Medical Claims Investigator

Job SummaryWe are seeking a skilled Medical Claims Processor to join our team at Travelers Insurance. As a Medical Claims Processor, you will be responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process.Key ResponsibilitiesProvides quality claim handling...

About the RoleWe are seeking a skilled Insurance Claims Specialist to join our team at Travelers Insurance. As a Specialty Liability Claims Handler, you will be responsible for investigating, evaluating, and resolving assigned claims related to Bodily Injury and Property Damage.Key ResponsibilitiesConduct thorough investigations of claims, gathering and...

Job SummaryAt Travelers Insurance, we're seeking a highly skilled Field Claim Specialist, Property to join our team. As a key member of our claims handling team, you'll be responsible for investigating, evaluating, and resolving assigned General Liability related Bodily Injury and Property Damage claims.Key ResponsibilitiesInvestigate and evaluate claims to...

Job SummaryWe are seeking a highly skilled Litigation Specialist to join our team at Travelers Insurance. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving General Liability related Bodily Injury and Property Damage claims.Key ResponsibilitiesDirectly handle assigned severe claims, providing quality...

Job SummaryWe are seeking a highly skilled Medical Office Coordinator to join our team at Actalent. As a key member of our healthcare support team, you will be responsible for providing exceptional patient care and administrative support to our medical staff.Key Responsibilities:Utilize electronic medical records (EMRs) to manage patient information and...

Job SummaryActalent is seeking a skilled Medical Assistant Front Office professional to join our team. As a Medical Assistant Front Office, you will be responsible for providing exceptional patient care and administrative support in a fast-paced medical office environment.Key ResponsibilitiesUtilize electronic medical records (EMRs) to manage patient records...

Job SummaryWe are seeking a highly skilled Medical Assistant Front Office professional to join our team at Actalent. As a Medical Assistant Front Office, you will be responsible for providing exceptional patient care and administrative support in a fast-paced medical office environment.Key ResponsibilitiesUtilize electronic medical records (EMRs) to manage...

Job SummaryWe are seeking a dedicated Medical Assistant to join our front office team at Actalent. The ideal candidate will utilize Medent as EMR for patient records and play a crucial role in managing patient interactions and office operations.Key ResponsibilitiesPatient Management: Welcome patients as they arrive, ensuring they feel comfortable and...

Job SummaryWe are seeking a highly skilled Senior Clinical Sciences Trial Leader to join our team at Novartis. As a key member of our Clinical Sciences and Innovation group, you will play a critical role in planning and executing early phase trials worldwide.Key ResponsibilitiesDrive and deliver aspects of global clinical trial execution from study design,...

At Cencora, we are seeking a qualified Per Diem Pharmacy Technician to join our innovative team. This role is responsible for creating patient profiles, entering prescription information, and addressing insurance and reimbursement issues.Responsibilities:Responsible for creating patient profiles in the pharmacy information system.Enters necessary...

About the OpportunityThis is an exciting opportunity to join WSP USA as an Environmental Science Intern. As a member of our team, you will have the chance to gain hands-on experience in environmental science, working on real projects and collaborating with senior staff. Our Developing Professionals Network will provide you with mentorship, networking...

Auto Damage Claims RepresentativeAt Travelers Insurance, we're committed to delivering exceptional service to our customers. As an Auto Damage Claims Representative, you'll play a critical role in handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process.Key...

Job SummaryWe are seeking a highly skilled Litigation Specialist, General Liability to join our team at Travelers Insurance. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving General Liability related Bodily Injury and Property Damage claims.Key ResponsibilitiesDirectly handle assigned severe claims,...

Who we are For more than 40 years, Reworld has been a leader in sustainable waste solutions, providing our customers with innovative solutions that help them achieve carbon-negative outcomes. Our Vision Reworld is leading the charge to a carbon-negative future through revolutionary sustainable materials management solutions that reduce, reuse, recycle...

Job DescriptionJob DescriptionJob Title: Medical Assistant Front OfficeJob DescriptionWe are looking for a dedicated Medical Assistant to join our front office team. The ideal candidate will utilize Medent as an Electronic Medical Record (EMR) system, welcome patients, manage the appointment calendar, handle incoming calls, verify insurance, assist with...

Job Summary:Covenant Health (Tennessee) is seeking a skilled HR Operations Specialist to provide professional support for the administration of human resources policies and programs. This role will serve as a team lead at the facility level and be responsible for advising managers/supervisors in resolving employee relations problems, disciplinary actions,...

