Claims Payment & Dispute Resolution Specialist
ISLAND PEER REVIEW ORGANIZATION INC
ISLAND PEER REVIEW ORGANIZATION INC seeks a Claims Payment Specialist in Jericho, NY to manage payment reconciliation, tracking, and refund administration for Federal Independent Dispute Resolution operations. This role ensures accurate payment processing, reporting, recordkeeping, and compliance with financial controls. The position requires strong Excel skills, attention to detail, and ability to work cross-functionally with stakeholders and accounting to support daily activity, audits, and #J-18808-Ljbffr ISLAND PEER REVIEW ORGANIZATION INC
- ...Summary Under the supervision of the Contracts Manager, the Payment Posting Specialist manually and/or electronically processes post daily cash... ...as requested. Assists in the preparation of contract claims as needed. Ensures that all required documentation is completed...ClaimsContract workFor contractorsWork at officeLocal area
$66.3k - $70k
...Job Description Job Description Claims Payment Specialist, IDR The Claims Payment Specialist manages payment reconciliation, tracking... ..., and refund administration for Federal Independent Dispute Resolution operations. This role works directly with stakeholders and...ClaimsHourly pay$50k - $60k
...billing discrepancies, appealing denied claims, and ensuring timely reimbursement while... ...insurance carriers regarding claim status, payment delays, denials, underpayments, and... ...information. Strong negotiation and conflict-resolution skills. Commitment to providing...ClaimsFull timeWork at office- ...play a critical role in supporting our Claims Department by ensuring accurate and timely... ...salvage recovery opportunities Manage disputed claims including AOBs, CRNs, NOIs, and complex... ...Strong negotiation and conflict resolution skills High level of organization and file...ClaimsFor contractorsWork at officeRemote work
- ...Job Description The Claims Specialist is responsible for effectively... ...resolving complex medical claims disputes. This role requires a... ...Responsibilities 1. Claim Resolution Adjudication: Independently... ...denials and expedite claim payments. Documentation:...ClaimsWork at office
- ...persistence and zealous representation. We have achieved successful resolutions in some of the most challenging cases in the industry,... ...oriented. The individual will be able to assist with mass tort claims and the verification of claimants information. This position presents...Claims
$61k - $107k
...initial receipt of equipment to estimating, payment receipts, shipment and invoices. Monitor... ...provided to customers and/or warranty claims to be validated. Collaborate with the... ...Get notified about new Service Operations Specialist jobs in Deer Park, NY . Farmingdale, NY...ClaimsFull timeFor subcontractor$60.93 per hour
...Inspector Task Force Leader and identifies when technical expertise may be needed throughout the program delivery process. Supports the claims process by reviewing and validating damage details, scopes of work, and costs with the applicant. Participates in regular FEMA...ClaimsWork experience placementH1bImmediate startFlexible hours- ...including personal injury and property damage claims. The successful candidate will manage... ...liability claims from inception through resolution. Conduct thorough legal research using... ...negotiation strategies to resolve disputes efficiently while safeguarding client interests...Claims
$21.5 - $39.75 per hour
...marketplaces? We’re looking for an Ecommerce Specialist to join our growing team and help drive... ..., ingredients, usage instructions, claims, and key selling points. Support new product... ...with documentation requests and issue resolution. Support Amazon UK and EU marketplace...ClaimsHourly paySummer workSeasonal workVisa sponsorshipRelocation package$72k - $141k
...under broad authority to manage commercial claims of high complexity and exposure within... ...coordinating all aspects of the claim resolution process in accordance with company guidelines... ...settlement packages, and authorizes payment within scope of authority, settling claims...ClaimsFull timeWork experience placementWork at officeFlexible hours- ...Revenue Cycle Specialist This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market... ...the revenue cycle process, including pre-submission review, claim submission, and follow-up. Under the direction of the Billing Manager...ClaimsFlexible hours
$21 - $24 per hour
...payors Follow up with insurance companies on unpaid or denied claims Resolve claim errors and re-submit claims as appropriate for reimbursement... ...and report payer issues relating to denial trends or change in payments Recommend account adjustments as appropriate Maintain...ClaimsFull timeLocal areaMonday to Friday- ...vital for ensuring accurate patient billing, claims processing, and reimbursement for... ...workflows of the organization. Maintain the Resolute Professional Billing module to manage... ...such as maintaining claim scrubbers and payment processors. Troubleshoot system errors...ClaimsFull timeWork at office
$72k - $141k
