Claims Resolution Specialist

Job Summary:The Medical Claims Resolution Specialist is responsible for handling inbound customer calls from providers and members, focusing on resolving client-related issues and providing expert-level resolution to complex cases. This role requires strong communication skills and the ability to analyze complex situations.Key Responsibilities:Provide...

Job Summary: The Client Resolution Specialist is a key role at Diagnostic Clinic Medical Group, responsible for handling complex client-related issues and providing expert-level resolution to claims and customer service inquiries. This position requires strong communication and problem-solving skills, as well as the ability to work independently and as part...

We are seeking a skilled Medical Biller to join our client's team. In this role, you will be responsible for accurately and efficiently processing medical claims, billing patients and insurance companies, and following up on outstanding balances.The ideal candidate will have a strong background in medical billing and collections, excellent communication...

About the RoleWe are seeking a highly skilled Insurance Claims Specialist to join our team at INSHUR. As a PIP Claims Handler, you will be responsible for handling first-party medical claims, arbitrations, and litigation while delivering exceptional customer service by phone and email.Key Responsibilities* Handle first-party medical claims, arbitrations, and...

Job SummaryThe Default Mortgage Servicing Specialist role at Professional Alternatives is a challenging and dynamic position that requires expertise in managing investor claims, particularly for Ginnie Mae (GNMA) and Fannie Mae (FNMA) loans.Key ResponsibilitiesPrepare, file, and process investor claims for loans in default, ensuring compliance with relevant...

Job SummaryAmerisure Mutual Insurance Company is seeking a skilled Senior Workers' Compensation Claims Adjuster to join our team. As a key member of our claims department, you will be responsible for investigating and resolving workers' compensation claims of medium complexity and severity.Key ResponsibilitiesCollaborate with agents, policyholders, and...

Overview:MINT dentistry is seeking a highly skilled Billing Coordinator for our Irving, TX office. The primary responsibility of the Dental Billing Coordinator is to assist patients and support the operations staff by submitting and appealing insurance benefits claims. This role is crucial to ensuring our patients have the best possible...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at GuideWell. As a Claims Processing and Adjudication Professional, you will be responsible for handling the processing and adjudication of healthcare claims, including claims research and a range of claim complexity.Key ResponsibilitiesProcess and adjudicate healthcare...

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Our team of experts is dedicated to helping organizations like yours navigate the complexities of claims management and risk mitigation.Job SummaryWe are seeking a highly skilled Litigation Consultant - Global Risk Management Specialist to join our...

About the RoleWe are seeking a highly skilled and experienced First Party Claims Expert to join our team at INSHUR. As a First Party Claims Expert, you will be responsible for handling first-party medical claims, arbitrations, and litigation while delivering exceptional customer service by phone and email.Key ResponsibilitiesHandle first-party medical...

Position SummaryThe Billing Department at Caris Life Sciences is a critical component of our financial operations, responsible for ensuring timely and accurate payments for our transformative healthcare services.This role involves working collaboratively with the team to maximize efforts, educate payers, and resolve questions to receive proper payments.We...

Job SummaryWe are seeking a highly organized and detail-oriented Insurance Verification Specialist to join our team at Della Infotech. As a key member of our customer service team, you will be responsible for verifying insurance eligibility, processing claims, and providing exceptional customer service to our clients.Key ResponsibilitiesVerify insurance...

We are seeking a skilled Medical Biller to join our client's team. In this role, you will be responsible for accurately and efficiently processing medical claims, billing patients and insurance companies, and following up on outstanding balances.The ideal candidate will have a strong background in medical billing and collections, excellent communication...

CornerStone Staffing is seeking a Pharmacy Support Specialist to join our team in Irving, TX. As a Pharmacy Support Specialist, you will play a critical role in assisting patients and healthcare providers with prescription inquiries and processing.Key Responsibilities:Provide phone support to patients and healthcare providers with prescription inquiries and...

Job Title: Information Security SpecialistJob Summary:We are seeking an experienced Information Security Specialist to join our team at Mindlance. The ideal candidate will have a strong background in Information Security Engineering and be able to contribute to large-scale planning and deliverables.Key Responsibilities:Consult on and participate in...

Job SummaryWe are seeking a highly organized and detail-oriented individual to join our team as a Financial Operations Specialist. In this role, you will be responsible for ensuring the accuracy and efficiency of our payment processing systems.Key ResponsibilitiesGather and prepare insurance reimbursements for manual or electronic posting to appropriate...

Job Summary:Irving ISD is seeking a highly skilled Technical Support Specialist II to join our team. As a key member of our Service Desk, you will provide exceptional support and guidance to our users, ensuring seamless access to our district-approved applications and resources.Key Responsibilities:Provide direction and support to Service Desk I personnel as...

Job Title: Risk Management SpecialistWe are seeking a highly organized and detail-oriented Risk Management Specialist to join our team at TI Communities. As a key member of our operations team, you will be responsible for ensuring seamless operations and managing risk processes from start to finish.Key Responsibilities:Administrative Excellence:Provide...

About the Role: We're seeking a talented Care Team Representative to join our team at Sedgwick. As a Care Team Representative, you will be the first point of contact for customers, providing exceptional service and support to resolve their claims.Key Responsibilities:Provide empathetic and personalized support to customers via phone, email, or chat.Resolve...

Job Title: Helpdesk SupportResource Informatics Group is seeking a highly skilled Helpdesk Support professional to join our team. As a Helpdesk Support specialist, you will be responsible for delivering exceptional technical support to internal and external stakeholders, ensuring effective communication and issue resolution across language barriers.Key...