Provider Claim Resolution Specialist Jobs | Glassdoor
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Provider Claim Resolution Specialist Jobs

1,314 Jobs

  • 3.4
    ALL's WELL – Orange, CA
    Today 8hr
    for provider dispute resolutionspecialist seeking beautiful offices, great potential for growth and stable. 3 years claims examiner… This Provider Dispute ResolutionSpecialist Position Features: Beautiful Offices Great Potential For Growth Stable…
  • 4.0
    All My Sons Moving & Storage – Carrollton, TX
    EASY APPLY
    $31k-$48k(Glassdoor est.)
    17 days ago 17d
    skills. MS Word, Excel Key words: Customer Service, Claims, Resolution, All My Sons, Moving, Complaints, Insurance Adjuster,… ClaimsSpecialist Join Our Family! All My Sons Moving & Storage currently operates over 60 locations (and growing) throughout…
  • 4.2
    Higbee & Associates – Las Vegas, NV
    $27k-$39k(Glassdoor est.)
    NEW
    National law firm seeks a qualified claimsresolutionspecialist with a great work ethic to join our team. ABOUT THE LAW… have you play an important role in its success, but to also provide you with opportunities to develop your professional skills…
  • 2.8
    Acosta – Cincinnati, OH
    $23k-$32k(Glassdoor est.)
    NEW
    the ClaimsResolution Supervisor + Assists with training and mentoring ClaimsResolution Analysts + Processes claims for unassigned… solver/agent for change to provide continuous improvements, and will assist the ClaimsResolution Supervisor in managing the team…
  • 3.4
    Liberty Mutual – Irving, TX
    $46k-$66k(Glassdoor est.)
    Today 9hr
    activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative… Advance your Claims career at Liberty Mutual Insurance - A Fortune 100 Company! The Claims Analyst is responsible for the…
  • 3.2
    Multiplan – Arlington, TX
    $31k-$43k(Glassdoor est.)
    NEW
    keyboard, copier and telephone As a Medical ClaimsResolutionSpecialist with MultiPlan, you will be part of an organization… and close out claims; including updating provider data base for reference and claims processing on subsequent claims. Identify…
  • 3.4
    Tokio Marine Management Inc. – Jersey City, NJ
    $51k-$75k(Glassdoor est.)
    NEW
    evaluation, negotiation and resolution of claims. Accountable for proper payout and quality of claim files. Handles some or all… than the cost. Evaluate information to assess proper resolution of claims to determine appropriate and fair payout. Negotiate…
  • 3.7
    UNC Health Care – Chapel Hill, NC
    NEW
    patient accounts. May serve as a lead worker to provide problem resolution and assistance to lower level positions. To apply… Duties include reversing denials from carriers, recoding denied claims, and identifying coding trends. Work requires knowledge of coding…
  • 3.4
    Liberty Mutual – Lawrenceville, GA
    $43k-$61k(Glassdoor est.)
    NEW
    Insurance - A Fortune 100 Company! The ClaimsSpecialist I works within a Claims Service Team using the latest technology to… an assigned caseload from the investigation of the claim through resolution. This includes making decisions about liability, evaluating…
  • 2.3
    CO-OP Financial Services – Rancho Cucamonga, CA
    8 days ago 8d
    credit union clients, keeping them apprised of claim status and provide dispute resolution recommendations within Visa and MasterCard… credit union clients, keeping them apprised of claim status and provide dispute resolution recommendations within Visa and MasterCard…
  • 2.8
    Avesis Incorporated – Phoenix, AZ
    $34k-$47k(Glassdoor est.)
    NEW
    located in the Claims Department of Avesis? operations center in Phoenix, Arizona. The ClaimsResolutionSpecialist is responsible… responsible for processing Vision and Hearing claims received from providers and health plan members in accordance with policies, procedures…
  • 2.7
    Select Medical Corporation – Mechanicsburg, PA
    $26k-$36k(Glassdoor est.)
    NEW
    Medical Select Medical is one of the nation's largest providers of specialized acute and post-acute care. Its network of more…
  • 3.4
    Liberty Mutual – Weston, MA
    $47k-$66k(Glassdoor est.)
    1 days ago 1d
    an assigned caseload from the investigation of the claim through resolution. This includes making decisions about liability/compensability… needed to help provide exceptional service to our customers. Responsibilities: Manages an inventory of claims to evaluate compensability…
  • 5.0
    Upgrade – Phoenix, AZ
    $27k-$38k(Glassdoor est.)
    9 days ago 9d
    to finish, documenting your findings to bring the claim to full resolution. You may make recommendations based on any findings… design and implement new and better solutions. As a ResolutionSpecialist you will be engaging with our customers via phone and…
  • 3.4
    Liberty Mutual – Irving, TX
    $46k-$66k(Glassdoor est.)
    4 days ago 4d
    Mutual Insurance - A Fortune 100 Company! The ClaimsSpecialist works within a Claims Service Team, using the latest technology to… an assigned caseload from the investigation of the claim through resolution. This includes making decisions about liability/compensability…
  • 3.3
    WellCare – Tampa, FL
    $32k-$45k(Glassdoor est.)