...package.We are currently seeking a Complex Claims Consultant in our Financial Lines Claims... ...investigations, develop and employ resolution strategies, and authorize disbursements... ...manage complex litigation and authorizing payments within scope of authority. Directly negotiates...ClaimsFull timeWork experience placementWork at officeLocal areaShift work$193.16k - $314.62k
...digital onboarding, everyday servicing, payments and transfers, and the online and... ...session help and secure messaging, and dispute resolution. Define metric definitions, control group... ..., and reporting cadence so performance claims withstand review by Finance. Hold each...ClaimsLocal area- ...network staff, hospital staff, and managed care companies. Resolves issues related to credentialing, managed care participation, claims payment, demographic changes, referrals, and accessibility. Responds to physician requests, provides updates and resolves issues....ClaimsHourly payContract work
$100k - $171k
...policyholders in moderately complex civil litigation matters involving claims for monetary damages or compensation for personal injuries or... ...supervision, you will manage cases from inception through resolution, applying your legal knowledge, research skills, and client...ClaimsFull timeLocal areaRemote workFlexible hours- ...accurately preparing, submitting, and following up on medical claims to ensure timely reimbursement while maintaining compliance with... ...up on unpaid, delayed, or rejected claims. · Review insurance payments to ensure reimbursement complies with contracted payer...ClaimsWork at office
- ...Medical Accounts Receivable Specialist to support revenue cycle operations... ...outstanding balances, apply payments accurately, and follow... ...balances to identify unpaid claims and prioritize follow-up activities... ...action to support timely resolution. • Prepare and submit billing...ClaimsPermanent employmentContract workWork at office
- ...Billing SpecialistBilling Specialist I primary responsibilities are Account Receivable follow... ...resolve any denied or unpaid insurance claims.2+ years' experience performing Account... ...Review and Process Rejected claims.Post Payments and process remittances.Effective communication...ClaimsFull timeTemporary workWork at office
- ...accounts to make sure information is correct before billing. • Verify insurance, policy and claim information, billing addresses, and patient eligibility. • Handle charge entry, payment posting, collections, and accounts receivable (A/R). • Follow up with insurance...ClaimsFull timeSummer workWork at officeMonday to Friday
$42.5k - $55k
...Services Division. This position assists with claims management, insurance verification,... ...credentialing, authorization tracking, payment follow-up, and coordination related to clinic... .... Assist with denial management and resolution of billing issues. Track prior...ClaimsFull timeWork at office$85k - $105k
...partner, total performanceCarson Smithfield: Resolution with respectWith nearly 40 years of... ...the industry’s most complex credit and payment challenges. And we believe that excellent... ...Position Summary and Role Impact:The Senior Specialist, Communications supports the planning,...- ...corporations, and insurance carriers in a variety of disputes. The associate will handle cases from inception through resolution, with increasing autonomy based on experience... ...Construction accident / Labor Law claims Personal injury defense Commercial and tort...ClaimsLocal area
$85k - $165k
...regional companies and insurance carriers in all aspects of business counseling, risk assessment and dispute resolution including representation in various types of claims, controversies and litigation involving personal and other injuries, property damage, contract...ClaimsContract workImmediate startFlexible hours- ...service. We handle litigation arising from claims asserted against policyholders or the... ...techniques to try cases to verdict or negotiate resolution.Conduct proficient to advanced legal... ...Savings Program. When you make a payment toward your student loan, Travelers will...ClaimsFull timeWork at officeLocal areaFlexible hours
$65k - $70k
...verification and preparation of independent dispute resolution reviews from external state and... ...coding standards and regulations to the claims and clinical data. • Provide subject... ...(RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician...ClaimsHourly payWork at office- ...direct handling of multi-line commercial claims including Auto, General Liability and... ...adequate reserves, litigation management, case resolution and transaction processing in alignment... ...’s recovery of specific amounts when payment exceeds the company’s retention....ClaimsContract workWork experience placement
$130k - $145k
...families who require world-class risk and claims management customized to their needs, a... ...be responsible for quality handling and resolution of property claims including complex,... ...Establish validity of claims submitted for payment through investigation, research and...ClaimsFull timeFor contractors
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