Medical Claims Specialist III

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at TEKsystems. As a Medical Claims Examiner, you will be responsible for processing medical claims in a computerized environment, ensuring accurate and timely processing of claims.Key ResponsibilitiesMaintain multiple groups and process CMS-1500, UB-04, and high dollar...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at TEKsystems. As a Medical Claims Examiner, you will be responsible for processing medical claims in a computerized environment, ensuring accurate and timely processing of claims.Key ResponsibilitiesMaintain multiple groups and process CMS-1500 and UB-04 claimsProcess...

Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.Initiate the referral to the SIU of cases with suspected fraud.Aggressively pursue subrogation from culpable third parties, contributions on...

Job OverviewPosition: Workers Compensation Adjuster IIISummary:This role reports directly to the Claims Supervisor and may provide technical support in their absence. The Adjuster is responsible for managing a portfolio of claim files, which may involve complex cases or unique challenges, in compliance with relevant laws and company policies.Key...

Job OverviewPosition: Workers Compensation Adjuster IIISummary:This role reports directly to the Claims Supervisor and may involve providing technical support in their absence. The Adjuster is responsible for managing a portfolio of claims, including those of significant complexity or unique circumstances, in compliance with relevant regulations and company...

KEY RESPONSIBILITIESHandles all incoming inquiries related to commercial insurance claims.Collects all necessary details regarding the claim from the client or producer.Does not imply or deny any claim coverage.Identifies relevant coverage and policy details associated with the claim and completes the necessary ACORD documentation.Processes daily...

PRIMARY RESPONSIBILITIESHandles all incoming inquiries related to commercial insurance claims.Collects all necessary details regarding the claim from the producer and/or client.Maintains neutrality regarding coverage decisions for claims.Identifies relevant coverage and policy details related to the claim and completes the necessary ACORD...

Job SummaryCedars-Sinai is seeking a highly skilled Medical Claims Specialist III to join our team. As a key member of our Patient Financial Services department, you will play a critical role in ensuring accurate and timely reimbursement for medical services provided by our clinicians.Key Responsibilities:Coding and Compliance: Provide coding and educational...

Job Title: On-Site Medical Treatment ProviderWe are seeking a skilled Medical Response Specialist to deliver medical care for work-related injuries or illnesses.Key ResponsibilitiesProvide Medical CareAid team members with work-related injuriesTransport injured team members to medical facilitiesInstruct on proper injury careCommunicate with medical...

Job SummaryZenith is seeking a highly skilled Claims Management Supervisor to oversee the supervision and management of a Claims unit. The ideal candidate will have extensive experience in workers' compensation indemnity claims, including settlement negotiation of litigated claims.Key ResponsibilitiesDirect and control the Claims unit, providing technical...

This position offers the opportunity to engage in Zenith's flexible hybrid work model, allowing for a blend of remote and in-office work as per the established schedule by regional leadership. Essential Qualifications: Applicants must possess experience in Workers' Compensation and hold the necessary state certifications. Under general oversight, this role...

This position is eligible for Zenith's hybrid work model, allowing flexibility to work remotely on designated days based on the in-office schedule set by regional leadership. Essential Qualifications: Must possess experience in Workers' Compensation and hold the necessary state certifications. Under general oversight, this role involves supervising a Claims...

Job Title: Patient Access Follow-Up SpecialistCompany: Community Medical CentersCommunity Medical Centers, situated in Fresno/Clovis CA, stands as a premier healthcare institution in central California. Our facility, Community Regional Medical Center, ranks as the 3rd largest in the state with 685 beds, providing exceptional medical services, including a...

Job OverviewSante Health System is seeking a dedicated full-time Accounts Receivable / Insurance Follow-Up / Medical Collections Agent to manage patient and insurance follow-ups, oversee aging reports, and provide exceptional customer service.REQUIREMENTSHigh school diploma or equivalent required.Preferred two years of experience in medical billing, with...

Job SummaryWe are seeking a highly motivated and detail-oriented Health Insurance Specialist to join our team at Ultimate Staffing. As a Health Insurance Specialist, you will be responsible for assisting clients with health insurance inquiries and issues, processing and managing health insurance claims and billing, and maintaining accurate records and...

Job Title: Patient Access Follow-Up SpecialistCompany: Community Medical CentersCommunity Medical Centers, a prominent healthcare institution in central California, is recognized for its commitment to providing exceptional medical services. Our flagship facility, Community Regional Medical Center, stands as the 3rd largest hospital in California, equipped...

Job Title: Patient Access Follow-Up SpecialistCompany: Community Medical CentersCommunity Medical Centers, a prominent healthcare institution in central California, is dedicated to providing exceptional medical services. Our flagship facility, Community Regional Medical Center, is recognized as one of the largest hospitals in California, equipped with 685...

Job OverviewPosition: Medical BillerExperience: Minimum of 5 years in medical billing required.Responsibilities:Manage the complete billing cycle.Ensure accurate and timely submission of claims.Follow up on outstanding claims and resolve discrepancies.Company Overview:Fresno Medical Center Inc is a thriving healthcare facility with a dedicated team of three...

Job DescriptionThe Benefits Verification Specialist will contact insurance companies, on behalf of the physician's office, to verify patient-specific benefits.Key Responsibilities:Collects and reviews all patient insurance information needed to complete the benefit verification process.Verifies patient-specific benefits and precisely documents specifics for...

Job SummaryMark III Construction is seeking a skilled Journeyman HVAC Technician to join our team in the Fresno area. As a key member of our team, you will be responsible for installing, troubleshooting, and repairing heating and air conditioning systems to industry standards.Key ResponsibilitiesEstablish and maintain positive relationships with customers to...