Claim Review Specialist

Job Title: Warranty Process Review SpecialistMSX International is seeking a highly skilled Warranty Process Review Specialist to join our team. As a key member of our audit program, you will be responsible for conducting in-depth reviews of Hyundai Motor America Retailer networks to ensure compliance with warranty and service fixed operations guidelines.Key...

Job Title: Refund Specialist: Insurance ClaimsWe are seeking a highly skilled Refund Specialist to join our team in Revenue Operations. As a Refund Specialist, you will play a critical role in analyzing EOBs and payor correspondence to reconcile system credit balances or potential overpayments.Key Responsibilities:Autonomously research and resolve all health...

Position OverviewRole Summary:This position is focused on the management of patient claims. The ideal candidate will possess the ability to analyze claims and determine the reasons for denial.Key Responsibilities:1. Review and assess denied claims to identify issues.2. Conduct minor payment postings as necessary.3. Address and resolve basic billing inquiries...

Job Title: Client Claims Adjusters/NegotiatorsWe are seeking a skilled Client Claims Adjusters/Negotiators to join our team at Reaves Law Firm. As a key member of our litigation team, you will play a crucial role in helping our clients navigate the complex process of personal injury claims.Responsibilities:Review and analyze case records, including medical...

About the RoleEAC Claims Solutions LLC is seeking a highly skilled Property Field Adjuster to join our team. As a key member of our claims resolution team, you will be responsible for managing insurance claims from inception to resolution.Key ResponsibilitiesPlan and organize daily workload to process claims and conduct thorough property damage...

Job Title: Travel Nurse - Utilization Review SpecialistWe are seeking a skilled Travel Nurse - Utilization Review Specialist to join our team at Epic Travel Staffing. As a Utilization Review Specialist, you will play a critical role in ensuring the efficient use of healthcare resources while providing high-quality patient care.Job Summary:The Travel Nurse -...

Job OverviewAt Intellivo, we're seeking a skilled Claims Recovery Analyst to join our team. As a key member of our team, you'll be responsible for representing our clients' financial interests and negotiating recoveries across a portfolio of cases.Key ResponsibilitiesManage and oversee a large portfolio of reimbursement casesDevelop and execute strategies to...

Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at Baptist Memorial Health Care. As a key member of our MG CBO Billing department, you will be responsible for handling daily billing functions, including claims editing, denial, and no response billing. You will also be responsible for handling internal and external...

Job SummaryWe are seeking a highly skilled Billing Specialist to join our team at Baptist Memorial Health Care. As a key member of our revenue cycle team, you will be responsible for ensuring timely and accurate billing and claims processing for our patients and insurance providers.ResponsibilitiesProcess and manage incoming claims, denials, and no-response...

Job OverviewWe are seeking a skilled Client Claims Adjuster/Negotiator to join our team at the Reaves Law Firm. As a key member of our litigation team, you will play a crucial role in helping our clients receive the maximum payout for their cases within practicable timeframes.Responsibilities:Review case records, including medical records, pictures, police...

Job OverviewSeeking a dedicated and experienced Travel LVN/LPN to join our dynamic team as a Utilization Review Specialist. As a Travel LVN/LPN, you will have the opportunity to provide exceptional patient care in one or more of the medical specialties listed, while exploring new locations across the United States. This is an excellent opportunity for...

Job SummaryWe are seeking a skilled LPN to join our Case Management team as a Utilization Review Specialist. This role requires 2 years of experience in utilization review and the ability to work independently.Key ResponsibilitiesIdentify patients who meet criteria for case management services using a standardized screening and assessment process.Communicate...

Job SummaryAt Baptist Memorial Healthcare Corporation, we are seeking a skilled RN Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the most effective and efficient care possible.ResponsibilitiesEvaluate medical necessity and appropriateness of...

Job SummaryAs a Specialist-Customer Care II at Baptist Memorial Health Care Corporation, you will play a vital role in ensuring seamless customer interactions and efficient claims processing. This position requires strong communication skills, attention to detail, and the ability to work in a fast-paced environment.Key ResponsibilitiesHandle customer...

Job Summary:As a Specialist-Billing at Baptist Memorial Health Care, you will play a critical role in ensuring timely and accurate billing and claims processing for our patients. This position requires strong communication and organizational skills, as well as the ability to work independently and as part of a team.Key Responsibilities:Process and submit...

Job OverviewIntellivo is seeking a skilled Case Development Specialist to join our team. As a Case Development Specialist, you will be responsible for investigating medical and insurance claim information to determine recovery opportunities for our healthcare clients.This is a unique opportunity to work with a leading healthcare revenue recovery company,...

Job SummaryAs a Specialist-Billing, you will play a critical role in the daily completion of claims editing, denial, and no response billing functions for timely follow-up. You will handle internal and external questions to completion, understanding both paper and electronic claims as well as client invoice billing. You will also perform other duties as...

Job SummaryAs a Medical Billing Specialist at Baptist Memorial Health Care, you will play a critical role in ensuring timely and accurate billing for our patients. Your primary responsibility will be to process and manage claims, denials, and no-response billing functions. You will also handle internal and external inquiries, providing exceptional customer...

Job Title: Travel Nurse RN Utilization ReviewPHP is seeking a skilled travel nurse RN to fill a Utilization Review position in Memphis, Tennessee.Job SummaryWe are looking for a dedicated and experienced travel nurse RN to join our team as a Utilization Review specialist. As a travel nurse RN, you will be responsible for reviewing patient care and ensuring...

Job SummaryAs a Specialist-Customer Care II at Baptist Memorial Health Care Corporation, you will play a vital role in ensuring seamless customer interactions and efficient claims processing. This position requires strong communication skills, attention to detail, and the ability to work in a fast-paced environment.Key ResponsibilitiesHandle customer...