Talent.com
Insurance Claims Specialist

Insurance Claims Specialist

VirtualVocationsCranston, Rhode Island, United States
job_description.job_card.30_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 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 submission

Contacts third party payers to resolve unpaid claims and ensures compliance with regulations

Required Qualifications

High School diploma or equivalent

One (1) year of medical billing or medical office experience preferred

Knowledge of federal, state, and local regulations pertaining to professional billing

Ability to maintain confidentiality and adhere to HIPAA regulations

Experience with payer portals and medical terminology is preferred

serp_jobs.job_alerts.create_a_job

Insurance Specialist • Cranston, Rhode Island, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Senior General Liability Claims Specialist

Senior General Liability Claims Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Commercial Auto and General Liability Claims Specialist.Key Responsibilities Manage mid to complex General Liability claims, including bodily injury and property...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
A / R Follow Up Specialist

A / R Follow Up Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for an AR Follow Up Specialist to manage unresolved insurance claims and related tasks.Key Responsibilities Follow up on unresolved claims with insurance carriers Research a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist (PAWP).Key Responsibilities Adjust claims for assigned PAWP programs Build and maintain relationships with internal and external customers Investiga...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
AR Follow Up Specialist

AR Follow Up Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for an AR Follow Up Specialist to manage aged and unresolved claims with insurance carriers.Key Responsibilities Follow up on unresolved claims and check claim status with in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Texas Licensed Claims Representative

Texas Licensed Claims Representative

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Representative - Product Liability.Key Responsibilities Analyze and process low level product liability claims to determine benefits due Negotiate settlement of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
California Licensed Senior Claims Adjuster

California Licensed Senior Claims Adjuster

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster Workers Compensation.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Communicate ex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed Claims Analyst

Licensed Claims Analyst

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Analyst to join their team in a remote capacity.Key Responsibilities Provide exceptional resolution of claim files to ensure a best-in-class claims experience I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Workers Compensation Claims Specialist

Workers Compensation Claims Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Workers Comp Claims Representative.Key Responsibilities Maintain a queue of Workers' Compensation accounts and ensure timely processing of claims Contact relevant part...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Policy and Claims Research Specialist

Policy and Claims Research Specialist

Neighborhood Health Plan of Rhode IslandSmithfield, RI, United States
serp_jobs.job_card.full_time
Smithfield, RI - Smithfield, RI.The Policy and Claims Research Specialist.Payment Integrity initiatives and projects.This role will act as the point of contact for claim related research.Serves as ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Pennsylvania Licensed Insurance Specialist

Pennsylvania Licensed Insurance Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Enrollment Specialist.Key Responsibilities Maintains knowledge of the IntelliApp database and creates customized reports for insurance enrollment Maximizes ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Health Insurance Support Specialist

Health Insurance Support Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Health Insurance Support Specialist.Key Responsibilities Navigate complex insurance verification, billing disputes, and benefit explanations Handle credentialing inqui...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
  • serp_jobs.job_card.promoted
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Workers Compensation Claims Examiner III (Temporary).Key Responsibilities Manage a caseload of 150 to 180 workers' compensation files, including complex claims Conduct...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health Claims Examiner

Health Claims Examiner

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Claims Specialist

Claims Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist to manage complex claims and ensure timely resolution.Key Responsibilities Manage a large inventory of complex claims to evaluate compensability and l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Specialist I

Insurance Specialist I

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Specialist I - REMOTE.Key Responsibilities Verify insurance eligibility and benefits for services to ensure coverage and compliance Calculate and communicat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Insurance Verification Specialist

Insurance Verification Specialist

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Verification Specialist - Per Diem.Key Responsibilities Ensure financial clearance for pre-service accounts prior to the date of service Obtain and verify i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Adjuster

California Licensed Claims Adjuster

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Adjuster III, Agriculture.Key Responsibilities Manage complex non-litigated and litigated workers' compensation cases Analyze claims, investigate, estimate rese...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Facets Claims Configuration Lead

Facets Claims Configuration Lead

VirtualVocationsCranston, Rhode Island, United States
serp_jobs.job_card.full_time
A company is looking for a Facets Benefits and Claims Configuration Lead.Key Responsibilities Lead configuration design activities for Facets Claims and Benefits based on approved business requir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days