Claims Specialist

Overview: At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs,...

Warranty Claims & Processes Manager will be responsible for setting and steering the Warranty Claim process, validate and verify system rules to ensure manageable workload and proper claim payment. You will oversee the flow of warranty claims from th Manager, Warranty, Claims, Claims Specialist, Operations, Policy, Insurance

As an independent group of companies, the BMW Group has a commitment to creativity and breakthrough ideas that goes well beyond the racetrack. In order to continuously create ultimate driving machines, we drive our growth and design excellence by staffing our teams with individuals who are innovative and always looking for the next great idea. If you share...

About Us: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...

JOB DESCRIPTION : Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize...

Overview: Our Billing Specialist analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient claims.  Ensures compliance with required guidelines and Memorial Health organizational policies.  Qualifications: Education: High school or GED equivalent required. Experience: Previous experience...

Job DescriptionJob DescriptionFarmers Union Insurance in North Dakota is currently hiring Property Risk Adjusters in the Devils Lake area. This position is located in ND and candidate must live in assigned territory ND.Job purpose:The property Risk Specialist/claims adjuster is responsible for handling insurance claims filed by the policyholders. This...

Overview: Role Summary The purpose of this role is to ensure the market competitiveness and obtain the best customer satisfaction with delivering FUJIFILM’s standard operating quality of FUJIFILM’s Multi-Functional Devices (MFD) by provide the following: (Advanced) 2nd level technical support to Dealer Partners Manage the operation reliability of MFD...

Job DescriptionJob DescriptionSummaryPatient Account Specialist Senior- OnsiteCHRISTUS Corp Lake Charles TLRA Office- 1600 Foster Street, , Lake Charles, LA, 70601Monday-Friday 8 hoursExperience with hospital Insurance claims, follow up and denials/resolutions. Responsible for performing billing, A/R follow-up and credit balance resolution activities which...

Job DescriptionJob DescriptionJOB TITLE: MEDICAL INSURANCE SPECIALIST EMPLOYER: KIM TANG MD INC DEPARTMENT: INSURANCE REPORTS TO: INSURANCE BILLING DEPARTMENT MANAGER EFFECTIVE DATE: 03/01/2024 SUMMARY: Under direct supervision of the billing department manager this position’s daily responsibilities include but are not limited to medical claim submissions,...

ESSENTIAL FUNCTIONS:The Charge Entry Specialist will be responsible for charge entry of medical procedures and services rendered as coded out by Medical Certified Coders.Accurately enter charges into Practice Management system, ensuring that all required information is complete and accurate for clean claim submission.Identifies and resolves any discrepancies...

Job DescriptionJob DescriptionSUMMARYUnder the supervision of the Director of Accounting, the AP Specialist compiles, and maintains Accounts Receivables. Main responsibilities will be to:Post daily customer cash receipts within D3FO in a timely manner.Analyze deductions and outstanding invoices to determine root cause and prepare appropriate documentation...

Summary The primary purpose of this position is to manage all Veteran Transportation Service (VTS) and Beneficiary Travel (BT) program activities, including patient transport, Special Mode Travel (SMT), mileage, reimbursement claims, transportation contracts, 911 ambulance claims, inter-facility transfers and common carrier transportation. The position...

Job Description The Coding Specialist II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The PB Coding Specialist II performs Current Procedural Terminology...

Job DescriptionJob DescriptionRISK MANAGEMENT SPEACIALIST GATEKEEPER SYSTEMS, INC.Foothill Ranch, California Gatekeeper Systems stands proudly as the foremost global leader in retail loss prevention, operations management, and analytics, with our headquarters based in Foothill Ranch, California. We maintain a strong presence across the globe, with offices in...

Job DescriptionJob DescriptionESSENTIAL FUNCTIONS:The Charge Entry Specialist will be responsible for charge entry of medical procedures and services rendered as coded out by Medical Certified Coders.Accurately enter charges into Practice Management system, ensuring that all required information is complete and accurate for clean claim submission.Identifies...

Job DescriptionJob DescriptionDuties: The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services. Responsibilities: Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment. Identifies trends and their root cause to improve the...

Job DescriptionJob DescriptionOur MissionAll of us, for each of you, every time.Our VisionTogether, serving as the trusted regional healthcare partner.At Samaritan Healthcare we are dedicated to providing healthcare services to the community that we serve. We are committed to providing the very best work environment for our employees and the very best care...

Job DescriptionJob DescriptionOur MissionAll of us, for each of you, every time.Our VisionTogether, serving as the trusted regional healthcare partner.At Samaritan Healthcare we are dedicated to providing healthcare services to the community that we serve. We are committed to providing the very best work environment for our employees and the very best care...

**Summary: The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services. Responsibilities: Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment. Identifies trends and their root cause to improve the effectiveness and efficiency...