- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000292 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 840194 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000292 Pay Plan: Lottery Exempt Serv… more
- CGI Technologies and Solutions, Inc. (Cleveland, OH)
- …(HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist . The successful candidate will work directly with ... and general business skills. **Your future duties and responsibilities:** The Claims Processing Specialist is responsible for managing a portfolio of… more
- HCA Healthcare (Denver, CO)
- …or other documents that are required to be attached to the claims for processing . + Assists EDI Specialist as directed by the EDI Manager in reviewing edit ... Do you have the career opportunities as a Billing Specialist you want with your current employer? We have...out according to departmental schedule and is responsible for processing paper claims to primary insurance and… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, ... adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance...have knowledge of compliance issues as they relate to claims processing and ability to identify and… more
- CVS Health (St. Paul, MN)
- …- Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, ... and affordable. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as… more
- NJM Insurance (Trenton, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Regional Claims Specialist . This is a full-time position and offers a hybrid schedule after training. ... The Regional Claims Specialist will be responsible for contacting...WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II -… more
- NJM Insurance (Hammonton, NJ)
- …including basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a ... Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a...WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level -… more
- BrightSpring Health Services (Taunton, MA)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key...office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Make the Move to PharMerica- Claims Specialist Opportunity! Ready to take your pharmacy experience to the next level? PharMerica ... that's a big plus! + Learn essential skills in claims processing while being part of a...for a minimum of 7 business days. Responsibilities TheClaims Specialist - 3rd Party: + Manages and identifies a… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- Overview The Claims Specialist , under the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims ... a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of EOB… more