Claims Specialist

About the JobWe are seeking a highly skilled Indemnity Claims Specialist to join our team at CorVel Enterprise Comp, Inc. The ideal candidate will have a strong background in claims management, excellent communication skills, and a proven track record of achieving outstanding results.As an Indemnity Claims Specialist, you will be responsible for managing...

Job Title: Medical Claims SpecialistEstimated Salary: $60,000 - $80,000 per yearJob Summary:The Billing Specialist is a key member of the Revenue Cycle team responsible for ensuring accurate and timely billing and reimbursement procedures for insurance claims and patient balances. This role will work closely with Payers, Patients, and the Revenue Cycle...

**About the Role**We are seeking a highly skilled and detail-oriented individual to fill the position of Home Warranty Specialist. As a key member of our team, you will be responsible for ensuring that all construction projects meet the highest standards of quality.**Responsibilities**Quality Control: Conduct regular site visits to inspect ongoing...

Job DescriptionThe Account Receivable Specialist role at Prelude Fertility is a critical position that involves managing the billing and follow-up of accounts. This includes but is not limited to: following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, and maintaining...

Prelude FertilityWe are seeking a highly skilled and detail-oriented Fertility Collections Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for ensuring timely collection of outstanding A/R and performing various clerical and accounting functions to resolve billing issues.Responsibilities:Monitor claim...

Job Summary:We are seeking an experienced AR Collection and Training Specialist to guide the activities of part-time and full-time staff engaged in collections, customer service, billing, and administrative support.In this role, you will be responsible for assisting in providing expert process guidance along with billing and collection support.The ideal...

About the RoleWe are seeking an experienced Software Development Lead who will be responsible for designing and developing a consolidated, conformed enterprise data warehouse and data lake which store all critical data across Customer, Provider, Claims, Client, and Benefits data. The ideal candidate must have expertise in ITXA Application & ITX Mapping &...

Compensation and BenefitsThis position offers a competitive salary range of $17.00-$28.46 per hour, based on experience and qualifications. In addition to a comprehensive compensation package, you will enjoy a range of benefits, including medical, dental, and vision coverage, 401(k) retirement savings plan, and employee stock purchase plan. We also offer...

Achieve Success with Us">At CVS Health, we pride ourselves on creating an inclusive and dynamic work environment where our team members can thrive. In this position, you will leverage your analytical skills and attention to detail to drive results and contribute to the growth of our organization.

OverviewPrime Health Services (PHS) is a leading national medical cost containment company, specializing in medical provider network development and offering clients a tailored approach to medical cost containment.Job SummaryThe Provider Negotiations Specialist will focus on reviewing medical bills/documentation and negotiating cost-effective agreements with...

Job DescriptionWe are seeking a highly skilled Customer Service Representative to join our State Farm Agent Team. As a key member of our team, you will be responsible for answering customer inquiries, providing policy information, and assisting clients with policy changes and updates. You will also process insurance claims and follow up with clients to...

About Aspirion Health ResourcesAspirion Health Resources is a leading provider of revenue cycle services, specializing in collecting challenging payments from third-party payers. With over two decades of experience, our team of experts has developed a unique approach to addressing complex denials, aged accounts receivable, and other revenue cycle...

Job OverviewWe are seeking a skilled Patient Advocacy Specialist to join our team at Prime Health Services. This role is responsible for scheduling medical appointments, updating case status, and ensuring timely communication with clients and patients.Key Responsibilities:Schedule medical appointments in the PHS scheduling tool as requested by clients and...

Job SummaryWe are seeking an experienced Customer Service Representative to join our Jordan Drake - State Farm Agent team. In this critical role, you will be responsible for delivering exceptional customer service, responding to inquiries, and resolving issues promptly.**Key Accountabilities**Provide expert guidance on insurance policies, answering questions...

Role OverviewAs a Customer Service Representative with Jordan Drake - State Farm Agent, you will deliver exceptional client experiences that drive the growth of a successful insurance agency. This role requires attention to detail, strong customer service skills, and a passion for helping others.You will enhance your career by resolving customer inquiries,...

Claims Resolution SpecialistWe are seeking a detail-oriented Claims Resolution Specialist to join our team at State Farm Insurance.Estimated salary: $60,000 - $80,000 per year.About the Role:Investigate and resolve customer claims in a fair and timely manner.Analyze claim data and determine liability according to company policies.Communicate effectively with...

HealthLock (inAssist) Medical Claims Auditor / Advocate IIHealthLock (inAssist) is a leading provider of Healthcare Management Solutions, utilizing our Medical Claims Auditors / Advocates, comprehensive analytics, and tailored technology solutions. Driven by our commitment to our clients, we take pride in delivering exceptional service.The Medical Claims...

Job DescriptionJob DescriptionHealthLock Medical Claims Auditor / Advocate II HealthLock is a leading provider of Healthcare Management Solutions, utilizing our Medical Claims Auditors / Advocates, comprehensive analytics, and tailored technology solutions. Driven by our commitment to our clients, we take pride in delivering exceptional service. The...

