Talent.com
NY Licensed Claims Specialist

NY Licensed Claims Specialist

VirtualVocationsBaltimore, Maryland, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Claims Resolution Specialist.

Key Responsibilities

Contact healthcare providers to negotiate discounts on eligible claims prior to payment

Perform provider research and address counteroffers to achieve resolution

Maintain compliance with HIPAA and departmental performance metrics

Required Qualifications, Training, and Education

Minimum high school diploma or GED

At least 6 months of experience in the healthcare industry; 1 year preferred

State licensure certification may be required within six months of hire

Knowledge of applicable laws and general office operations

Ability to work independently and handle confidential information

serp_jobs.job_alerts.create_a_job

Claim Specialist • Baltimore, Maryland, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
New York Licensed Claims Specialist

New York Licensed Claims Specialist

VirtualVocationsRockville, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Claims Resolution Specialist II, Appeals.Key Responsibilities Negotiate healthcare claims and maintain provider relationships to achieve maximum discounts Perf...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Resolution Specialist

Claims Resolution Specialist

Advantia healthWashington, DC, US
serp_jobs.job_card.full_time
Advantia is seeking a Claims Resolution Specialist to join our team! As a Claims Resolution Specialist, you will be essential in ensuring the accuracy and timeliness of billing and reimbursement fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Specialist

Claims Specialist

VirtualVocationsBaltimore, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist (Insurance Biller) to manage and resolve insurance claims.Key Responsibilities Work on claims that have been rejected by the clearinghouse Review and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Advisor, Professional Liability

Claims Advisor, Professional Liability

SedgwickWashington, DC, US
serp_jobs.job_card.full_time
Claims Advisor, Professional Liability.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
NY Licensed Claims Specialist

NY Licensed Claims Specialist

VirtualVocationsWashington, District of Columbia, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Resolution Specialist.Key Responsibilities Contact healthcare providers to negotiate discounts on eligible claims prior to payment Perform provider research and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
New York Licensed Claims Adjuster

New York Licensed Claims Adjuster

VirtualVocationsWashington, District of Columbia, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze claims exposure and resolve claims effectively Interact with variou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior General Liability Claims Specialist

Senior General Liability Claims Specialist

VirtualVocationsRockville, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for a Senior General Liability Claims Specialist.Key Responsibilities Conduct detailed analysis to investigate claims exposure and recommend settlement strategies Create res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Eligibility Specialist

California Licensed Eligibility Specialist

VirtualVocationsRockville, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for an Eligibility Specialist III.Key Responsibilities Maintain eligibility and billing for assigned accounts, ensuring compliance and accuracy Provide customer service and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Disability Claims Specialist

Disability Claims Specialist

VirtualVocationsArlington, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Long Term Care Benefit Claim Specialist.Key Responsibilities Manage the claims lifecycle from initial adjudication to ongoing management Communicate effectively with c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Specialist

Claims Specialist

CorVelBaltimore, MD, US
serp_jobs.job_card.full_time
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocationsBaltimore, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for a Medicare Specialist to manage and resolve Medicare claims for various hospital or physician groups. Key Responsibilities Resolve aged, outstanding, and denied medical cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Virginia Licensed Claims Specialist

Virginia Licensed Claims Specialist

VirtualVocationsArlington, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Lost Time Claims Specialist, Workers' Compensation.Key Responsibilities Manage indemnity claims by investigating, evaluating, and determining compensability for work-re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Claims Adjuster - TX / FL / GA / NY Licensed

Senior Claims Adjuster - TX / FL / GA / NY Licensed

VirtualVocationsRockville, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster specializing in Complex Commercial Auto BI / PD.Key Responsibilities Execute claims management decisions to analyze and resolve claims exposure In...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
NY Licensed Medical Claims Specialist

NY Licensed Medical Claims Specialist

VirtualVocationsRockville, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Claims Resolution Specialist II, Appeals (Remote).Key Responsibilities Negotiate health care claims and maintain provider relationships to achieve maximum disco...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Connecticut Licensed Claims Adjuster

Connecticut Licensed Claims Adjuster

VirtualVocationsArlington, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze and resolve claims exposure Interact with various parties to ensure...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Specialist II

Claims Specialist II

VirtualVocationsArlington, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist II.Key Responsibilities : Manage customer interactions and guide them through the claims process, ensuring satisfaction Investigate claims by gatherin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
STAT / PFL Claims Specialist

STAT / PFL Claims Specialist

VirtualVocationsBaltimore, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for a STAT / PFL Claims Specialist.Key Responsibilities Conduct initial and ongoing interviews with claimants and review medical records to determine claims Collaborate with c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Insurance Claims Specialist

Insurance Claims Specialist

VirtualVocationsBaltimore, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Claims Specialist PB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
South Carolina Licensed E&S Specialist

South Carolina Licensed E&S Specialist

VirtualVocationsBaltimore, Maryland, United States
serp_jobs.job_card.full_time
A company is looking for an Excess & Surplus Specialist for Personal Lines.Key Responsibilities Manage the renewal timeline and ensure a seamless renewal process for E&S policies Handle all poli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claim Specialist

Claim Specialist

ChubbWashington, DC, US
serp_jobs.job_card.full_time
Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the content beautiful and high signal to noise ratio.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours