Clinical Claims Resolutions Specialist

At Progressive Insurance, we are looking for a skilled Claims Resolution Specialist to join our team in Plymouth Meeting, PA. As a Claims Resolution Specialist, you will play a critical role in resolving insurance claims efficiently and effectively. This is a hybrid role, which means you'll work in-office two days a week and choose where you want to work the...

Job SummaryWe are seeking an experienced Claims Resolution Expert to join our team at Synergy Orthopedics. The successful candidate will be responsible for resolving claims-related issues and ensuring timely reimbursement for our services.Estimated Salary: $60,000 - $75,000 per annumResponsibilitiesAnalyze and resolve claims-related issues, including denials...

Job Overview: Claims Follow-up and Resolution CoordinatorAt Centers for Advanced Urology, we are seeking an experienced Claims Follow-up and Resolution Coordinator to join our team. In this role, you will be responsible for ensuring timely and accurate resolution of claims submitted to third-party insurance payers.We offer a competitive salary, comprehensive...

Job DescriptionWe are seeking a highly skilled Reimbursement Specialist to join our team at Synergy Orthopedics. As a key member of our billing department, you will play a crucial role in ensuring maximum reimbursement for services provided via insurance portals and/or phone calls.Your primary responsibilities will include working claims and claim denials,...

Job OverviewSynergy Orthopedics is a dynamic, rapidly growing Third Party Biller of Orthopedic Bracing and Rehabilitation products. We are seeking a highly skilled Reimbursement Specialist to join our team.Estimated Salary: $60,000 - $80,000 per year, depending on experience.The ideal candidate will have a minimum of 2 years experience in medical billing and...

About the Role: We are seeking an experienced Title Curative Specialist to join our team. As a key member of our organization, you will be responsible for resolving complex title issues and discrepancies while ensuring compliance with underwriting standards and insurer guidelines.Responsibilities:Evaluate title search results, research, and resolve any title...

About ProgenyHealth LLCProgenyHealth LLC is a leading provider of care management solutions for premature and medically complex newborns positively impacting maternal and infant health outcomes across America.Our Mission:We help overcome systemic barriers to support healthier pregnancies and healthier starts to life for all moms and babies, one family at a...

Key ResponsibilitiesAudit and analyze neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines.Analyze claims data to optimize reimbursement by ensuring that diagnosis codes, procedure codes, and supporting documentation accurately support the service rendered.Ensure claims analysis complies with ethical coding...

About the RoleWe are seeking an experienced Curative Specialist to join our team. As a key member of our organization, you will play a crucial role in ensuring the accuracy and integrity of title searches.

Job SummaryWe are seeking a highly skilled Nurse Inpatient Coding Auditor, CIC or CCS certified to join our team at ProgenyHealth LLC.The successful candidate will be responsible for performing clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment...

ResponsibilitiesThe Reimbursement Specialist will be responsible for working claims and claim denials, preparing appeals, and following up on claims to ensure collections. This will involve working closely with patients to address payment questions and resolve collection issues, as well as developing and maintaining relationships with insurance companies and...

Job Title: Clinical Care SpecialistA clinical care specialist is a vital member of the healthcare team, responsible for delivering high-quality patient care. At AristaCare at Meadow Springs, we are seeking a skilled and compassionate Registered Nurse (RN) to join our team.About the Role:The successful candidate will be responsible for providing...

Job Title: Clinical Care SpecialistWe are seeking an experienced Clinical Care Specialist to join our team at AristaCare at Meadow Springs. As a vital member of our healthcare team, you will play a critical role in delivering high-quality patient care and contributing to the success of our facility.About the Role:The successful candidate will be responsible...

Job OverviewWe are seeking a highly skilled Medical Billing Specialist to join our team at Synergy Orthopedics. As a Medical Billing Specialist, you will play a crucial role in ensuring timely and accurate reimbursement for our services.Estimated Salary: $65,000 - $80,000 per annumKey ResponsibilitiesProcess and manage claims through insurance portals and...

About the RoleSynergy Orthopedics is a dynamic, rapidly growing Third Party Biller of Orthopedic Bracing and Rehabilitation products. We are committed to serving Patients and Physicians in the PA, NJ, DE, MD and NY State areas for a wide range of Orthopedic and Podiatric rehabilitation and surgical needs.In this role, you will have the opportunity to work...

BAYADA Home Health Care is seeking a skilled Clinical Care Specialist to provide compassionate care to patients in their homes. As a trusted member of our team, you will have the opportunity to make a meaningful difference in the lives of others.About the JobThis full-time salaried position offers a competitive salary and benefits package, including flexible...

About the RoleWe are seeking a skilled insurance defense attorney to join our team. As a member of our bodily injury unit, you will be responsible for providing legal representation to Progressive insureds and/or the company itself in all aspects of litigation. This role requires strong analytical and communication skills, as well as the ability to work...

About the Job: We're looking for an experienced Inventory Control Specialist - Production to join our team at Health Advocate. In this role, you will be responsible for managing our biometric warehouse and production center's inventory, ensuring we meet our quality and efficiency goals. You'll work closely with our techcenter umbrella team to achieve our...

Job DescriptionThis position involves handling cases from beginning to end, analyzing written discovery, depositions, medical records, and assessing the value of claims to determine risk exposure. Key responsibilities include preparation of legal pleadings, motions, statements, trial briefs, negotiation of settlements, and work with clients and claims...

Aveanna Healthcare is a leading provider of pediatric and adult care services, specializing in home healthcare. Our mission is to deliver high-quality, personalized care to our patients and their families in the comfort of their own homes.Job SummaryWe are seeking a compassionate and dedicated Licensed Practical Nurse (LPN) to join our team in Norristown,...