The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. ...
The EHR Application Specialist 3 is responsible for the ongoing design, build, testing, validation and ongoing support of mission critical application(s). ...
The EHR Application Specialist 3 is responsible for the ongoing design, build, testing, validation and ongoing support of mission critical application(s). ...
The EHR Application Specialist 3 is responsible for the ongoing design, build, testing, validation, and ongoing support of mission-critical application(s). ...
Unlock Your Potential with Zurich North America Claims: Become a Litigated Claims Specialist. Litigated Claims Specialist II, General Liability. Zurich is seeking a dedicated Litigated Claims Specialist to join our team. Completion of Zurich Claims Training Program with 3+ years of experience in Cla...
The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines. ...
In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable for both CalAIM and IFMG, claim follow-up, and must have knowledge of billing codes. Reviewing data and creating Claims for services rendered. Review any rejected or denied claims and conduct proper fol...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Job Description The Claims Specialist is responsible for accuracy of claims submission, benefits and eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable for both CalAIM and IFMG, claim follow-up, ...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
This role requires documenting activities, conveying information regarding claims or benefits, and providing testimony in disputes. Evaluate and manage liability, property, auto, general liability, and employment claims in compliance with state regulations. Handle auto and general liability claims f...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
This includes one (1) year of expertise in handling intricate litigated claims, such as continuous trauma, AOE/COE, stress claims, and safety claims. Are you looking for an exciting opportunity for you to thrive, with an encouraging team that empowers you every step of the way? Staffmark is hiring a...
PRIMARY PURPOSE:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Claims Adjuster Workers Compensat...
Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Interprets and makes decisions using independent judgment on more complex a...
Health, Dental & Vision / Retirement Plan / PTO - As a Customer Service Rep you'll: Use excellent communication and multitasking skills to respond to customer inquiries and process requests, according to established standards with attention to style, tone, and manner of communication; Provide custom...
The EHR Application Specialist I is responsible for the ongoing design, build, testing, validation and ongoing support of mission critical application(s). ...
Customer Service is the heartbeat of Uline! As a Customer Service Representative, youll dig into order details to deliver an exceptional experience our customers love. Customer Service Representative. Prior customer service experience is. Process customer orders and inquiries in a collaborative call...
Responsible for preparing, researching, analyzing, pre-coding and the adjudication of all types of claims. Contracted providers, Non-contracted, 1500 or UB claims forms, Senior and Commercial plans) received at RMC. Managed Care claims are processed in accordance with the outside Provider. Must have...
The Supervising Veterans Claims Representative is responsible for administering policy as established by the County Veterans Service Officer, and serves as a consultant in all claims matters, and prepare reports. Monitoring Claims Representatives’ progress with claims filings to ensure consistency w...
Billing Specialist II-Primary Care & Urgent Care. The primary functions of the Billing Specialist II are charge review and claims and denial management in an assigned group of providers. Corrects errors, re-files or appeals claims after verifying all the necessary billing information such as cla...
As a Data Analyst - Claims with expertise in medical claims, you will be responsible for analyzing, interpreting, and presenting data related to medical claims to support decision-making and operational efficiency. Collaborate with claims processors and medical coders to resolve issues and optimize ...
At least 2 years of experience as a Billing Specialist/Collection Specialist/Accounts Receivable Specialist/Finance operations or a similar position, with a focus on using Stripe. We are seeking a detail-oriented and experienced Billing & Collection Specialist to join our finance team. Assist in...
Manages the claims prevention functions and activities within an assigned geographical region. Develops and implements comprehensive claims prevention strategies and procedures. Identifies and audits risks and vulnerabilities within the organization's claims handling operations, processes, and proce...