Key QualificationsBachelor's degree in Business Administration, Risk Management, Finance, or related field; advanced degree or relevant professional certifications (e.g., ARM, CPCU) preferred.Proven experience in insurance management, contract negotiation, and claims handling, preferably in a corporate or insurance brokerage environment.Strong knowledge of...

At CVS Health, we strive to deliver enhanced human-centric healthcare for a rapidly changing world. As a Credentialing Sr Specialist, you will play a crucial role in transforming our culture and accelerating innovation.Job OverviewThis position is responsible for processing agent onboarding contracts, verifying insurance licenses, and ensuring records are...

Job DescriptionJob Description***NOT A REMOTE POSITION***Provider Negotiations Specialist Summary of DutiesThe Provider Negotiations Specialist focus on reviewing medical bills/documentation and negotiating cost effective single case prospective and retrospective agreements with out-of-network Providers (i.e. physicians, healthcare facilities, and ancillary...

Job DescriptionJob DescriptionDescription:***NOT A REMOTE POSITION***Provider Negotiations Specialist Summary of DutiesThe Provider Negotiations Specialist focus on reviewing medical bills/documentation and negotiating cost effective single case prospective and retrospective agreements with out-of-network Providers (i.e. physicians, healthcare facilities,...

Overview The Operations Support Specialist will be responsible for monitoring performance reporting for their assigned regions/stores. The purpose of this position is to optimize daily activities and performance of the business. The operational support specialist will work to improve the operations of the organization so that we become more effective,...

Who Are We? Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what...

Job DescriptionJob DescriptionDescription:***NOT A REMOTE POSITION***The Patient Advocacy Specialist works collaboratively with Prime Health Services' Clients and referred Patients to ensure the timely scheduling of Patients' appointments consistent with their requests and defined treatment plan. Essential Job Functions of a Patient Advocacy...

Our client, in manufacturing Industry seeking a Health & Safety Specialist to join their team. As a Health & Safety Specialist, you will be part of the [Department Name] supporting [Team Name(s)]. The ideal candidate will have [Soft Skill 1], [Soft Skill 2] and [Soft Skill 3] which will align successfully in the organization. Job Title: Health & Safety...

Our client, in manufacturing Industry seeking a Health & Safety Specialist to join their team. As a Health & Safety Specialist, you will be part of the [Department Name] supporting [Team Name(s)]. The ideal candidate will have [Soft Skill 1], [Soft Skill 2] and [Soft Skill 3] which will align successfully in the organization. Job Title: Health & Safety...

Reference #: 4744531 THE POSITION: The Pennsylvania Game Commission is looking for a 3 Year Limited Term Environmental Education Specialist to work in the Northwest Region. In this role, you will have the opportunity to assist in the planning and development of wildlife education programs for schools, conservation organizations, community groups, and...

Job DescriptionAs a Customer Solutions Specialist with James Bild - State Farm Agent, you will be responsible for promoting and selling life insurance products to clients. Your strong sales and customer service skills will enable you to continually grow your income while providing needed security for clients and their families.Your duties will...

Cash Operations -Payer Enrollment SpecialistClick Here to Apply OnlineJob DescriptionLocation: Stewardship Health IncPosted Date: 4/29/2024Job Type: Full TimeDepartment: 1185.73002 TexasLouisiana Cash Operations MCSET POSITION SUMMARY: This position is responsible for Steward Medical Group follow up operations, meeting goals and company objectives, in...

About the Job:">This Financial Protection Specialist position involves marketing and selling life insurance services to clients, assisting with applications and claims, and maintaining regulatory compliance. A background in sales and customer service is essential for success in this role.">Key Responsibilities:">The successful candidate will be responsible...

Expand your career possibilities.Thank you for dedicating your time and talent to Lowe's. We want to give you more opportunities to learn and grow, so if you find a position you're interested in below, we encourage you to apply!Find Your Home to More Possibilities.Schedule:Works Sunday (8a-7p), Monday (8a-6p), Tuesday (8a-7p) and Friday (8a-7p)Off Saturday,...

Expand your career possibilities.Thank you for dedicating your time and talent to Lowe's. We want to give you more opportunities to learn and grow, so if you find a position you're interested in below, we encourage you to apply!Find Your Home to More Possibilities.Schedule:Works Sunday (8a-7p), Monday (8a-6p), Tuesday (8a-7p) and Friday (8a-7p)Off Saturday,...

Job OverviewWe are seeking a highly organized and customer-focused professional to join our team as an Account Associate. As a key member of our State Farm Agent team, you will play a vital role in driving the success of our agency and improving the lives of our customers.About the RoleThe Account Associate is responsible for managing client accounts,...

Job DescriptionHealthCare United is a rapidly growing healthcare organization dedicated to delivering exceptional patient care and fostering a positive work environment. We value diversity and inclusion and are committed to creating a workplace that supports the well-being of our employees.About the PositionThis role requires a skilled Gastroenterologist to...