    7 days ago 7d
    Processes claim adjustment and provide appropriate level of coaching, analysis and resolution to CSR or Provider. Identify root… answering escalated claim adjustment requests and resolving issues received through transferred provider phone calls, customer…
  • 3.1
    Arthur J. Gallagher & Co. – Rolling Meadows, IL
    $32k-$44k(Glassdoor est.)
    1 days ago 1d
    casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune… coverage and settles moderately complex claims in one or more of Gallagher Bassett’s specialty claims areas. Generally, incumbent does…
  • 3.3
    UMass Memorial Health Care – Worcester, MA
    $31k-$43k(Glassdoor est.)
    6 days ago 6d
    Experience in denial resolution process required. Advanced knowledge of claim form content and claim submission requirements… Requisition #: 174246 Title: Denial ResolutionSpecialist II Department: Revenue Cycle Grade: ADM6 Posting Date: August…
  • 4.1
    University Medical Group – Portland, OR
    EASY APPLY
    5 days ago 5d
    maximize aged AR resolution Secondary Functions may include any or all of the following: Trending provider activity and… transactions Review third party claims (i.e. MVA settlements, workers compensation claims) Performing and documenting quality…
  • 3.6
    Logistics Health Incorporated – La Crosse, WI
    5 days ago 5d
    SUMMARY Lead the claims staff and oversee the timely and accurate processing of claims, resolution of denied claims and member and… Program Manager Create, maintain and implement claims processing and claimsresolution procedures and policies Recommend process…
  • 3.8
    Emerus – The Woodlands, TX
    $39k-$56k(Glassdoor est.)
    HOT
    disputes File appeals for denied claims and follow-up as necessary through appeal resolution Manage and maintain outstanding… timely and paid accurately. Follow up on submitted claims (i.e., claim received, pending, processing, paid, etc.) and complete…
  • 3.4
    Tokio Marine Management Inc. – Jersey City, NJ
    $51k-$75k(Glassdoor est.)
    18 days ago 18d
    evaluation, negotiation and resolution of claims. Accountable for proper payout and quality of claim files. Handles some or all… than the cost. Evaluate information to assess proper resolution of claims to determine appropriate and fair payout. Negotiate…
  • The Araz Group – Bloomington, MN
    $29k-$40k(Glassdoor est.)
    13 days ago 13d
    Description The ClaimsResolutionSpecialist is responsible for negotiating specified types and dollar amount of assigned claims/bills that… reach successful resolution on negotiated claims. Address counter-offers received and present proposal for resolution while adhering…
  • 3.0
    Florida Cancer Specialists – Fort Myers, FL
    $26k-$36k(Glassdoor est.)
    24 days ago 24d
    16-1525 Post Date 12/21/2016 Title Insurance ClaimResolutionSpecialist Employment Type Full Time Job Location Corporate… Diploma or GED Required. The Medical Collector – ClaimsResolutionSpecialists must have excellent knowledge of insurance carrier…
  • 3.8
    Emerus – The Woodlands, TX
    $39k-$56k(Glassdoor est.)
    HOT
    patient voicemails within a 24 hour turnaround time Provideresolution to all patient inquiries and involve additional team members… on-line/telephonic resources to verify benefits and ensure claims are processed according to the appropriate benefit levels Submit…
  • 3.4
    Liberty Mutual – Hoffman Estates, IL
    $49k-$69k(Glassdoor est.)
    12 days ago 12d
    an assigned caseload from the investigation of the claim through resolution. This includes making decisions about liability/compensability… needed to help provide exceptional service to our customers. Responsibilities: Manages an inventory of claims to evaluate compensability…
  • 3.4
    Liberty Mutual – Elmsford, NY
    $53k-$75k(Glassdoor est.)
    NEW
    an assigned caseload from the investigation of the claim through resolution. This includes evaluating losses, and negotiating settlements… needed to help provide exceptional service to our customers. Responsibilities: Manages an inventory of claims to evaluate compensability…
  • 2.0
    ConvenientMD – Portsmouth, NH
    $28k-$39k(Glassdoor est.)
    16 days ago 16d
    management of all ConvenientMD claims and accounts receivable. The ClaimsResolutionSpecialistprovides constant and proactive communication… of the Director of Revenue Cycle Management, the ClaimsResolutionSpecialist is responsible for various tasks associated with…
  • 3.0
    CalOptima – Orange, CA
    $32k-$44k(Glassdoor est.)
    15 days ago 15d
    The ClaimsResolutionSpecialist (Provider Dispute Resolution) (PDR) is responsible for overseeing and managing the process of… to claims adjudication and adjustment of claims when processing provider disputes. This position works closely with claims management…
  • 4.1
    Equian LLC – Golden, CO
    $33k-$45k(Glassdoor est.)
    23 days ago 23d
    Coordinate and work with Resolution & Appeals Managers, as required, in regards to claims and provider relationships Identify… need for claim escalation and properly reassign to the Resolution Manager Communicate/interact with clients and providers (telephone…
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