their job and claims staff are assigned manageable caseloads. Job Summary: Workers' Compensation Claim Specialist CCMSI is seeking... an experienced Workers' Compensation Claim Specialist to join our dynamic team. This role is essential for the investigation...
Description : The Claims Specialist manages within company best practices lower-level, non-complex and non... FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity...
. Effectively evaluate claim facts and negotiate claim settlements. Develop and maintain strong business relationships...
claim facts and negotiate claim settlements. Be available for on call rotation during weekends and weekdays during times...
Excellence In Everything We Touch Position Summary The Disability Benefit Specialist will be relied upon to obtain... resources; and claim processes to ensure eligibility requirements and liability decisions are accurate. Provides superior...
Description & Requirements Maximus is currently hiring for a Veterans Billed Specialist to join our Veterans... Evaluation Services (VES) team. This is a remote opportunity. The Veterans Billed Specialist is responsible for resolving billing...
and detail-oriented individual to join our dynamic Finance team as a Credit and Collection Portfolio Specialist. In this critical... to ensure efficient and timely resolution of outstanding balances. Claims Management: Assess claim viability, recommend claim...
: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale, AZ. This will be a Full-Time...
unemployment claim process. The specialist role will contribute to driving efficiencies, effectiveness and consistent delivery... Solutions and Services Organization within the Colleague Experience Group as a Payroll and Unemployment Specialist...
! Overview: As an Insurance A/R Specialist, you'll collect payments for an assigned segment of the insurance accounts receivable... and performs insurance follow up duties in accordance with established federal and state regulations. You'll also appeal claim...
Specialist facilitates timely access to care by ensuring patient eligibility and benefits are verified prior to service... review to ensure that no additional information is needed before claim submission. Performs all other duties as assigned...
experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment... healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician...
experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment... healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician...
records are accurate and to resolve problems and discrepancies Respond to vendor, member service team and claim adjudication...
. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market..., evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of high severity...
where it matters most. Must be fluent in Spanish 1K sign on bonus Patient Engagement Specialist Location: Remote (Prefer... Engagement Specialist will be responsible for providing service for inbound pharmacy phone calls and/or placing outbound patient...
The AR Specialist will be responsible for managing the accounts receivable including denied and underpaid claims... problematic claim trends and contract violations, report findings to the RCM Manager. · Submit appeals as necessary...
where it matters most. 1K sign on bonus Patient Engagement Specialist Location: Remote (Prefer Phoenix of Stoughton metro... areas - may require 2x a month in office if located in AZ, or MA) Job Description: The Patient Engagement Specialist...
escalated claim and coverage gap resolution for our insureds Manage all aspects of RFP process for all major benefit plans..., please call our Talent Acquisition Specialist at +1 314 259 5898 or contact us at dentonsusstaffrecruitment@dentons...
Competitive salary ROLE DESCRIPTION: Daphine Willingham - State Farm Agent is seeking an organized and efficient specialist... availability, eligibility, coverages, policy changes, transfers, claim submissions and billing clarification. Use a customer...