Claims Resolution Expert

About the JobAs a Claims Resolution Expert at Mount Sinai Health System, you will be responsible for resolving EOB discrepancies and researching refunds. You will work closely with payer and provider representatives to negotiate higher rates for claim payments and ensure that collections, gross, days in A/R, and net collection ratios are met.Key...

**About the Role**We're looking for a highly skilled Complex Claims Resolution Expert to join our team in Chicago or New York City offices. As a key member of our claims team, you'll provide technical guidance on major cases in litigation, working closely with senior management to ensure timely resolution and best financial outcomes.You'll have the...

Lili, a fintech company, seeks an Operations Resolution Expert to join our NYC team. As an expert, you will be responsible for managing the dispute process from notification to decisioning, working with customers, our customer service team, and payment processor to resolve account-related transactional disputes efficiently.About the CompanyLili is a...

About the OpportunityWe are seeking a highly skilled Claims Resolution Professional to join our team at Spring Health. As a key member of our revenue cycle management department, you will be responsible for resolving complex claims and billing issues. Your attention to detail and ability to communicate effectively with internal teams and external partners...

**About the Role:**A challenging opportunity has emerged for a highly skilled Claims Compensation Resolution Specialist to join Absolute Staffing & Consulting Solutions in New York.The ideal candidate will have extensive experience in workers' compensation claims management, with a strong focus on resolving complex cases and ensuring compliance with industry...

Job Summary: We are seeking a skilled Healthcare Claims Resolution Specialist to join our team at Centers Plan for Healthy Living. In this role, you will be responsible for handling incoming inquiries from healthcare providers regarding claim decisions and payments. You will thoroughly gather claim information, assess and fulfill the callers' needs, and...

About the RoleWe are looking for a seasoned professional with a minimum of 7 years' experience in construction defect claims adjudication, preferably with exposure to claims exceeding $100,000. Your expertise will enable you to navigate complex claim scenarios, build lasting relationships with clients and stakeholders, and drive profitable outcomes for Argo...

Job SummaryWe are seeking a highly skilled Medical Claims Resolution Specialist to join our team at Mount Sinai Health System.

Account Resolution Expert Job DescriptionWe are looking for an experienced Account Resolution Expert to join our team at Private Company. As an Account Resolution Expert, you will play a critical role in resolving customer account discrepancies and ensuring that our customers receive the best possible service.About the Role:The ideal candidate will have 2-3...

About UsCenters Plan for Healthy Living (CPHL) is a Managed Care Organization servicing members with Medicare and/or Medicaid. Our goal is to provide members and all those involved in their care with the guidance and health plan choices they need for healthy living.We are committed to providing quality, coordinated healthcare to some of the most honored and...

About the RoleThe Icahn School of Medicine at Mount Sinai invites applications for a Procedural Claims Expert to join their team. This is a senior-level position responsible for managing multiple components of the billing process for specialized or complex pre and post-surgical procedures.The ideal candidate will have experience in medical billing, health...

We are seeking an experienced Capital Review and Resolution Expert to join our team in the Finance CRO organization at Citigroup, Inc. This role is part of the overall Independent Risk Management function and will execute independent review and challenge of Recovery and Resolution Plan submissions.The ideal candidate will have excellent written and verbal...

Job SummaryWe are seeking a highly skilled Financial Sector Resolution Expert to join our team. This is a unique opportunity to leverage your expertise in resolution planning and bankruptcy concepts to drive business growth and success.As a key member of our team, you will be responsible for developing and executing robust data analysis and transactional...

About the PositionWe're looking for a seasoned Financial Lines Claims Expert to drive success in our Complex Claims Division. As a Claims Director for Financial Institutions, you'll play a critical role in delivering exceptional customer experiences and growing our business.Your Responsibilities:Oversee all aspects of complex claims against financial...

Company Overview: Our client, a prominent player in the financial services industry, is seeking a highly skilled Resolution Planning Consultant. This reputable and growing organization values professional development and continuous learning.Job Description: As a Resolution Planning Consultant, you will conduct robust data analysis and transactional...

Insurance Claims Expert RoleRussell Tobin is a growing law firm seeking an experienced Insurance Claims Expert to join our team. In this role, you will be responsible for managing No-Fault claims, from initial assessment to final resolution.We are looking for someone with 3-5 years of experience in No-Fault Claims in New York. The ideal candidate will have...

Job Description:At Ascot Group, we're seeking a highly experienced Vice President, Claims TPA Manager to lead our Third-Party Administrator (TPA) management team. This role involves providing strategic direction for our programs and captives, collaborating with internal and external partners on TPA management and claims operations.Key Responsibilities:Lead...

Job Title: Medical Billing Specialist - Claims and Collections ExpertLocation: Not specified in the job description.Salary: $55,000 per year, based on the required skills and qualifications mentioned in the job description.About the Role:We are seeking a highly skilled and detail-oriented individual to join our team as a Medical Billing Specialist - Claims...

Job Description:Kagen, Caspersen & Bogart PLLC seeks a Senior Associate - Business Dispute Resolution to join our team. The successful candidate will assist in handling complex business disputes, including contract and tort claims, as well as other commercial litigation matters.About Us:Kagen, Caspersen & Bogart PLLC is a boutique law firm focused on complex...

Job SummaryCenters Plan for Healthy Living (CPHL) is seeking a Healthcare Claims Specialist to join our team. As a Claims Resolution Coordinator, you will be responsible for handling incoming inquiries from providers regarding claim decisions and payments across all CPHL product offerings. Key Responsibilities:Professionally handle incoming inquiries via...