Claims Specialist

Job Title: Medical Claims SpecialistPurpose: As a Medical Claims Specialist at Three Point Solutions, you will be responsible for reviewing and adjudicating paper/electronic claims. Your primary goal will be to ensure that claims are handled according to organizational policies and procedures.Key Responsibilities:60%: Examine and resolve non-adjudicated...

Job Summary:The Default Mortgage Servicing Specialist is responsible for managing investor claims, specifically for Ginnie Mae (GNMA) and Fannie Mae (FNMA) loans, as well as overseeing loan-level reviews for Broker Price Opinions (BPOs) and foreclosure processes.Key Responsibilities:Prepare, file, and process investor claims for loans in default, ensuring...

Job Summary:As a Claims Specialist - Workers Compensation Professional at Crawford & Company, you will be responsible for administering and resolving non-complex short-term claims of low monetary amounts, including medical-only claims. Your duties will include documenting and monitoring open case inventory, ensuring proper and timely closing of files, and...

About ECBMAs a family-owned and operated insurance broker and consulting firm, ECBM is dedicated to delivering exceptional client-based broker services to high-risk industries. Our team of experts specializes in Commercial Insurance, Workers' Compensation, Employee Benefits, Cyber Liability, Professional Liability, Farm & Agriculture, and Personal...

Job Title: Epic PB Claims Analyst (Intermediate)Duration: Contract to Hire OpportunityLocation: Remote Work ArrangementJob Summary:We are seeking an experienced Epic PB Claims professional to support our client in Florida. The ideal candidate will have a strong background in claims analysis and implementation, with expertise in Epic PB Claims...

Staffing and Resource Deployment OpportunityEberl Claims Service is seeking a highly motivated and organized Staffing Specialist to join our team in Lakewood, CO. As a Staffing Specialist, you will be responsible for coordinating staffing resources across all clients and operations to optimize utilization and meet or exceed client requirements.Key...

Job Summary:We are seeking a skilled Provider Relations Specialist to deliver high-quality client service to doctors, doctor's office staff, members, community partners, and plan sponsor representatives.Key Responsibilities:Respond to inbound telephone calls, faxes, and emails from doctors, doctor's office staff, and plan sponsor representatives in a timely...

Job Title: EZ-CAP Configurations SpecialistTarget Compensation Range: $80,000 - $95,000/year, depending on the relevant qualifications and experience.About Us:Astiva Health, Inc. is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we...

Job Title: Operational Support SpecialistJob Summary:We are seeking an experienced Operational Support Specialist to join our team at Three Point Solutions. The successful candidate will provide operations support by obtaining facts, analyzing problems, designing solutions, and developing testing methods.Key Responsibilities:50% Research and improve...

Senior Chargeback SpecialistAt Core Force, we are seeking a highly skilled Senior Chargeback Specialist to join our team. As a Senior Chargeback Specialist, you will be responsible for managing client chargeback portfolios, working closely with the credit, cash, collection, and chargeback teams in the US and India.The ideal candidate will have a strong...

Job SummaryThe Technical Help Desk Specialist provides frontline assistance to both healthcare providers and internal/external customers for various systems and medical claims queries by phone. They are responsible for the timely and successful resolution of various technical problems and completion of assigned projects.Key Responsibilities Qualified...

Job SummaryThe Quality Assurance Specialist I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. This role involves fairly and consistently reviewing team interactions with both internal and external parties to ensure accuracy and support success in executing superior service and...

The Quality Assurance Specialist I is responsible for ensuring the accuracy and quality of transactions in accordance with regulations and company guidelines.Key responsibilities include reviewing team interactions with internal and external parties, auditing assigned functions for accuracy, and identifying and reporting transaction errors.The ideal...

Job Summary:Insight Global is seeking a detail-oriented medical coding professional to work as an acute care inpatient facility coder at a healthcare system in Florida. This role involves applying the correct codes to patient charts for data collection, analysis, and claims processing.Key Responsibilities:Apply accurate codes to patient chartsMaintain an...

Job Summary:We are seeking a highly skilled Senior Procurement Specialist to join our team at Action Staffing-Group. As a key member of our procurement team, you will be responsible for managing vendor relationships, negotiating contracts, and optimizing supply chains.Key Responsibilities:Vendor Management: Build and maintain strong relationships with...

Health Economics Specialist Full Time RemoteAt Engage Partners Inc., we are seeking a skilled Health Economics Specialist to support our Medical Economics team in analyzing key business issues related to cost, utilization, and revenue across our health products.Key Responsibilities:Analyze the financial performance of all products, identifying cost and...

Job Title: Manufacturing Safety SpecialistLocation: Not SpecifiedJob OverviewGulfstream Strategic Placements seeks a Manufacturing Safety Specialist to develop, implement, and maintain comprehensive Employee Health and Safety (EH&S) programs. The ideal candidate will lead initiatives to prevent injuries, mitigate workplace hazards, and ensure adherence to...

Land Acquisition OpportunityAffinity Management Group is seeking an experienced Land Acquisition Specialist to join their team. In this role, you will perform land acquisition activities for the negotiation, acquisition, and maintenance of rights-of-way necessary to perform pipeline, road, power line, cable, and other related...

IDR, Inc. is seeking a Revenue Cycle and Coding Specialist. The ideal candidate will have experience in medical coding, medical auditing, or billing, with a strong understanding of governmental and contractual regulations.Key Responsibilities:Support all revenue cycle functions from coding to billing.Collect medical claims from physicians and conduct chart...

About UsAt Michael Nicholas Designs, we're committed to delivering exceptional quality and style in our upholstered furniture. Our team is dedicated to creating a comfortable and enjoyable experience for our customers. We're looking for a talented Human Resources Specialist to join our team and help us maintain our high standards.Responsibilities:Stay...