A company is looking for a Medicare Claims Appeals and Grievances Specialist.Key ResponsibilitiesReview and resolve member and provider complaints in compliance with CMS standardsResearch claims appeals and grievances, including medical records and billing detailsPrepare written responses and appeal summaries while ensuring regulatory complianceRequired QualificationsHigh School Diploma or equivalentMinimum 2 years of operational managed care experienceHealth claims processing background, including coordination of benefits and eligibility criteriaFamiliarity with Medicaid and Medicare claims denials and appeals processing
Medicare Claims Appeals Specialist
A company is looking for a Medicare Claims Appeals and Grievances Specialist. ...
Unemployment Claims Appeals Specialist
A company is looking for an Unemployment Claims Appeals Specialist to assist with resolving vendor inquiries and remitting information to state agencies. ...
Large Loss Property Field Claims Adjuster (Washington)
At American Family Insurance Claims Services (AFICS, Inc. Lead level role that investigates and maintains highly complex property claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settles claims. You will work in the field and handle complex homeowner proper...
Claims Resolution Adjuster - Licensing Required
A company is looking for a Claims Resolution Adjuster - Remote EST. ...
Billing Specialist
Execute complicated billing tasks, including split-party billing, insurance billing and tracking, fixed fee billing, and volume discount tracking. Maintain accurate and specific internal billing notes referencing special billing arrangements and client needs. Prepare ad hoc reports and spreadsheets ...
Material Damage Specialist - Auto Claims - National General
This is a Fully Remote Opportunity on the Material Damage Specialist team supporting the Field Claims Teams. The Ideal candidate will have strong technical skills in Material Damage Estimating, Auditing Claims files for accuracy & quality & will be providing support & Mentorship to the Auto Field Cl...
Field Property Claims Adjuster: Seattle, WA
Field Property Claims Adjuster: Seattle, WA. We are looking for customer service-focused individuals to build a rewarding long-term career with us as Field Property Claims Adjusters!. Our Field Property Claims Adjusters will:. Use claims handling software, apany car, and laptop to determine claims-r...
Billing Specialist
Input of new client and matter billing information, adhering to client and attorney requirements for rates, billing addresses, billing timekeeper, bill formats, and other billing related setup. We are seeking an enthusiastic Billing Specialist with a great attitude and a commitment to always putting...
Material Damage Specialist - Auto Claims - National General
This is a Fully Remote Opportunity on the Material Damage Specialist team supporting the Field Claims Teams. The Ideal candidate will have strong technical skills in Material Damage Estimating, Auditing Claims files for accuracy & quality & will be providing support & Mentorship to the A...
Senior Claims Specialist - Swedish Physicians Billing - Tukwila *WA Residents Only*
Follow up on insurance denials and aged claims, submit claims to secondary payers, and ensure accurate billing information is submitted. Answer all information requests from those payers, and trace all claims to those payers making sure they have been paid or denied appropriately in a timely manner....