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Provider Claims Resolution Specialist Jobs

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  • 2.8
    Injured Workers Pharmacy, LLC – San Dimas, CA
    Est. Salary $37k-$50k
    4 days ago 4d
    Overview: We are seeking a high-energy, goal-oriented Claims Resolution Specialist. If you are driven to achieve, here is your chance… Investigate, and Analyze workers’ compensation claims and/or auto/personal injury claims to maximize recovery. Monitors electronic…
  • 3.8
    Zelis Healthcare – Bedminster, NJ
    Est. Salary $31k-$43k
    9 days ago 9d
    other team members, this Claims Resolution Specialist will be responsible for the resolution of provider appeals for Fee Negotiation… identify an accomplished Claims Resolution Specialist. Reporting directly to the Manager Claims Resolution, and working closely with…
  • 3.0
    VENGROFF WILLIAMS – Sarasota, FL
    Est. Salary $23k-$32k
    1 days ago 23hr
    currently looking for Part-Time Resolution Specialists to join our team of experts resolving medical claim collection issues. In this… skilled colleagues and be part of a pro-active environment providing resolution to billing issues. Please apply via our website www.vwinc.com…
  • 4.3
    National MI – Emeryville, CA
    Est. Salary $41k-$64k
    1 days ago 23hr
    and Claims Specialist Default Reporting and Claims Specialist Summary Title: Default Reporting and Claims Specialist ID… Best Places to Work in 2015? The Default Reporting and Claims Specialist will be part of the Default Servicing team with responsibilities…
  • 2.7
    CVS Caremark Corporation – Scottsdale, AZ
    Est. Salary $29k-$40k
    19 days ago 19d
    you need to provide resolution to members and we will provide a team structure to partner with you on resolutions. Supporting… Conduct in depth research on member issues in order to provide quality resolution. - Creatively construct written communication to…
  • 3.8
    Zelis Healthcare – Bedminster, NJ
    Est. Salary $51k-$102k
    3 days ago 3d
    be responsible for overseeing Claims Resolution Specialist staff to ensure completion of provider and client inquires and disputes… and providers to keep them abreast of claim status.. KEY RESPONSIBILITIES Oversee and manage Claims Resolution Specialist…
  • 3.0
    VENGROFF WILLIAMS – Sarasota, FL
    Est. Salary $23k-$32k
    1 days ago 23hr
    currently seeking Bi-Lingual Resolution Specialists to join our team of experts resolving medical claim collection issues. In this… skilled colleagues and be part of a pro-active environment providing resolution to billing issues. Please apply via our website www.vwinc.com…
  • 3.6
    PacificSource Health Plans – Tigard, OR
    Est. Salary $32k-$43k
    4 days ago 4d
    service area to educate provider office staff on current coding and PacificSource administrative and claims procedures. Act as a… administrative and claims procedures, and current coding issues pertaining to all business lines. Visit newly contracted providers within…
  • 2.5
    Premier Healthcare Exchange, Inc. – Bedminster, NJ
    Est. Salary $44k-$94k
    1 days ago 17hr
    be responsible for overseeing Claims Resolution Specialist staff to ensure completion of provider and client inquires and disputes… clients and providers to keep them abreast of claim status.. KEY RESPONSIBILITIES * Oversee and manage Claims Resolution Specialist…
  • 4.0
    The Law Firm of Higbee & Associates – Las Vegas, NV
    Est. Salary $28k-$39k
    8 days ago 8d
    Description National law firm seeks a qualified claims resolution specialist with a great work ethic to join our team. ABOUT… have you play an important role in its success, but to also provide you with opportunities to develop your professional skills…
  • 4.2
    RoundPoint Mortgage Servicing Corporation – Charlotte, NC
    Est. Salary $34k-$54k
    8 days ago 8d
    timeline and attorney performance. Overseeing a team of Claims Specialists, the candidate will be expected to establish/maintain… Claims Supervisor Position Overview The Claims Supervisor provides leadership, direction and coordination…
  • 3.0
    Civil Service Employees Insurance – San Dimas, CA
    Est. Salary $35k-$55k
    3 days ago 3d
    witnesses and medical specialists. Will negotiate the settlement of claims, calculate and authorize payment of claim settlements in accordance… and corporate claims policies and procedures. Must have strong skills in negotiation and conflict resolution. Must have excellent…
  • 3.3
    CaseStack – Fayetteville, AR
    Est. Salary $32k-$51k
    15 days ago 15d
    hired As a Claims Specialist, you will be our freight and cargo claims advocate. You will review our customer’s claims to make sure… from Clients Prepare claim settlement requests Compose resolution letters to Clients Update internal claims systems Requirements…
  • 3.8
    Swiss Re – San Francisco, CA
    Est. Salary $45k-$65k
    26 days ago 26d
    Specialty/MGA Claims Specialist USA - San Francisco, CA Corporate Title: Assistant Vice President Division: CSC-Claims Corporate… the claims process and what to expect going forward, working together to develop the appropriate management and resolution strategy…
  • 2.5
    Premier Healthcare Exchange, Inc. – Bedminster, NJ
    Est. Salary $32k-$44k
    6 days ago 6d
    other team members, this Claims Resolution Specialist will be responsible for the resolution of provider appeals for Fee Negotiation… identify an accomplished Claims Resolution Specialist. Reporting directly to the Manager Claims Resolution, and working closely with…
  • 2.8