Job SummaryThe Document Retrieval Specialist at Zelis is responsible for contacting healthcare providers to request and obtain billing documents. This role involves successfully managing medical claim audit requests and facility claim requests, as well as managing nurse auditor staff in the medical claim audit process.Key ResponsibilitiesManage medical claim...

Job DescriptionJob DescriptionMedical Office AssistantJob DescriptionUtilize Medent as EMR for patient records.Use multiple scheduling platforms to coordinate surgeries for physicians at to perform surgery in local hospitals.Set up pre-testing and medical clearances for surgery.Complete prior authorizations.Support 2-3 providers.Manage the appointment...

Job Title: Clinical Reviewer - Healthcare Financial ExpertJob Summary:Zelis is seeking a skilled Clinical Reviewer to join our team. As a Clinical Reviewer, you will be responsible for conducting in-depth reviews of medical claims to ensure accuracy and compliance with regulatory guidelines.Key Responsibilities:Conduct thorough reviews of medical claims to...

Job DescriptionJob DescriptionMedical Office AssistantJob DescriptionUtilize Medent as EMR for patient records.Use multiple scheduling platforms to coordinate surgeries for physicians at to perform surgery in local hospitals.Set up pre-testing and medical clearances for surgery.Complete prior authorizations.Support 2-3 providers.Manage the appointment...

Job DescriptionJob DescriptionJob Title: Medical Assistant Front OfficeJob DescriptionUtilize Medent as EMR for patient records. Welcome patients as they arrive, ensuring they feel comfortable and informed. Manage the appointment calendar, schedule patient visits, and coordinate with medical staff availability. Handle incoming calls, direct them to the...

Job DescriptionJob DescriptionJob Title: Medical Assistant Front OfficeJob DescriptionUtilize Medent as EMR for patient records. Welcome patients as they arrive, ensuring they feel comfortable and informed. Manage the appointment calendar, schedule patient visits, and coordinate with medical staff availability. Handle incoming calls, direct them to the...

Job DescriptionJob DescriptionJob Title: Medical Office AssistantOpportunity to join a cutting-edge leader in orthopedic care and be apart of a family-oriented environment!Job DescriptionUtilize Medent as EMR for patient records.Use multiple scheduling platforms to coordinate surgeries for physicians at to perform surgery in local hospitals.Set up...

Job Overview:Zelis Healthcare is seeking a skilled Nurse Reviewer to join our team. As a Nurse Reviewer, you will be responsible for conducting in-depth claim reviews based on accepted medical guidelines and clinical criteria. Your expertise will help identify revenue opportunities and ensure accurate payment processing.Key Responsibilities:Conduct...

Job DescriptionJob DescriptionJob Title: Medical Office AssistantJob DescriptionUtilize Medent as EMR for patient records.Use multiple scheduling platforms to coordinate surgeries for physicians at to perform surgery in local hospitals.Set up pre-testing and medical clearances for surgery.Complete prior authorizations.Support 2-3 providers.Manage the...

Job DescriptionJob DescriptionJob Title: Medical Assistant Front OfficeJob DescriptionWe are seeking a dedicated Medical Assistant to join our front office team. The ideal candidate will utilize Medent as EMR for patient records and play a crucial role in managing patient interactions and office operations. You will welcome patients, manage the appointment...

Medical Office Associate (Front Desk Receptionist) Responsible for providing day-to-day support operations by performing administrative tasks and ensuring high-quality customer service to patients. Medical office associate manages both the front and back of the office, including billing support, scheduling, coding, patient communication, and...

Position Overview: The Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. Conduct review of facility and outpatient bills as it compares with medical...

The Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations.Key Responsibilities:Successfully manages both medical claim audit requests and facility claim requests known as UB/IB requests.Manages 2 or more nurse auditor staff in the medical claim...

The Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations. Key responsibilities: Successfully manages both medical claim audit requests and facility claim requests known as UB/IB requests. Manages 2 or more nurse auditor staff in the medical...

Job SummaryWe are seeking a highly skilled Medical Laboratory Scientist II to join our Blood Bank team at Atlantic Health System. As a key member of our laboratory team, you will be responsible for performing a variety of routine and complex technical tasks in the performance of laboratory tests to obtain data for use in the diagnosis and treatment of...