Claims Benefits Implementation Specialist

Strategic Staffing Solutions is seeking a skilled Claims Benefits Analyst to join their team. The ideal candidate will have a strong background in medical and facility claims, with a deep understanding of the billing process, ICD codes, procedure codes, and diagnosis codes. Key responsibilities will include implementing benefit changes for multiple...

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 OverviewQSS Southeast Clinical Services LLC is seeking a detail-oriented and highly motivated Medical Claims Specialist to join our team.The ideal candidate will have excellent analytical skills and be able to work accurately and efficiently in a fast-paced environment.Responsibilities include reviewing and processing medical claims, ensuring compliance...

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 SummaryAcadia Healthcare is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for ensuring timely and accurate billing of patient claims. This role requires strong analytical and problem-solving skills, as well as excellent communication and organizational abilities.Key...

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 OverviewAt LanceSoft, we are seeking a highly skilled Business System Analyst to join our team.Job Summary:This role will be responsible for implementing benefit changes for multiple clients' customers, working in the claims benefits system to identify and document requirements for system changes, claims testing and validation of system enhancements, and...

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...

Job Title: Systems Analyst - ClaimsWe are seeking a highly skilled Systems Analyst to join our team at Strategic Staffing Solutions. As a Systems Analyst, you 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...

Job OverviewLexitas Legal BB is seeking a skilled Claims Associate to focus on PIP/No-Fault claims in their Detroit office.This hybrid remote position requires 1+ year of experience in PIP/No-Fault claims with an insurance carrier.Competitive base salary and benefits are offered.Candidates should have a strong understanding of insurance claims processes and...

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 highly skilled and experienced APD Field Claims Specialist II or III to join our team at Farmers Insurance. As a key member of our claims team, you will be responsible for completing in-person or virtual vehicle inspections, establishing damages, and negotiating settlement of claims with customers and repair facilities.Key...

About Fleet Cost & CareFleet Cost & Care is a privately-owned software company that has been providing solutions for the equipment rental industry for over 30 years.Job DescriptionWe are seeking a skilled Implementation Specialist to lead, manage, and support customer implementation from start to successful finish. This role is critical to ensuring a smooth...

Bodily Injury Claims Adjuster - Non-Litigation SpecialistThis role involves handling non-litigation bodily injury auto claims, including uninsured and underinsured motorist claims. The ideal candidate will have 2-4 years of experience in auto insurance claims handling.Key Responsibilities:Investigate claim validity, evaluate policy coverages, and determine...

About Fleet Cost & CareFleet Cost & Care is a privately-owned software company that provides solutions for the equipment rental industry. Our focus is on simplifying business operations through step-driven processes and centralized systems.Job DescriptionWe are seeking an Implementation Specialist to lead, manage and support customer implementation from...

We are seeking a skilled Claims Analyst for our Healthcare domain client.This is a 1-year contract role.Location - Detroit, MI (Hybrid).Pay rate - $45/hour on W2.Job Description:Medical BillingMedical codingKnowledgeable of procedure & diagnostic codesExperience with basic testingKnows how to build a claimsAt OpTech, we value diversity and inclusion. We are...

About the Role:We are seeking an experienced ERP Specialist to support the implementation, maintenance, and optimization of our Plex ERP system.Key Responsibilities:Implement and configure Plex ERP system to meet business requirementsProvide technical support and training to end-usersOptimize business processes and workflows to improve productivity and...

Job Title: Healthcare Clinical Editing Claims AnalystThis role is responsible for coordinating activities within the clinical editing unit, ensuring the development, implementation, and decision-making related to clinical editing software utilized by the health plan to determine the appropriateness of billing and reimbursement.Key Responsibilities:Coordinate...

About the Role: We are seeking an experienced ERP Specialist to play a critical role in the implementation, support, and optimization of our Plex ERP system. The ideal candidate will contribute to improving business processes, enhancing productivity, and driving organizational growth. Key Responsibilities: Implement and configure Plex ERP systems to meet...