Healthcare Clinical Editing Claims Specialist

Job DescriptionAt QSS Southeast Clinical Services LLC, we are seeking a skilled Medical Billing and Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely claims processing, follow-up on denied claims, and maintaining effective communication with insurance companies. Your...

Job DescriptionAs a Medical Billing Collections Specialist at QSS Southeast Clinical Services LLC, you will be responsible for following up on claims, working denials, reading and interpreting Explanation of Benefits (EOBs), drafting letters for appeals, verifying billing codes, and communicating with insurance companies to determine next steps based on...

Job OverviewPosition: Medical Billing SpecialistCompany: QSS Southeast Clinical Services LLCRole Summary: We are seeking a dedicated and detail-oriented Medical Billing Specialist to manage billing processes efficiently.Key Responsibilities:Process and submit medical claims accurately to insurance companies.Review and resolve billing discrepancies and...

Job OverviewNJ CURE is seeking a highly skilled PIP Litigation Specialist to join our team. As a key member of our claims handling team, you will be responsible for reviewing incoming suits, analyzing claims, and negotiating settlements.Key ResponsibilitiesClaims Analysis: Conduct thorough reviews of incoming suits to identify the most effective resolution...

Job Title: Systems Analyst (Claims)Strategic Staffing Solutions is seeking a skilled Claims Benefits Specialist to join our team.Job SummaryThis role will be responsible for implementing benefit changes for multiple customers, working in the claims benefits system to identify and document requirements for system changes, claims testing and validation of...

Job OpportunityWe are seeking a skilled Claims Associate to join our team at Lexitas Legal BB in Detroit, Michigan.This hybrid remote position focuses on PIP/No-Fault claims, requiring 1+ years of experience with an insurance carrier.Key responsibilities include:Managing PIP/No-Fault claimsProviding exceptional customer serviceCollaborating with...

Strategic Staffing Solutions is seeking a skilled Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy operations. Your primary responsibilities will include answering telephones, triaging prior authorization requests, and maintaining pharmacy prior authorization criteria. You will also...

Job SummaryCNA Financial Corporation is seeking a highly skilled Complex Claims Consultant to join our Financial Lines Claims team. As a key member of our team, you will be responsible for investigating and resolving complex professional liability claims, working closely with internal and external stakeholders to develop and execute claim resolution...

Job Title: Mechanical Claims RepresentativeAbout the Role:We are seeking a skilled Mechanical Claims Representative to join our team at TEKsystems. As a Mechanical Claims Representative, you will play a critical role in maintaining our reputation of honesty, fairness, and excellence by combining exceptional customer service and your automotive expertise to...

Job OpportunityWe are seeking a skilled Claims Associate to join our team at Lexitas Legal BB in Detroit, Michigan.This role focuses on PIP/No-Fault claims and requires 1+ years of experience with an insurance carrier.The ideal candidate will have a strong understanding of insurance claims processes and be able to work in a hybrid remote...

Job SummaryWe are seeking a skilled Clinical Data Specialist to join our team at Carta Healthcare. As a Clinical Data Specialist, you will play a critical role in abstracting and coding information in the prescribed format to satisfy the requirements of the target registry.Key ResponsibilitiesData collection and entry for multiple registries for Carta...

Job Title: MRI Clinical Applications SpecialistGE Healthcare is seeking a highly skilled MRI Clinical Applications Specialist to join our team. As a key member of our clinical applications team, you will be responsible for delivering clinical and operational expertise to support the MRI modality.Key Responsibilities:Develop and maintain product, clinical,...

Job Title: Systems Analyst IIOverview:TekWissen Group is a workforce management provider with a global presence, serving clients across the USA and other countries. Our client is a leading health insurance company offering various healthcare coverage plans, including individual and family, dental, and vision plans, as well as employer-sponsored plans.Job...

Job SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at Strategic Staffing Solutions. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy help desk team in providing exceptional service to our clients.Key ResponsibilitiesAnswer telephones and provide assistance to providers in a timely and efficient...

Job SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at Strategic Staffing Solutions. As a Pharmacy Technician, you will play a critical role in supporting providers with Medicare Part D and/or Commercial pharmacy/specialty drug benefits analysis, drug coverage inquiries, and prior authorizations.Key ResponsibilitiesAnswer...

Job OverviewSummary: This role involves working under general supervision to assess, investigate, and resolve property claims, determining the extent of liability for the company. Responsibilities include evaluating coverage, compensability, and damages in accordance with policy guidelines.Key Responsibilities:1. Adhere to corporate policies and ensure fair...

Pharmacy Technician OpportunityStrategic Staffing Solutions is seeking a skilled Pharmacy Technician to join our team in Detroit, MI. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy operations and ensuring the efficient processing of prior authorizations.Key Responsibilities:Answer telephones and provide assistance to...

Job SummaryThe Clinical Nurse Specialist is an advanced practice nurse who utilizes advanced knowledge and clinical expertise in providing primary and/or specialized health care services to individuals, families, groups and communities across the health-illness continuum.Key ResponsibilitiesAssesses the health status of patients through eliciting...

Job OpportunityStrategic Staffing Solutions is seeking a highly skilled Medical Intake Specialist to join our team. As a Medical Intake Specialist, you will be responsible for managing the intake process for medical services, ensuring that patients receive timely and efficient care.Key Responsibilities:Manage the intake process for medical services,...

Job SummaryWe are seeking a highly skilled Clinical PT Specialist to join our team at DMC Rehabilitation Institute of Michigan. As a Clinical PT Specialist, you will provide oversight to the physical therapy team, assist with day-to-day operations, and resolve problems under general supervision.Key ResponsibilitiesCoordinate staff work schedules and patient...