Claims Specialist I: Medical Claims & COB Expert
Blue Cross and Blue Shield of Louisiana Inc.
Blue Cross and Blue Shield of Louisiana Inc. is seeking a Claims Specialist I to support the claims unit with accurate processing of edits, COB primacy, and refund initiation on overpaid claims. The role emphasizes compliance with laws and coordination with internal departments and external entities. Residency in Louisiana is preferred for this position, and the work is performed in a standard office environment. #J-18808-Ljbffr Blue Cross and Blue Shield of Louisiana Inc.
$1,000 per month
...functions required to support the claims unit. Accurate processing of... ...the Coordination of Benefits (COB), adjusting previously paid... ...fulfill this position, the Claims Specialist I must be in contact with... ...Experience: 6 months of experience in medical claims or health insurance-...MedicalWork experience placementWork at officeLocal areaRelocation- ...administrative duties to manage assigned claim files. Participates in the... ...and supervision of Claim Specialist I’s. ESSENTIAL DUTIES AND RESPONSIBILITIES: Manage medical malpractice claims, including the... ..., obtaining preliminary expert evaluation/opinions, and preparing...Medical
$17.31 - $21.63 per hour
Progressive Insurance is seeking a claims administrative support specialist to back our claims branch offices. You will perform essential administrative tasks and may interact with customers and medical providers by phone or in person where applicable. This is a 100% in...MedicalHourly payWork at officeMonday to Friday- Cooperative of American Physicians, Inc. is seeking a Claims Specialist II to perform technical and administrative duties to manage assigned medical malpractice claim files and to participate in training and supervision of Claim Specialist I’s. The role involves overseeing...Medical
$17.31 - $21.63 per hour
...As a claims administrative support specialist , you’ll play a vital role supporting our claims branch offices. In addition to ensuring essential administrative... ...run smoothly, you may also interact with customers and medical providers by phone or in person when applicable....MedicalHourly payTemporary workH1bWork at officeMonday to FridayFlexible hours- Amplity is seeking a Regional Medical Science Liaison to advance clinical program execution and engage key opinion leaders across our client’s portfolio. You will communicate scientific information non-promotionally to physicians, researchers, and trial sites, contributing...Medical
- Ochsner Health is seeking a skilled medical coder to review and accurately code complex inpatient services, procedures, and overnight stays. You will adhere to ICD and CPT guidelines while ensuring reimbursement aligns with payer rules. Collaborate with the CDI team and...MedicalNight shift
- Remote Medical International seeks a Remote Healthcare Provider to manage emergent and non-emergency medical care at client worksites, including drilling rigs and hazardous construction zones. You will perform primary and emergency care, maintain medical records, and coordinate...MedicalRemote job
- ...verifying locations of structures. The ideal candidate should have at least one year of relevant experience and be detail-oriented. Benefits include comprehensive medical plans, a 401k retirement plan, and tuition reimbursement. #J-18808-Ljbffr M. A. Mortenson CompanyMedical
- A healthcare provider in Louisiana is seeking an experienced Registered Nurse to deliver patient care in a medical/surgical setting. The role involves working closely with physicians and other staff to monitor patients' conditions and responding swiftly to treatment changes...Medical
- Providence Sacred Heart Medical Center & Children’s Hospital is seeking skilled nurses to deliver world-class health with human connection. In this role you will apply your training to provide compassionate, patient-centered care within a team that values mutual respect...Medical
- CVS Health is seeking an UM Nurse Consultant to perform utilization management reviews for post-acute services, ensuring medical necessity and appropriate care using clinical criteria. The role supports care transitions and requires strong clinical judgment and prioritization...Medical
- Ahhmgt is seeking a Medical Records Coder in Arcadia, LA to review and code hospital procedures for proper reimbursement using ICD-9-CM/ICD-10-CM, HCPCS, and CPT codes. The role requires accuracy, strong organizational and computer skills, and adherence to HIM standards...Medical
- Syneos Health is seeking aSr Medical Scientist in Infectious Disease - HIV to join our Clinical Solutions team, delivering medical expertise across study design, data reviews, and stakeholder interactions. The role partners with Medical Director and cross-functional teams...Medical
- Argo Group is seeking a Senior Environmental Claims Adjuster to adjudicate complex commercial environmental claims, primarily related to storage tanks, and work closely with teams in multiple office locations including New York City. This full-time position requires five...Full timeWork at office
- Tokio Marine HCC, Public Risk Group, is seeking a Property Claims Adjuster to handle low-to mid-level commercial first-party property claims with supervision from the Claims Manager. Investigate, evaluate coverage and damages, establish reserves, and negotiate settlements...Remote job
$54k - $57.5k
...live fully in their careers. Your journey has already begun. As a claims adjuster trainee, you’ll learn how to help customers get back... ...Benefits 401(k) with dollar-for-dollar company match up to 6% Medical, dental & vision, including free preventative care Wellness & mental...MedicalTemporary workTraineeshipWork experience placementH1bWork at officeLocal areaMonday to FridayFlexible hours- Eberl Claims Service is seeking Ladder Inspection Specialists to perform on-site property inspections across Louisiana for the insurance industry. You will document conditions, capture high-quality photos, and gather measurements to support claim evaluations. Ideal candidates...
