Pre-Claim Review Audit Specialist

Job Summary:Empower is seeking a skilled Pre-Claim Review Audit Specialist to join our team. The successful candidate will be responsible for conducting audits of medical records to ensure accurate billing and compliance with federal, state, and local laws. This role requires strong analytical and problem-solving skills, as well as excellent communication...

Job SummaryState Farm Mutual Automobile Insurance Company is seeking a Claims Specialist - Auto/Property Hybrid to join our team. As a Claims Specialist, you will be responsible for investigating, evaluating, negotiating, and settling claims. You will apply knowledge of policies and insurance regulations to determine coverage, liability, and damages. You...

Job Title: Claims Specialist - Auto and Property HybridAbout the Role:As a Claims Specialist at State Farm, you will play a crucial role in helping our customers navigate the claims process while providing exceptional service. Your expertise in auto and property insurance claims will ensure that our customers receive fair and timely resolutions to their...

Job SummaryState Farm Mutual Automobile Insurance Company is seeking a skilled Auto/Property Claims Specialist to join our team. As a Claims Specialist, you will be responsible for investigating, evaluating, negotiating, and settling claims in a fast-paced call center environment. This is a hybrid position, allowing you to work from home and collaborate with...

Job SummaryWe are seeking an experienced Bilingual Auto Liability Claims Specialist to join our team in Richardson. The ideal candidate will have a minimum of 3 years of auto liability/PD claims insurance experience and be bilingual in Spanish.Key ResponsibilitiesConduct thorough investigations and keep accurate documentation of file activity on each claim...

Children's Home Healthcare is seeking a highly skilled Medical Billing Specialist to join our team in Richardson, TX. As a key member of our healthcare revenue cycle team, you will be responsible for assisting the billing manager in billing operations for all agency locations.The ideal candidate will have experience in medical billing and be proficient in MS...

Job DescriptionJOB TITLE: Loss Control Analyst (Claims Coordinator)JOB Location: Irving, TXJOB TYPE: Full Time, Service Center, ExemptDescriptionSUMMARY:Consolidated Electrical Distributors, Inc. (CED) is seeking a Claims Coordinator to join the Loss Control Department.The Claims Coordinator will report to CED's Loss Control Manager and is primarily...

At Health Care Service Corporation, our employees are the cornerstone of our business and the foundation of our success. We empower employees with curated development plans that foster growth and promote fulfilling careers.This position is responsible for managing audits, project coordination, and audit coordination related to our Medicare business. The...

Job Opportunity: Property Claim RepresentativeAt Travelers Insurance, we're committed to providing exceptional service to our customers. As a Property Claim Representative, you'll play a critical role in ensuring our customers receive the support they need during life's challenging moments.Key Responsibilities:Provide quality claim handling throughout the...

Job Opportunity: Property Claim RepresentativeAt THE TRAVELERS INDEMNITY COMPANY, we are committed to providing exceptional service to our customers. As a Property Claim Representative, you will play a critical role in ensuring that our customers receive the support they need during life's challenging moments.Key Responsibilities:Provide quality claim...

Empower Medical Review Nurse (LVN) RoleWe are seeking a detail-oriented and diligent Medical Review Nurse (LVN) to contribute to our healthcare team's success.Key Responsibilities:Review medical records to ensure accuracy and complianceAssist in the evaluation of claims to ensure quality of careProvide comprehensive nursing knowledge to support healthcare...

Job Summary:The Insurance Denial Specialist will be responsible for monitoring and resolving payer account denials in a timely and efficient manner. This role will require strong analytical and communication skills to effectively resolve billing issues and ensure accurate payment from payers.Key Responsibilities: Monitor delinquent accounts and perform...

Job SummaryWe are seeking a highly skilled Billing Assistant to join our team at Children's Home Healthcare. As a key member of our finance team, you will be responsible for assisting the billing manager in billing operations for all agency locations.Key ResponsibilitiesAssist the billing manager in filing claims, auditing claims, and correcting claims in a...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services.We are seeking a highly motivated candidate to fill the role of Senior Equipment Specialist.Key Responsibilities:Support the installation of Client Business asset installs involving the eNSE network (iEN, 5G, C-band).Review Planning build requirements...

Job Title: Medical Billing A/R SpecialistJob Description:In our pursuit of excellence, we are seeking a skilled Medical Billing A/R Specialist to join our team at QMACS, Inc.Job Purpose:As a Medical Billing A/R Specialist, you will be responsible for generating revenue by monitoring and pursuing payment and/or resolution on outstanding medical claims. Your...

Company Overview:Lennox is a leading provider of energy-efficient climate-control solutions, founded on the principles of integrity and innovation. Dedicated to sustainability and creating comfortable environments for our customers, we lead the field in innovation with our cooling, heating, and indoor air quality systems.Job Description:As a Business...

Job Summary:The Payroll Support professional will perform a variety of functions related to payroll administration. This role will need someone with good MS Excel skills (VLOOKUP, HLOOKUP, Pivot, and Data Validation).Key Responsibilities: Compile information of straight and overtime pay and compute variance to normal pay. Ensure accounting distribution and...

Job Summary:The Payroll Support professional will perform a variety of functions related to payroll administration. This role will need someone with good MS Excel skills (VLOOKUP, HLOOKUP, Pivot and Data Validation).Responsibilities:Compile information of straight and overtime pay and compute variance to normal pay.Ensure accounting distribution and...

Job Title: Equipment EngineerJob Summary:At Crossfire Consulting, we are seeking a highly skilled Equipment Engineer to join our team. As an Equipment Engineer, you will play a critical role in the installation and maintenance of our network infrastructure.Key Responsibilities:• Support the installation of business asset installs involving eNSE network...

Job Title: IT Incident Management SpecialistJob Summary: KPMG is seeking a skilled IT Incident Management Specialist to join our Digital Nexus technology organization. This is a remote work opportunity.Key Responsibilities:Manage the entire incident management process, from detection to resolution, including major incident response.Record all incidents and...