    Acosta, Inc. – Charlotte, NC
    Est. Salary $24k-$33k
    6 days ago 6d
    the Claims Resolution Supervisor * Assists with training and mentoring Claims Resolution Analysts * Processes claims for… solver/agent for change to provide continuous improvements, and will assist the Claims Resolution Supervisor in managing the team…
  • 3.5
    First American Financial – Phoenix, AZ
    20 days ago 20d
    duties as the Call Specialist plus the following: Takes ownership of claims and drives claim closure/resolution. Identifies and… 3rd party contractors to analyze and resolve Home Warranty claims in a timely manner maintaining a high level of customer service…
  • 3.3
    First Citizens Bank – Raleigh, NC
    Est. Salary $32k-$44k
    1 days ago 23hr
    Department Name: Credit Resolution Group Position Description A successful Resolution Specialist will effectively collect… Resolution Specialist Use your LinkedIn Profile to help you apply faster! Apply with LinkedIn Job ID #: 28586 Location: NC-…
  • 3.0
    VENGROFF WILLIAMS – Sarasota, FL
    Est. Salary $25k-$36k
    1 days ago 23hr
    Division is currently seeking medical billing specialists with claims resolution experience and dedicated to deliver high level… skilled colleagues and be part of a pro-active environment providing resolution to billing issues. Please apply via our website…
  • 3.5
    First American – Phoenix, AZ
    Est. Salary $37k-$50k
    12 days ago 12d
    duties as the Call Specialist plus the following: • Takes ownership of claims and drives claim closure/resolution. • Identifies… Requisition ID 36829BR Position Title Senior Claims Resolutions Specialist Job Family Customer/Acct Mgmt Svcs Job Location…
  • 2.7
    Parallon – Coppell, TX
    Est. Salary $27k-$38k
    1 days ago 16hr
    communities. JOB TITLE Denial Resolution SpecialistGENERAL SUMMARY OF DUTIES The Denial Resolution Specialist will be responsible for… monitoring, and appealing claim denials received from Third Party Payers.SUPERVISOR Denial Resolution ManagerSUPERVISES - None…
  • 2.9
    Florida Cancer Specialists – Fort Myers, FL
    Est. Salary $26k-$35k
    17 days ago 17d
    16-1525 Post Date 12/21/2016 Title Insurance Claim Resolution Specialist Employment Type Full Time Job Location Corporate… Diploma or GED Required. The Medical Collector – Claims Resolution Specialists must have excellent knowledge of insurance carrier…
  • 2.8
    Bankers Financial – Saint Petersburg, FL
    24 days ago 24d
    warranty and claim issues to be covered and excluded. Provide technical assistance to the Technical Claims Specialist and defense… Objective The Claims Engineer provides technical support to the processing of claims, including evaluating claims submitted, inspection…
  • 3.2
    Health Plan of San Mateo – South San Francisco, CA
    Est. Salary $37k-$50k
    19 days ago 19d
    years of work as a Claims Provider Services Representative, Claims Examineror Provider Dispute Resolution Specialist in a health services… (HPSM), a managed care healthplan, seeks a Provider Dispute Resolution Specialist I to review and resolveprovider disputes for…
  • 3.2
    WellCare – Tampa, FL
    Est. Salary $42k-$61k
    4 days ago 4d
    through Provider feedback, quality monitors and payment accuracy. Assist in education of Providers as it relates to claims processing… analysis and resolution to CSR or Provider. Assists team members often guiding them to the appropriate resolution of more complex…
  • 3.5
    First American Financial – Phoenix, AZ
    Est. Salary $37k-$50k
    26 days ago 26d
    duties as the Call Specialist plus the following: * Takes ownership of claims and drives claim closure/resolution. * Identifies… 3rd party contractors to analyze and resolve Home Warranty claims in a timely manner maintaining a high level of customer service…
  • 2.9
    Select Medical – Mechanicsburg, PA
    Est. Salary $25k-$35k
    9 days ago 9d
    Overview As one of the nation's largest providers of specialized hospital, rehabilitative and outpatient care, Select… therapy and/or occupational medicine. Our outpatient team also provides physical therapy and athletic training to approximately 300…
  • 2.8
    Universal Health Services – Reno, NV
    Est. Salary $26k-$35k
    11 days ago 11d
    The Claims Resolution Specialist acts as a liaison between members, providers and employer groups in resolving verbal and… medical terminology. Minimum 2 years� experience in health care claims processing, preferably in a managed care environment, including…
  • 2.7
    Change Healthcare – Clark, NJ
    Est. Salary $32k-$44k
    3 days ago 3d
    system! POSITION SUMMARY: [ The Resolution Specialist is responsible for providing high quality client focused service by… Requisition Number 17-0722 Post Date 5/24/2017 Title Resolution Specialist City Clark State NJ Description On March 1,…
  • 2.9
    Lifespan – Providence, RI
    Est. Salary $38k-$62k
    1 days ago 23hr
    and analysis, problem resolution, auditing, reporting, process recommendations and training occur to provide optimal business outcomes… practice is strongly preferred as is knowledge of electronic claims processing and Healthcare Business Office practices. Must be…
  • 3.2
    MemorialCare Health System – Fountain Valley, CA
    Est. Salary $66k-$88k
    10 days ago 10d
    Epic Resolute Hospital Billing Administration certification required. Epic Resolute Hospital Billing Claims Administration… within the IS Business Applications job family, specializing in claims functionality and support. Of particular importance in this…
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