Medical Claims Specialist Jobs

1000+ jobs

Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) The purpose of this position is to delight our customers by resolving their issues through fast and accurate proble...

Family friendly behavioral health organization SUMMARY OF DUTIES: Entry of all Client Insurance and Financial Information. Prepares claim data for transmission to Medicaid, Medicare, and Managed Care Plans. Review and process payment denials. Organizes billing and re-billing materials; produces reports from billing system to provide feedback to Program Sites. Performs related clerical work as re...

Medical Claims Appeals Specialist Mt. Pleasant: Growing durable medical company needs experienced claims appeals specialist. Must have a minimum of 5 years in handling the appeals process of multiple claims. Must be familiar with appeals procedure and a can do attitude resulting in successful collection of rejected claims. Position offers a salary of 35k base with an attractive bonus based on col...

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Medical Claims Insurance Follow-Up Specialist wanted. Claims processing & resolution, appeals, COB & EOB issues. Aston Co. Health benefits, 401K, hourly rate & comm. Please email resume to ***** Click to apply by EMAIL...

We are currently seeking to fill a Medical Claims/Appeals Specialist near Keller, TX. Our client has an excellent reputation for keeping their employees, which means they offer a very good work environment. It is common to see employees with 20 years of tenure with the organization. In fact, they are rated as one of the top companies to work for in Texas by their employees. The organization is ver...

We are currently seeking to fill a Medical Claims/Appeals Specialist in Richardson, TX. Our client has an excellent reputation for keeping their employees, which means they offer a very good work environment. It is common to see employees with 20 years of tenure with the organization. In fact, they are rated as one of the top companies to work for in Texas by their employees. The organization is v...

* Experienced, aggressive collector needed. Neonatology and/or General Surgery experience preferred. * Must have excellent computer skills to navigate online for claim status, must be familiar with current Medicaid products and commercial product websites. * Heavy phone appeals for out of network provider. Looking for an individual who is not discouraged with insurance companies and their many r...

Medical Billing Solutions, Inc. is hiring a Full Time team member to join our staff as an Insurance Claim Accounts Receivable Representative. This is an entry level job at our company, but we do have a lot of room to grow, and we are always looking to promote from within when we can. Our number one goal at our company is to give the best possible service to our clients. Our second goal it to provi...

Company Confidential
CLAIMS SPECIALIST Position Announcement Are you energized by gathering data and love working on the phone? Do you have the passion and persistence to confirm status of insurance claims? Do you thrive in a team-oriented environment dedicated to employee success? … If so, you need to talk to us! With decades of experience in the substance abuse and mental health rehab industry, the team at Inf...

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) The purpose of this position is to delight our customers by resolving their issues through fast and accurate problem identificati...

Insurance Claim Specialist, Auburn Hills, MI Our client an established insurance company with a history of steady growth, seeks an experienced, highly organized Insurance Claim Specialist with strong analytical, problem solving and communication skills in Auburn Hills, MI. Responsibilities: Independently performs detailed and highly complex claim investigations/processing or those of a higher d...

Job Description The Auto Club Group (ACG) provides membership, travel, insurance and financial services offerings to approximately 9 million members and customers across 11 states and 2 U.S. territories through the AAA, Meemic and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. Primary Duties and Responsibilities (details of the bas...

Kelly Services is currently recruiting for multiple opportunities for candidates with experience in medical claims review and/or provider appeals process. Our client, one of California’s leading healthcare organization and named one of the World’s Most Ethical Companies, has openings for Provider Dispute Resolution Processor Associates in its El Dorado Hills, California location. MAJOR JOB DUTIES...

A phenomenal, full-time opening is currently available for a Claims Representative OR Litigation Specialist that has experience handling Medical Malpractice liability claims to join a highly stable organization in the Walnut Creek, CA area. This is a terrific, full-time opportunity offering a generous base salary, excellent benefits package, and other outstanding perks. Job Description Maintain ...

POSITION SUMMARY: · Analyze routine insurance claims to determine the extent of the insurance carrier's liability and settle claims in accordance with the plan provisions. · The Claims Specialist will be handling Leisure Travel claims. · The position involves reading Medical Records and reviewing Policy Terms and Conditions in order to determine the validity of a claim. ESSENTIAL DUTIES: · Th...

Health Insurance Claim Follow-up Specialist Comstar – Rowley, MA We seek a high energy, promotable medical insurance specialist to join our growing company Company Overview: Comstar is a Massachusetts corporation, which processes medical claims, sends bills and provides collection services for primarily municipal ambulance services. We have been in business since 1984. Our 50+ employees curren...

JOB SUMMARY: The Claims Resolution Specialist is responsible for providing claims support by reviewing, researching and resolving claims issues. · JOB ROLE AND RESPONSIBILITIES: 1. Provide claims support by reviewing, researching and resolving claims issues 2. Ensure that claims are repriced in accordance with contracts. 3. Serve as subject matter resource to team members 4. Quantify and pr...

Key Components: The Catholic Charities USA Employee Welfare Benefit Trust (the “Trust”) is looking for an experienced health care claims specialist to facilitate resolution of member agency disputes under the Trust’s Medical, Dental and Vision benefits on a part-time basis. This will include communications with all locations and affiliates, managing claims reporting data, and working with the var...

Claims Specialist Our Client, a global leader in Insurance Services has an exciting career opportunity for a Claims Specialist. Position Summary Analyze insurance claims to determine the extent of the insurance carrier's liability and to settle claims in accordance with the plan provisions. Job Duties and Responsibilities The Claims Specialist sets adequate reserves to ensure proper reporting...

RESPONSIBILITIES: Kforce has a client in Delray, FL that is currently looking for a Claims Data Entry Specialist. This person will be responsible for processing and entering a high volume amount of claims. REQUIREMENTS: The ideal candidate will have healthcare experience and understand medical terminology. Strong 10 key skills are required including speed and accuracy. This is a temporary posit...