A company is looking for a Priority Claims Specialist I to manage complex claims and ensure proper reimbursement processes.
Key ResponsibilitiesReview complex claims and patient records to identify discrepancies in paymentsConsult with physicians and staff on documentation and regulatory issuesPrepare complex claims reimbursement submissions and assess risk of denialRequired QualificationsHigh school education or equivalentUp to 1 year of related experienceGeneral knowledge of Medicare audit, appeals, and reimbursement processesFamiliarity with medical terminologyKnowledge of MS Office suite and Electronic Health Records (EHR)
Priority Claims Specialist
A company is looking for a Priority Claims Specialist I to manage complex claims and ensure proper reimbursement processes. ...
Workers Compensation Claims Manager
A company is looking for a Workers' Compensation Claims Manager to oversee their multi-state National Workers' Compensation program. ...
Liability Claims Examiner - NY
To examine, adjust, defend, claims and lawsuits against our insureds. ...
Billing Specialist
Senior Billing Specialist I primary responsibilities are to record all transactions of Clients, prepare invoices for claim submission, payment, follow-up and reconcile all Account Receivable. Solid Knowledge and understanding of Billing Concepts, ICD-10, Medical Terminology, Behavioral Health Billin...
Customer Service Representative - State Farm Agent Team Member
Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only State Farm insurance and financial service products. Establish customer ...
Bilingual Customer Service Representative
Active outreach to current customers as well as past customers and people that have been quoted in the past. Provide service to current customers. Orenstein Agency is seeking a bilingual (English/Spanish) Rock Star to join one of the top-performing State Farm agencies in the country! You will be res...
Senior Technical Claims Specialist- New York Labor Law
We are looking for a highly capable Senior Technical New York Labor Law Claims Specialist to join our team and work from our New York City office on a hybrid basis. A deep knowledge of claims adjudication is typically achieved through a minimum of seven years' experience adjudicating claims with...
Senior Product Manager, Claims
You will join the Claims domain as a Senior Product Manager, supporting the Product team members, Engineers, business teams and other stakeholders to resolve highly complex problems related to claim adjudication, member Cost Share determination and provider reimbursement. We're hiring a Senior P...
Quality Customer Service Representative
We Are Looking For A Quality Customer Service Representative Who Is:. As A Quality Customer Service Representative You Will: . We provide an unmatched experience for all of our consumers, thanks to our remarkable hands-on Quality Customer Service. Our ability to function as a cohesive Quality Custom...
Senior Associate, Product Manager - Claims Servicing
But what happens when a transaction goes wrong? The Senior Associate, Product Management, for Claims Servicing will be responsible for supporting our end to end claims lifecycle needs, ensuring our customers and agents are able to successfully create and resolve claims in a timely manner. Ave (22114...