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Medical Claims Specialist Jobs in North Carolina

Currently, there are no Medical Claims Specialist jobs available in North Carolina which match this search. You may wish to explore similar job titles on the Healthcare jobs in North Carolina page or view related jobs below.
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Job Description: Our client, a leading insurance carrier, is looking to add a Workers' Compensation Claims Examiner to their Charlotte regional office. The ideal candidate will handle an active caseload of both lost time and medical only claims from inception to closure. This is a full time salaried position that offers excellent medical and financial benefits. Company Benefits: 401K - 100% Mat...
Job Summary Under direct supervision this position is responsible for: Working in a team environment providing front line administrative and general office assistance on a daily basis to both internal and external customers supporting proper claim handling practices, including: Telephone customer service, financial transactions, collecting, inputting, reviewing and updating critical claim and fina...
Company InformationSolid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.Job SummaryUnder direct supervision this posi...
Overview: Investigate, negotiate and conclude by settlement or denial complex and challenging litigated claims, including litigation in multiple different states, venued in state or federal courts. Must have expertise in commercial and personal lines, as well as coverage, contractual and legal issues. Develop and execute litigation strategy, and manage the activities of assigned defense counsel t...
Overview: The purpose of this position is to provide direct handling of the company’s third party auto and general liability claims. Position may also handle non-litigated UM/UIM claims. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. The individual in this position will also ensure claims are processed within...
Overview: Manage the company’s claims relationship with assigned independent agents, as well as directly handle the field adjusting of commercial and personal multiline claims (property, general liability and auto liability) generated by an assigned group of agents. Responsibilities include the completion of investigation, and the determination of coverage, liability, damages, subrogation, and se...
Overview: Manage the company’s claims relationship with assigned independent agents, as well as directly handle the field adjusting of commercial and personal multiline claims (property, general liability and auto liability) generated by an assigned group of agents. Responsibilities include the completion of investigation, and the determination of coverage, liability, damages, subrogation, and se...
Description Advance your Claims career at Liberty Mutual Insurance- A Fortune 100 Company! Are you looking for an opportunity to join a claims adjusting team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available . Under general supervision, manages, investigates and resolves claims ...
CLAIMS CODING SPECIALIST - PATIENT ACCOUNTS-OTH01IJX Description The Claims Coding Specialist position is part of the UNC Patient Accounts Insurance Billing Team. The Claims Coding Specialist will be responsible for working NCCI (National Correct Coding Initiative) and OCE (Medicare Outpatient Code Editor) claim edits in the EPIC system. The Claims Coding Specialist will work directly with the ...
The Claims Coding Specialist position is part of the UNC Patient Accounts Insurance Billing Team. The Claims Coding Specialist will be responsible for working NCCI (National Correct Coding Initiative) and OCE (Medicare Outpatient Code Editor) claim edits in the EPIC system. The Claims Coding Specialist will work directly with the hospital departments and clinics to resolve NCCI, OCE, coding and c...
Description The Claims Coding Specialist position is part of the UNC Patient Accounts Insurance Billing Team. The Claims Coding Specialist will be responsible for working NCCI (National Correct Coding Initiative) and OCE (Medicare Outpatient Code Editor) claim edits in the EPIC system. The Claims Coding Specialist will work directly with the hospital departments and clinics to resolve NCCI, OCE,...
Job Title: Claims Coding Specialists Req: 2015-254 Location: Chapel Hill Practice: UNC Affiliate Physicians Rev Cycle Salary Range: Job Description: Ensuring accurate and timely claims payment for claims; Conducting post payment review on claim denials, including followup with payers to appeal denials or underpayments; Collaborating with Clinical Departments to address changes in regulations...
Job Opening ID 4944BR Title Claims Operations Specialist Country United States State/Region/Province North Carolina City Charlotte Job Category Claim Target Openings 5 Position Type Entry Level Company Information Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security f...
Overview: The purpose of this position is to provide an expert level of claims management to losses that present complex factors and high exposure potential. Investigate, negotiate and conclude by settlement or denial complex and challenging claims. The individual in this position will also ensure claims are processed within company policies, procedures, and individual's prescribed authority wi...
Ensuring accurate and timely claims payment for claims; Conducting post payment review on claim denials, including followup with payers to appeal denials or underpayments; Collaborating with Clinical Departments to address changes in regulations, reimbursement rules, claims documentation requirements, inappropriate filing or documentation patterns; Reviewing manual claims, determining documentatio...
Description This full time position is located in the Credit Management department at Eastowne. The primary focus will be to ensure accurate and timely resolution for the assigned claims; conducting post payment review on credit balances, including follow up with payers to determine the correct resolution of the claim. Collaboration with other claims resolution staff to clarify reimbursement rule...
This full time position is located in the Credit Management department at Eastowne. The primary focus will be to ensure accurate and timely resolution for the assigned claims; conducting post payment review on credit balances, including follow up with payers to determine the correct resolution of the claim. Collaboration with other claims resolution staff to clarify reimbursement rules, claim...
This position performs complex duties in support of reimbursement from patients and insurance carriers for assigned clinical department. Substantial knowledge of all carrier policies, procedures and practices is required to collect carrier accounts receivable, reverse denials, and expedite coverage to the uninsured. Duties include reversing denials from carriers, recoding denied claims, and identi...
Job Title: Claims Coding Specialists Req: 2015-317 Location: High Point Practice: High Point Billing Salary Range: Job Description: This position performs complex duties in support of reimbursement from patients and insurance carriers for assigned clinical department. Substantial knowledge of all carrier policies, procedures and practices is required to collect carrier accounts receivable, r...
Responsibilities are to ensure accurate and timely claims payment for professional and hospital claims filed to Clinical Research, Workers Comp, Special Agencies including Veteran's Affairs, Department of Corrections, Hospice, UNC Sports Medicine, Blind Commission, etc. The selected candidate will be responsible for: conducting post payment review on claim denials, including follow-up with payers ...