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327 provider claims resolution specialist jobs

Claims Adjuster – easy apply

California Casualty 41 Reviews Colorado Springs, CO

Accidents happen. And when they do, our claims department is right there, investigating and evaluating homeowners and automobile claims; and then… California Casualty

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Total Loss Resolution Specialist

Esurance 100+ Reviews Rocklin, CA

For this challenging position, you will need to have demonstrated knowledge of coverage, liability, vehicle valuations, evaluating vehicles with… Esurance

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Provider Issue Resolution Specialist – new

UnitedHealth Group 100+ Reviews Green Bay, WI

complex adjustments (out of scope high dollar and inpatient). Also, the PIRS will provid Glassdoor

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Provider Resolution Specialist - Lawrence, KS – new

The Results Companies 39 Reviews Lawrence, KS

Uses numerous computer work station application to supply "live" responses to customers' needs Assist in resolving serious customer complaints and… Jobg8

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Complaint Resolution Specialist (Roseland NJ, Portland ME, and Scottsdale AZ)

Prudential 100+ Reviews Roseland, NJ

Incumbent uses subject matter expertise in disability claims administration to review and respond to complaints from various sources including… Prudential

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Medical Collections / AR Positions OPEN NOW!

Dean's Professional Services Houston, TX

•Follow-up and resolution of outstanding accounts receivable balances •Responding to payor correspondence •Submitting appeals for denied claims… Glassdoor

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Research Specialist-Client

Prime Therapeutics 85 Reviews Omaha, NE

• Maintains expert knowledge of client pharmacy plan benefit information, prior authorization status, customer service skills, phone and computer… Prime Therapeutics

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Benefits Claim Specialist

St. Joseph Health System 47 Reviews Bryan, TX

Part of St. Joseph Health System, St. Joseph Regional Health Center is seeking a Benefits Claim Specialist to join the Human Resources team. This… CareerBuilder

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Claims Resolution Specialist - Commercial Healthcare Claims

Ministry Health Care 18 Reviews Appleton, WI

Reviews and edits claims assuring compliance with rules and regulations. Makes appropriate decisions in determining billable services versus… Beyond.com

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Provider Relations Specialist I

Centene 100+ Reviews Chicago, IL

Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider… Beyond.com

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Risk Management Specialist – new

JD & Associates, Inc. Austin, TX

Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. Evaluates risk management… JD & Associates, Inc.

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Mortgage Claims Support Analyst – new

SunTrust 100+ Reviews Richmond, VA

Responsible for providing efficient, accurate, compliance-focused support to the Mortgage and Consumer Default departments. Duties may include… SunTrust

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Medical Collector- Claims Resolution Specialist

Florida Cancer Specialists 9 Reviews Fort Myers, FL

Healthcare/Medical Billing & Collections Business Operations Division Monday - Friday Work Week Great comprehensive Benefit Program Review all… Glassdoor

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Specialist - Appeals

McLaren Health Care 15 Reviews Flint, MI

Responsible for assisting with coordination of all appeal/grievance activity for MHP. Responsible for ensuring departmental compliance with… CareerBuilder

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Medicare Follow Up Specialist

Accretive Health 100+ Reviews Detroit, MI

• Responsible for following up on Medicare accounts • Works accounts Returned to Provider in the Medicare claims system • Completes Risk Level… Accretive Health

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