- ...nursing care under the direction of providers. The candidate will be responsible for assisting practice personnel, administering medications, and ensuring adherence to medical standards. A nursing license in Louisiana and a minimum of 2 years of clinical experience are...Medical
- ...Role Details Job Title: Property Claims Adjuster Location: Remote / Hybrid (dependent upon... ..., appraisers, vendors, and technical experts for on-site investigations and damage assessments... ...and career advancement Comprehensive medical, vision, and dental coverage, with...MedicalFull timeWork at officeLocal areaRemote work
$80k - $87k
...geographic risk characteristics. Partners with underwriting leadership, claims, loss control, audit, and operations to support account... ...in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life...MedicalHourly payTemporary workWork experience placementCasual workLocal areaFlexible hours$150k - $275k
...an accredited law school Admitted to practice law in Louisiana Responsibilities Managing their own docket of cases Set up claims and track medical treatment Supervise medical clerk and case manager Review demands Negotiate with adjusters Communicate the offer to the client...MedicalFull time- A leading insurance agency in Missouri is in search of a Commercial E&S Underwriter to evaluate and manage complex commercial property and casualty risks. The ideal candidate will possess strong underwriting judgment and relationship-building skills, partnering with agents...
- ...Trillium Foundation is seeking a Billing Manager to oversee the claims department and optimize the entire claims lifecycle. You will... ...data-driven decision making, and collaboration with legal and medical colleagues to resolve complex disputes. #J-18808-Ljbffr Ontario...Medical
- ...payers in a timely manner. Communicate with payers on outstanding claims, resolve payment variances, and achieve timely reimbursement.... ..., revenue codes, DRG/APC reimbursement methodologies, and medical necessity requirements. Experience with appeals, reconsiderations...MedicalWork experience placementShift work
$55k - $75k
...reviewing and assessing the merits of clients’ Personal Injury claims by organizing, reviewing, and summarizing records, documents, and... ...to demand Prepare and organize demand packages, including medical summaries, billing summaries, liability documentation, and supporting...MedicalLocal areaRemote work- The Billing Manager is responsible for overseeing the claims department and ensuring that all claims are handled in a timely, accurate... ...reviewing documentation, and collaborating with legal and medical professionals when necessary. Manages front end and back end of...MedicalWork at officeFlexible hours
$80.3k - $133.8k
...specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer... ...updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims...MedicalWork at officeRemote work$70k - $85k
...'s team in multiple locations. This role involves oversight of medical care for workers’ compensation patients through in-person and telephonic... ...Job function Project Management Industries Insurance and Claims Adjusting, Actuarial Services Responsibilities Oversee...MedicalFull time- WK Medical Center Shreveport, LA Non-Medical Full-Time, Day, 7:30 AM - 4:00 PM Position Summary The Patient Access Manager is responsible... ..., Business Office, and Clinical Departments to improve clean claim rates. Monitor registration accuracy and reduce preventable...MedicalFull timeWork at officeShift work
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