Claims Research Specialist
5 days ago
We are seeking a skilled Claims Research Specialist to join our team at Conduent Payment Integrity Solution Inc. In this role, you will play a critical part in investigating claims and determining recovery potential for our clients.
Company OverviewAt Conduent, we deliver mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments. Our dedicated associates create exceptional outcomes for our clients and the millions of people who count on them.
Salary InformationThe estimated salary range for this role is $20-$22 per hour. This position may be eligible for a bonus or incentive based on business need.
Job DescriptionAs a Claims Research Specialist, your primary responsibility will be to initiate contact with liability insurance carriers and attorneys to determine recovery potential on claims our clients have paid due to accidents. You will use your detail-oriented nature and exceptional communication skills to provide quality service while investigating claims.
You will utilize the Internet and other resources to fully investigate potential recovery cases, examining and investigating cases based on accident details and policy language. Additionally, you will be responsible for:
- Meeting production standards on a daily and monthly basis;
- Initiating telephone contact and written correspondence with insurance claims adjusters, personal injury attorneys, patients, and other parties to the claim;
- Talking on the phone 90% of your workday, making outbound calls and answering calls returned to you about the claims you are working;
- Detailed, clear, and concise case notes; and
- Providing exceptional customer service.
To be successful in this role, you must:
- Have a High School Diploma or an equivalent level of education;
- Be at least 18 years old;
- Have steady work history;
- Experience with claims and making professional outbound calls;
- Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship;
- Be able to successfully pass a criminal background check and drug test;
- Have prior clerical/customer service work experience;
- Great typing skills: 40+ adjusted wpm.
In addition to base pay, this position offers a variety of benefits, including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time.
-
Dialysis Financial Specialist
1 day ago
Remote, Oregon, United States Innovative Renal Care Full timeAt Innovative Renal Care, we are seeking a highly skilled Dialysis Financial Specialist to join our team. This is a remote position that offers a unique opportunity to make a meaningful impact in the lives of patients suffering from End Stage Renal Disease (ESRD) and other kidney conditions.About UsWe are one of the largest dialysis service providers in the...
-
Remote, Oregon, United States Danaher Full timeOverviewBeckman Coulter Diagnostics is a leader in the diagnostics industry, dedicated to advancing and optimizing laboratory testing to move science and healthcare forward.We are seeking a highly motivated and experienced professional to join our team as a Sales Representative for our Research Inside Sales Executive (RISE) role. This position will engage...
-
Remote, Oregon, United States Ensemble Health Partners Full timeCareer Opportunity in Medical CodingEnsemble Health Partners is seeking a highly skilled Coding and Appeals Specialist to join our team. This role offers a challenging and rewarding opportunity to utilize your medical coding expertise and contribute to the success of our organization.About the Role:As a Coding and Appeals Specialist, you will be responsible...
-
Regulatory Affairs Expert
4 weeks ago
Remote, Oregon, United States Dexcom Full timeUnlocking Health Insights At Dexcom, we are pioneers in continuous glucose monitoring (CGM). Our mission is to empower people to take control of their health through personalized, actionable insights. We are driven by a passionate team of individuals worldwide who are committed to listening, serving with integrity, thinking big, and being dependable. Our...
-
Medical Device Support Specialist
6 days ago
Remote, Oregon, United States Endotronix, Inc Full timeJob OverviewWe are seeking a skilled Clinical Specialist to join our team at Endotronix, Inc.About the RoleThis position plays a vital support role, reporting to and working under the direction of the Area Sales Manager (ASM). The successful candidate will be responsible for supporting Cardiologists, nurses, cath lab staff, and patients in the effective use...
-
Case Research Services Associate III
5 days ago
Remote, United States Conduent Payment Integrity Solution Inc. Full timeJob DescriptionThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where...
-
Charge Reconciliation Specialist
3 weeks ago
Remote, United States Innovative Renal Care Full timeCharge Reconciliation Specialist This is a remote position. Overview: The Charge Entry Reconciliation Specialist provides proofing, reconciliation, and billing support to the clinical and corporate office staff. In this role, you will support accurate dialysis claim processing, billing corrections, and coordination with clinical staff, ensuring services...
-
Billing & Reimbursement Specialist
4 weeks ago
Remote, United States Innovative Renal Care Full timeBilling & Reimbursement Specialist - Revenue Cycle This is a remote position. Overview: The Billing & Reimbursement Specialist I is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Billing & Reimbursement Specialist coordinates,...
-
Billing & Reimbursement Specialist
2 weeks ago
Remote, United States Innovative Renal Care Full timeBilling & Reimbursement Specialist - Revenue Cycle This is a remote position. Overview: The Billing & Reimbursement Specialist I is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Billing & Reimbursement Specialist coordinates,...
-
Sr Clinical Research Associate
2 months ago
Remote, United States United BioSource Full timeAs a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC, we provide services to enhance the entire drug development process and commercialization lifecycle - From clinical trial support to real-world evidence...
