Senior Insurance Claims & Denials Specialist
PFS Group
PFS Group, located in Houston, Texas, is seeking a Senior Insurance Representative to lead efforts in managing hospital or professional insurance claims. This role involves researching unpaid balances, correcting billing errors, and filing appeals. The ideal candidate will train new hires, ensure compliance with payer guidelines, and manage complex accounts effectively. The position requires at least three years of experience in revenue cycle management, particularly in insurance follow-up and denials. PFS Group offers a dynamic work environment with competitive benefits including medical, dental, and a matching 401(k). #J-18808-Ljbffr PFS Group
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...well. Whether you're managing claims, supporting clients, or... ...for fully remote work. The Senior Claims Specialist within GB Specialty is responsible... ...of rights and coverage denial letters. Negotiates... ...claims processing and the insurance brokerage business. Has a...SeniorFull timeLive outWork at officeLocal areaRemote workFlexible hours$100k
...underwriter of specialty insurance products in the property... ...the unique coverage and claims‑handling needs of... ...looking for a highly capable Senior Inland Marine Technical Claims Specialist to join our team and work... ...language use restrictions), denial of family and medical...SeniorFor contractorsLocal area- 9080508 Patient Account Specialist Senior-Onsite, Houston, TX, 3 Months Sigma... ...and/or professional claims, governmental and/or non-governmental... ...queues for follow-up and denials by engaging payor websites... ...College education, previous insurance company claims experience, and...SeniorInsurance claimsMonday to FridayShift work
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W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX... ...Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy.... ...any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication...Insurance claimsFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...Global Cargo Claims Specialist Job Category: Not in Use - RISK Requisition Number: GLOBA009125... ...system Report appropriate claims to the insurance carrier in a timely manner Develop action... ...Recognize and elevate claims to the Senior Manager that could have significant exposures...Insurance claimsFull timeWork at office
- ...to lead the identification and management of company-wide risks. The ideal candidate will manage insurance procurement, develop compliance policies, and oversee all claims and litigation processes. This role requires strong communication and relationship management skills...SeniorInsurance claims
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.../Competency: Operations Industry/Sector: Insurance Time Type: Full time Travel Requirements:... ...Opportunity As a Property & Casualty Insurance Claims Operations Consultant, Sr. Associate, you... ...achieve their strategic objectives. As a Senior Associate, you will focus on building...SeniorInsurance claimsFull timeH1b- PFS Group in Houston, TX is looking for an Insurance Recovery Representative to join their specialized float team. Your role will involve... ...efficient operation and reimbursement of hospital insurance claims by addressing unpaid balances and correcting billing errors. Ideal...Insurance claims
- BRSi is seeking a Health Recovery Support Specialist in Houston, Texas. The role involves verifying health insurance claims, obtaining claim status, and maintaining accurate information in systems. The ideal candidate will be detail-oriented and computer literate, with...Insurance claims
- BRSi, LP is seeking a Health Recovery Support Specialist in Houston, Texas. This role involves verifying health insurance billing, obtaining claim statuses, and managing appeals while ensuring accuracy in data entry. The ideal candidate is detail-oriented and proficient...Insurance claims
- ...Job Description TITLE: Senior Property Adjuster DEPARTMENT : EMA Loss Adjusting REPORTS TO: Claims Manager STATUS: Regular, Full-Time, Exempt This is a field position... .... PRIMARY JOB RESPONSIBILITIES : Investigates insurance claims in any of a variety of settings, including...SeniorInsurance claimsFull timeWork at officeNight shiftWeekend workAfternoon shift
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- ...of third-party and private pay receivables. This position requires strong Epic experience and an extensive background working in insurance follow-up, ideally with physician billing experience. With a hybrid work schedule, employees will be onsite every Wednesday and remote...Insurance claimsRemote work
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Arthur J. Gallagher & Co. (AJG) is seeking a Senior Claims Specialist responsible for managing moderately complex Liability claims remotely. You'll handle the entire claim life cycle, ensuring compliance with client expectations and regulatory requirements. The ideal candidate...SeniorRemote job- W.R. Berkley in Houston, Texas is hiring a Sr. Technical Claims Specialist responsible for negotiating and resolving third party claims. The role involves managing the investigative process, collaborating with external parties, and evaluating claims to ensure compliance...SeniorFull time
- A Texas-based insurance firm is seeking a Claims Supervisor to provide oversight and coordination for client claims, ensuring exceptional service and effective communication with stakeholders. The ideal candidate will have over 5 years of claims experience and an active...Senior
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Arthur J. Gallagher & Co. (AJG) is seeking a Senior Claims Specialist responsible for managing Cyber claims. This role includes full claim lifecycle management, from analysis to resolution, ensuring compliance with client expectations and regulatory requirements. The ideal...SeniorRemote job$85.6k - $141.2k
...financial education organization based in Houston is seeking a Claims Adjuster to handle General Liability claims. This position involves... ...0 - $141,200, with excellent benefits including comprehensive health insurance and generous paid time off. #J-18808-Ljbffr CFA InstituteSenior- Argo Group in Houston is seeking a Senior Inland Marine Technical Claims Specialist to adjudicate complex claims such as Builder’s Risk and Motor Truck Cargo. This in-office role requires a strong focus on execution and effective communication skills. The ideal candidate...SeniorWork at office
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- Medical Pathology Associates is seeking a Billing Specialist in Houston, Texas. The position involves accurately processing insurance claims, managing billing for pathology procedures, and ensuring effective communication with clients and insurance companies. Qualified...Insurance claims
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Progressive is seeking a Senior Claims Specialist to manage and resolve injury claims effectively. In this hybrid role, you will work closely with various stakeholders to investigate and determine claims related to accidents. The position requires strong negotiation skills...Senior
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