adjudication processes, insurance guidelines, and coding requirements.This full-time...

Unlock a Rewarding Career in Medical CollectionsWe are seeking an experienced Medical Biller/Collector to join our revenue cycle department at Centers for Neurosurgery Spine & OrthopedicsThe ideal candidate will possess a deep understanding of claims adjudication, insurance policies, and effective communication skills. As a Medical Collector, you will play a...

At Advantasure, Inc., we are seeking a highly skilled Sr. Healthcare Data Insights Expert to join our team. This exciting opportunity is for a Senior-level professional with expertise in data analysis and healthcare insights. The ideal candidate will have strong working knowledge of database infrastructure, data querying languages like SQL and Python, and...

Revolutionize Your Career as a Revenue Cycle SpecialistWe're seeking a highly motivated and analytical Staff/Associate Attorney to join our team! As a Revenue Cycle Specialist, you'll play a critical role in resolving denied medical claims and improving patient outcomes.About the OpportunityThis is an exciting opportunity to leverage your legal skills in a...

Transform Patient Experience and Financial PerformanceAs a Clinical Coding Appeals Nurse, you will be part of a team delivering cutting-edge technology and expertise to hospitals, health systems, and medical groups.We strive to improve patient care and financial outcomes through data-driven insights and innovative solutions.Key ResponsibilitiesReview and...

Unlock Opportunities in Tax ConsultingWe are seeking an experienced Tax Consultant to join our Business Incentives Group at BDO Global.About the RoleAssist in the execution of multiple client engagements to help companies and individuals identify and claim government incentives.Collaborate with colleagues across various business lines to innovate and develop...

About the RoleThe Senior Healthcare Analyst will be responsible for analyzing data to identify opportunities for cost savings and collaborating with cross-functional teams to implement these initiatives.Key Responsibilities:Analyze data from various sources to identify trends and patterns that can inform cost-saving strategiesDevelop and maintain a deep...

About the RoleThe Employee Benefits Analyst is an exciting opportunity with Capstone Search Group, a leading insurance recruiting firm in Detroit. We are looking for a skilled professional to take on a key role in developing strategies for clients and ensuring that client deliverables meet their strategic objectives.Key Responsibilities:Work closely with the...

About the OpportunityCapstone Search Group, a leading insurance recruiting firm, is seeking an experienced Personal Lines Account Manager to join their team.As a key member of our team, you will have the opportunity to work with top insurance companies and agencies, providing exceptional service to high net worth clients.ResponsibilitiesProcess policy...

About the Role:Northwood, Inc. is a leading provider of health plan benefit administration services for durable medical equipment, prosthetics, orthotics, and medical supplies.We are seeking a Benefits and Durable Medical Equipment Specialist to join our team and help us deliver exceptional service to our clients.Key Responsibilities:Coordinate with...

We are seeking a qualified Women's Health Physician to fill a locum tenens position in Kalamazoo, Michigan. This is an excellent opportunity for a medical professional to work in a dynamic environment and provide high-quality patient care.About the PositionThis Obstetrics and Gynecology MD role is a great fit for those who enjoy working in a fast-paced...