-
Revenue Cycle Audit
6 months ago
Remote, United States CSI Pharmacy Full timeDescription Job Title: RCM Audit/Training SpecialistStatus: Full TimeReports to: VP, Revenue CycleWork Place: Remote with occasional travelJob Details:Under the general direction of the VP, Revenue Cycle, the RCM Audit Specialist facilitates the review of medical claim submission in accordance with state, federal, and payer guidelines to ensure...
-
Reimbursement Specialist
1 month ago
Remote, United States Guardant Health Full timeJob Description Location: Remote, 3-Days Hybrid, and 5-Days Onsite Options Shift: 9:30 AM - 6:00 PM PST, Tuesday - Saturday Shift As a Reimbursement Specialist, Order Entry, you play an important role in the overall success of the company. Working with our billing tool provider, you will drive payment for our services, and by partnering with...
-
Accounts Receivable Specialist
1 month ago
Remote, United States Accuserve Solutions Full time*About Accuserve:*Accuserve is a Managed Repair Experience Company focused on simplifying and humanizing the restoration process for people during critical times. As a network of claims and restoration experts, we’re committed to making repair experiences more efficient, compassionate, and reliable. Our team is made up of innovators, community leaders, and...
-
Revenue Specialist
1 month ago
Remote Colorado, United States Sonora Quest Full timePrimary City/State:Colorado, ColoradoDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$17.10 - $25.66 / hour, based on education & experienceIn accordance with State Pay Transparency Rules.*Experience working with Colorado payors a plus.POSITION SUMMARYThis position coordinates and facilitates all...
-
Revenue Specialist
1 month ago
Remote Colorado, United States Sonora Quest Full timePrimary City/State:Colorado, ColoradoDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePrimary Location Salary Range:$17.10 - $25.66 / hour, based on education & experienceIn accordance with State Pay Transparency Rules.POSITION SUMMARYThis position coordinates and facilitates all insurance claim submissions, claim rejections,...
-
Medical Information Specialist III
1 week ago
Remote, United States Inizio Engage Full timeInizio Engage has a long-standing partnership with a leading Biotechnology company across Commercial, Patient Solutions and Medical Affairs businesses.The Medical Information Specialist III is a frontline specialist responsible for engaging customers, /healthcare professionals, in a robust clinical dialogue. The specialist serves as a primary resource for...
-
Remote, United States Innovative Renal Care Full timeBilling & Reimbursement Supervisor - Revenue Cycle Location: Remote or hybrid with the ability to travel to and work from office located in Franklin, TN or Beverly, MA on occasion. Overview: As the Supervisor of Billing & Reimbursement, you’ll lead our team of Billing & Reimbursement Specialists to ensure timely, accurate insurance billing,...
-
Lead Specialist
6 months ago
Remote, United States Maximus Full timeGeneral information Job Posting Title Lead Specialist - Service Design - DMV Area REQUIRED Date Monday, April 22, 2024 City Remote Country United States Working time Full-time Description & Requirements At Maximus, we are leading the way in digital transformation for our government clients. The Lead Service Designer will play a pivotal role...
-
Publications Account Specialist
3 weeks ago
REMOTE, United States The American Physical Society Careers Full timePublications Account Specialist Who we are : The American Physical Society is a nonprofit membership organization working to advance physics by fostering a vibrant, inclusive, and global community dedicated to science and society. APS represents more than 50,000 members, including physicists in academia, national laboratories, and industry in the...
-
Remote, United States Inova Health System Full timeThe Sr. Reimbursement Specialist directs development & illustrates the impact of proposed & final Federal/State regulations to staff and senior Management. Directs the development of contractual allowances for budget projections & monthly & year-end financial statements. Manages and directs the preparation and/or review of preliminary & filed...
-
Clinical Specialist
2 weeks ago
Remote, United States Endotronix, Inc Full timeJob DescriptionJob DescriptionWHO ARE WE?Endotronix is a medical device company that aims to transform the treatment of heart failure, a chronic, progressive condition in which the heart is unable to pump enough blood to support the body. Our Cordella Heart Failure System (CHFS) includes proactive management tools for best practice care and detection of...
-
Senior Catastrophe Analyst
1 month ago
Remote, United States CNA Insurance Full timeYou have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.CNA seeks to offer a comprehensive and competitive benefits package to...
-
Senior Catastrophe Analyst
3 weeks ago
Remote, United States CNA Insurance Full timeYou have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.CNA seeks to offer a comprehensive and competitive benefits package to...
-
Customer Service Representative
3 days ago
Remote, United States Solventum Full timeThank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear...
-
Senior Collector – Billing + Collections – RCM
2 weeks ago
Remote, United States CareCentrix Full timeOverview:Attend meetings with leadership and team to discuss policy and procedural changes/updates in all areas of CareCentrix. Guides team towards the successful collection of invoice processing activities to ensure receivables are reimbursed on an accurate and timely basis. Handle high profile accounts, and respond to up line entities, including but not...