Degrees: High School,Cert,GED,Trn,Exper Licenses & Certifications: AHIMA Certified Coding Specialist-Physician-basedAHIMA Certified Coding SpecialistAHIMA Certified Coding AssociateAAPC Certified Professional Coder Additional Qualifications:Minimum two years of charge entry or claims/billing managem...
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Successful completion of 5 years as a Claims Specialist. Ability to influence claims stakeholders and to effectively direct claims strategy. This position will be responsible for the resolution of moderat...
With minimal supervision, handles a book of specialty lines claims, throughout the entire claim's life cycle. Responsible for conducting investigations, recommending adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed auth...
As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, construction defect and construction related property damage claims from inception to final disposition. This is a visible and important role within our Complex Claims Unit (CCU) Hartford G...
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year-over-year growth? Liberty Mutual has an excellent claims opportunity available for a Claims Specialist within our Commercial Lines division!. The Claims Specialist...
Client is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations Department. Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included bu...
Senior Claims Resolution Specialist III- $94,601-123,100 (based on candidate location and experience). Senior Claims Resolution Specialist IV- $106,900-$137,100 ( based on candidate location and experience). Accountable for security of financial processing of claims, as well as security information ...
As a Claims Specialist, you will be responsible for handling a caseload of complex, high exposure, auto and general liability claims throughout the claim’s life cycle. As these claims are often in litigation, experience handling litigated matters and managing defense counsel is required. ...
Investigate all aspects of assigned claims from cradle to grave including coverage determination, resolving informally postured claims directly, working with defense counsel where defense obligation exists, issuing reservation of rights letters where coverage does exist, issuing coverage declination...
Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collectio...
A Homecare Billing and AR Specialist is responsible for handling the billing and accounts receivable processes within a homecare or healthcare organization. Key responsibilities of a Homecare Billing and AR Specialist may include:. Billing Cycle Management: Generating and submitting claims to insura...
The Claims Resolution Specialist must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, and CPT codes. At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. Since 1984, Flo...
AR Specialists are responsible for accurately identifying insurance claims denials and/or claims processing errors to resolve accounts. Qualified candidates must have at least 1-2 years medical claims experience. Resolve unpaid/denied claims by leveraging proprietary software system, making phone ca...
Supervisor - Claims Specialist Team. The Claims Supervisor is responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and staff-assigned work queues are maintained within the budgeted benchmarks. Effectively resolves problems and dis...
The Default Claims Specialist is responsible for preparing, filing, and following up on all FHA, VA, USDA, PMI, and investor claims timely and accurately according to insurer/investor guidelines. Prepare and file all FHA, VA, PMI, and investor claims timely and accurately according to investor/insur...
This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims. Experience handling moderate to high exposure general liability BI and PD claims and/or a legal background as a practicing attorney with litigation or coverage experience is requ...
Claims Documentation Specialist. The Documentation Specialist will be responsible for entering claims documents into our electronic system and procuring veterinary records while interpreting, coding and understanding medical terminology in relation to diagnoses and procedures. Ability to learn quick...
As a Disability Claims QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy and completeness of reports accompanying medical records. Verify that the claims support the physicians determinations in long-term disability...
Job Description: Disability Claims Specialist. Must have at least + years prior LTD/IDI Insurance Claims Experience. The LTD Claim Consultant evaluates long term disability insurance claims in accordance with plan provisions and within prescribed time service standards. In this role, the LTD Claims ...
The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of claims department and of CorVel. The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and cust...
Crown Roofing & Waterproofing is looking for a customer service representative to join our growing team. The target is to ensure excellent service standards, respond efficiently to customer inquiries and maintain high customer satisfaction. Proven customer support experience or experience as a clien...
Bring your heart to work at CVS Health! Our Caremark Member Operations division of CVS Health's Pharmacy Benefit Manager business is hiring hundreds of Customer Care Representatives in your area! Are you interested in a flexible work schedule and live within 75 miles of Knoxville, TN? An opportunity...
Bring your heart to work at CVS Health! Our Caremark Member Operations division of CVS Healths Pharmacy Benefit Manager business is hiring hundreds of Customer Care Representatives in your area! Are you interested in a flexible work schedule and liv Customer Service Representative, Customer Service,...
Workers Compensation Claims Manager | VA Jurisdiction | Remote. Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. Must have experience handling claims in the VA jurisdiction. Eight (8) yea...
Skilled Nursing HMO Billing Specialist. Minimum of 1 year experience of aspects of billing and collections. ...