Talent.com
Claims Recovery Specialist II - MD
Claims Recovery Specialist II - MDVirtualVocations • Santa Clara, California, United States
Claims Recovery Specialist II - MD

Claims Recovery Specialist II - MD

VirtualVocations • Santa Clara, California, 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 Recovery Specialist II - MD / DC (Remote).

Key Responsibilities

Review and audit medical and dental claims to recover overpayments

Contact carriers, members, and providers to recover and settle claims

Distribute correspondence to policyholders and participate in audit-related meetings

Required Qualifications

High School Diploma or GED

5 years of claims processing experience

Preferred : 1 year of adjustment processing experience

Mathematical ability / aptitude

Ability to deal with internal and external clients

serp_jobs.job_alerts.create_a_job

Recovery Specialist • Santa Clara, California, United States

Job_description.internal_linking.related_jobs
Claims Technician I (Temporary)

Claims Technician I (Temporary)

Central California Alliance for Health • Scotts Valley, CA, United States
serp_jobs.job_card.full_time +2
This is a temporary position and the length of the assignment is estimated to go through 2026.The length of the assignment is always dependent on business need and dates may change.While the assign...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Recovery Specialist II (on call) - Mental Health 616

Recovery Specialist II (on call) - Mental Health 616

Telecare Corporation • San Leandro, CA, United States
serp_jobs.job_card.full_time
They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live. What You Will Do to Change Lives.The Recover...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Director

Claims Director

Central California Alliance for Health • Santa Cruz, CA, United States
serp_jobs.job_card.full_time +1
Join Us in Strengthening Care in Our Communities! Bring your vision and innovation to claims processing and help transform care for over 400,000 neighbors in five counties.We welcome applicants fro...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Director

Claims Director

Central California Alliance for Health (Remote) • Santa Cruz, CA, US
serp_jobs.job_card.full_time +1
Join us in strengthening care in our communities! Bring your vision and innovation to claims processing and help transform care for over 400,000 neighbors in five counties.We welcome applicants fro...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Recovery Specialist II (On Call) - Behavioral Health 194 195

Recovery Specialist II (On Call) - Behavioral Health 194 195

Telecare Corporation • Santa Cruz, CA, United States
serp_jobs.job_card.full_time
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural dive...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Recovery Specialist II - Mental Health 194

Recovery Specialist II - Mental Health 194

Telecare Corporation • Santa Cruz, CA, United States
serp_jobs.job_card.full_time +1
They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live. What You Will Do to Change Lives.The Recover...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Fulfillment Specialist (Contract)

Fulfillment Specialist (Contract)

Color Health • Burlingame, CA, United States
serp_jobs.job_card.full_time
Color Health is revolutionizing cancer care with the nation's first Virtual Cancer Clinic, delivering high-quality, physician-led multidisciplinary care across all 50 states.Our innovative, guideli...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Lead Recovery Specialist II - Behavioral Health 155

Lead Recovery Specialist II - Behavioral Health 155

Telecare Corporation • Oakland, CA, United States
serp_jobs.job_card.full_time
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural dive...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Supervisor, Claims Processing

Supervisor, Claims Processing

San Francisco Health Plan • San Francisco, CA, United States
serp_jobs.job_card.full_time
Reporting to the Director of Claims, the Supervisor, Claims Processing organizes and supervises the work of Claims staff and leads daily operations according to industry and SFHP standards.The Supe...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Recovery Specialist II (NOC - Sat / Sun) - Mental Health 616

Recovery Specialist II (NOC - Sat / Sun) - Mental Health 616

Telecare Corporation • San Leandro, CA, United States
serp_jobs.job_card.full_time
They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live. What You Will Do to Change Lives.The Recover...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Representative II

Claims Representative II

Solera • San Jose, CA, US
serp_jobs.job_card.full_time
Claims Admin Support II - Virtual US.Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience....serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Specialist - Crop

Claims Specialist - Crop

QBE Insurance • San Francisco, CA, US
serp_jobs.job_card.full_time +1
At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities.It is our aim to continuously build a strong candidate pipeline across all our bu...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Recovery Specialist III

Recovery Specialist III

Horizon Services, Inc. • San Leandro, CA, US
serp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
Signing Bonus $2000 Sign-On Bonus for Bilingual Applicants : .Distributed in 4 parts : $500 after 30 days, $500 after 90 days, $500 after 150 days, and $500 after 210 days of employment) JOB TITLE : &...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30
Recovery Specialist II - Mental Health 616

Recovery Specialist II - Mental Health 616

Telecare Corporation • San Leandro, CA, United States
serp_jobs.job_card.full_time
They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live. What You Will Do to Change Lives.The Recover...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claim Specialist - Property Field Inspection

Claim Specialist - Property Field Inspection

State Farm • Oakland, CA, United States
serp_jobs.job_card.full_time
US-CA-Oakland;US-CA-Antioch;US-CA-Brentwood;US-CA-Concord;US-CA-Walnut Creek;US-CA-Pleasant Hill;US-CA-Crockett;US-CA-Hayward. US-CA-Martinez;US-CA-Oakley;US-CA-Pittsburg;.Being good neighbors - hel...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Full Risk Claims Specialist - Remote (Multiple Positions) - 25-171

Full Risk Claims Specialist - Remote (Multiple Positions) - 25-171

Hill Physicians Medical Group • San Ramon, CA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
At Hill Physicians Medical Group, we're shaping the healthcare of the future : actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our me...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Technician I (Temporary)

Claims Technician I (Temporary)

Central California Alliance for Health (Remote) • Scotts Valley, CA, US
serp_jobs.job_card.temporary
Claims Technician I (Temporary).This is a temporary position and the length of the assignment is estimated to go through 2026. The length of the assignment is always dependent on business need and d...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Full Risk Claims Specialist - Remote (Multiple Positions) - 25-172

Full Risk Claims Specialist - Remote (Multiple Positions) - 25-172

Hill Physicians Medical Group • San Ramon, CA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
We're delighted you're considering joining us! At Hill Physicians Medical Group, we're shaping the healthcare of the future : actively managed care that prevents disease, supports those with chronic...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Collection Specialist

Collection Specialist

Software Guidance & Assistance, Inc. (SGA, Inc.) • San Leandro, CA, US
serp_jobs.job_card.full_time
Software Guidance & Assistance, Inc.The PFS Collection Specialist is responsible for all aspects reviewing payer contracts, claims and performing third party collection activity for hospital se...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Claims Liaison

Claims Liaison

Solera • Fremont, CA, US
serp_jobs.job_card.full_time
Claims Liaison - Virtual West Coast.Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience.I...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted