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207 Provider Claims Resolution Specialist Jobs

Provider Dispute Resolution Specialist (Claims) – new

Arizona Priority Care 1 Review Chandler, AZ

The Provider Dispute Resolution (PDR) Specialist is responsible to process provider disputes according to governmental and Health Plan regulations… Glassdoor

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Member Research Specialist

Prime Therapeutics 61 Reviews Omaha, NE

• Maintain expert knowledge of Medicare member systems, including Primes RxCLAIM® claims processing system, Primes member issue database (Prime Call… Prime Therapeutics

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Practice Support Specialist

HCA Shared Services/Supply Chain Brentwood, TN

include collecting information from the customer, initial assessment, research, and ultimately providing resolution. Issues or requests beyond the… HealtheCareers

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Subrogation PD Specialist

Esurance 100+ Reviews Rocklin, CA

This position will require you to, understand and abide by the Department of Insurance regulations for specified states, as well as understand and… Esurance

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Cash Application Specialist

HCA Shared Services/Supply Chain Cincinnati, OH

Accurately and timely posts cash and contractual adjustments to patient accounts in HBO. Determines the appropriate claim disposition for each… HealtheCareers

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Product Operations Specialist

Prime Therapeutics 61 Reviews Eagan, MN

•Handle inquiries related to specific job function process or support systems (e.g. claim adjudication system) in a timely fashion and effectively… Prime Therapeutics

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EMPLOYEE RELATIONS SPECIALIST – new

Confidential Newark, NJ

will include: • Providing advice and counsel to managers, supervisors and employees • Ensuring the proper handling of all employee relations… CareerBuilder

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Medical Billing Specialist

Paragon Billing, LLC Edina, MN

to include: • Transaction posting and data entry • Handling phone calls from patients and practitioners • Patient Account Analysis… CareerBuilder

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Sr. Litigation Specialist, Medical Malpractice

Insurance Company 100+ Reviews Birmingham, AL

• Establish reserves within the 90% completion percentage criteria • Establish and verify insurance coverage • Recommend defense or settlement of… Ivy Exec

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Specialist IV - Facility Audit - Coding for hospitals

Florida Blue 100+ Reviews Jacksonville, FL

Job duties include but are not limited to the following: A senior level position in the facility audit function. • Independently performs… Ivy Exec

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Health Insurance Customer Service Specialist-McAlpine

Convergys 100+ Reviews Charlotte, NC

• This position creates and maintains positive customer relationships and responds to customer inquiries regarding products, benefits, eligibility… CareerBuilder

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Quality Systems Specialist

AK Tube LLC Walbridge, OH

Leads and coordinates the AK Tube LLC quality systems. Supports customer claim resolution in conformance with TS16949. Maintains the corrective… AK Tube LLC

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Medical Billing Specialist

Southeast Florida Hematology Oncology Group, P.A. Fort Lauderdale, FL

Part Time Account Receivable Specialist— Review assigned medical insurance claims for resolution and payment. Handle incoming inquiries from… Southeast Florida Hematology Oncology Group, P.A.

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Collection Specialist( must have healthcare collections exp.)- San Antonio Share

Parallon 55 Reviews San Antonio, TX

-Performs account follow-up and resolution of patient receivables. DUTIES INCLUDE BUT ARE NOT LIMITED TO: • Monitor insurance claims by running… CareerBuilder

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Client Services Specialist - Bilingual

NFP 19 Reviews Austin, TX

To perform this job successfully, individual must be able to perform each essential duty satisfactorily. • Possesses a broad knowledge base… CareerBuilder

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