Claims Resolution Specialist
Virtual Vocations Inc
Making high-volume outbound calls to investigate and maximize insurance payments, the full-time remote Claims Resolution Specialist will research auto accident details, confirm payer information, and submit accurate bills to ensure timely payments for client hospitals and medical providers. Key responsibilities Research and investigate auto accident details to determine the responsible payer Make frequent outbound calls to patients, insurance representatives, and attorneys to confirm payer information Investigate denied or underpaid claims, determine next steps, and resubmit for additional payment Required qualifications Experience with Coordination of Benefits and a general understanding of insurance billing (preferred but not required) Proficiency in Microsoft Office (Word, Excel, Outlook) Ability to work on multiple computer screens and software applications simultaneously Experience in a fast-paced, high outbound call center environment Strong organizational skills and ability to multitask effectively
- ...Claims Resolution Specialist The Claims Resolution Specialist plays a critical role in the healthcare revenue cycle by ensuring the accurate and timely submission and resolution of insurance and patient claims. This position is responsible for claim billing, follow...SuggestedWork at officeRemote work
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections, denials, edits, and reimbursement issues across a multi-site, multi-specialty healthcare organization specializing in pain...SuggestedHourly payRemote work- ...Claims Resolution SpecialistDo you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance...SuggestedFull timeContract workCasual workWork at officeMonday to FridayFlexible hoursDay shift
- ...PURPOSE STATEMENT The Claims Resolution Specialist is responsible for the accurate and timely submission of healthcare claims for hospital (facility) and/or physician (professional) services. This role ensures claims are properly prepared, validated, and released from...SuggestedWork at office
- ...Claims Resolution SpecialistAdvantia is seeking a Claims Resolution Specialist to join our team! As a Claims Resolution Specialist, you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role demands...Suggested
- ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution of third-party insurance claims to ensure correct reimbursement for services rendered. This position reviews assigned...Part timeWork experience placementWork at officeRemote workMonday to FridayShift work
- Digitech is seeking a detail-oriented Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. This remote role requires reviewing pending/denied claims and following through to payment, with strong analytical...Remote workMonday to Friday
- ...Description Job Description Job Summary: We are seeking an experienced and highly motivated Independent Dispute Resolution (IDR) Claims / OON Specialist to join our team. This role requires expertise in medical billing, collection, and appeals and a strong...
- ...Job Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections, denials, edits, and reimbursement issues across a multi-site, multi-specialty healthcare organization specializing...Remote work
- ...Were Hiring: Billing & Coding Specialist (Hospital Claims Analyst) Looking for your next opportunity in hospital billing, coding, and claims resolution? This is a high-paying, research-intensive role with incredible perks perfect for an experienced professional who loves...Casual work
$18.21 - $26.21 per hour
...Claims Resolution Specialist - Patient Financial Services Job Category: Finance Full-Time On-site Patient Financial Services 1300 Egg Harbor Rd Sturgeon Bay, WI 54235, USA Pay or shift range: $18.21 USD to $26.21 USD The estimated range is the budgeted...Full timeMonday to FridayShift work- ...WC Claims Resolution Specialist Special Risk Policyholders Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a...Work at officeLocal areaFlexible hoursNight shift2 days per week
$26.5k - $37.8k
...contributions and puts a premium on work flexibility, learning, and career development. Summary As a Healthcare Claims Resolution Specialist - Remote US at Gainwell, you will support cost recovery efforts by working with insurance carriers, providers, and...Full timeWork at officeRemote workFlexible hoursShift work- ...UniGroup, Inc. is seeking a Claims Service Representative to reunite customers with items reported during the moving process. Based on-site at the Des Peres, Missouri headquarters, you will investigate overages/shortages and coordinate across customers, agents, and internal...
$21.68 - $24.4 per hour
...from providers, via email and calls coming in the phone queue Collaborate with Provider Relations on contracted and noncontracted claims Email correspondence with vendors and providers to verify data, obtain invoices, retrieve missing claims, and/or missing data Record...Contract workTemporary work- ...Engineered Floors is seeking a Claims Analyst to partner with internal teams, customers, and vendors to address account reconciliation issues and resolve claims efficiently. You will research claims, chargebacks, and disputed invoices, support the Credit Department to...
- ...regulatory billing and compliance regulations/policies for Medicare & MedicaidWorking knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.Enough knowledge of policies and procedures...Work at office
- ...where they can learn from each other and solve the world’s most complex client challenges.You are:An experienced Epic Resolute Professional Billing and Claims Certified ConsultantThe Work:Depending on the client engagement, the candidate will be responsible for...Full timeWork experience placementLive inWork at officeLocal area3 days per week
$54.1k - $81.2k
...Claims Resolution Consultant The Claims Resolution Consultant serves as a subject matter expert in Stop Loss medical claims and is the primary point of contact for complex claim inquiries, escalations, and resolution support. This role combines deep technical expertise...Contract workFlexible hours$35k - $50k
...Medical Claims Resolution Analyst - Remote US Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity...Full timeWork at officeRemote workMonday to FridayFlexible hours$21 - $24 per hour
...Job Description Job Description Dental Claims Resolution Specialist - Full-Time Monsey, NY (On-site) $21-$24/hour | Full-Time Keep Claims Moving. Keep Our Practices Running Strong. Our organization operates a growing network of dental practices across New York...Full timeMonday to FridayShift work$61k - $113k
...USD $61000.00 - $113000.00 Job Category: Claims Description Are you looking for an... ...opening for a Workers Compensation Claims Specialist within the West Region! As a Workers Compensation... ...to ensure a timely and cost-effective resolution; attends trials as a representative of...Full timeWork experience placementLocal areaRemote work$35k - $50k
...Medical Claims Resolution Analyst - Remote US Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions...Remote jobFull timeWork at officeMonday to FridayFlexible hours$69.4k - $99k
...Location US-MI-Bloomfield Job Category Claims and Investigation Position Type... ...team as a Property Field Inspection Claim Specialist and showcase your expertise in handling... ...concerns about ongoing inspections or claim resolutions Provide exceptional customer service...Full timeWork at officeLocal areaRemote workWork from homeFlexible hours$78.68k - $132.69k
...about why you want to be here! PURPOSE OF THE JOB The Claims Specialist position is responsible for handling complex claims with a focus... ...for stakeholders in order to drive claims to an equitable resolution within Company standards. The Claims Specialist works with a...Full timeWork at officeLocal areaRemote work- ...Job Summary : The Claim Review Specialist is responsible for the intake, review, and processing of workers' compensation claims while providing... ...with team members to facilitate effective claim resolution. Principal Duties & Responsibilities: Reports directly...Work at officeImmediate startRemote work
$28 per hour
...Title: Claims Specialist Location: Remote Duration: 03-06 months contract position Shift: Mon to Fri between 7 am to 7 pm AZ time... ...inpatient and outpatient services, as it relates to claims inquiry, resolution, audit, and related functions. Applies clinical, coding, and...Contract workFor subcontractorInterim roleRemote workShift work- ...program. Scope and Purpose: ManhattanLife is seeking a Claims Specialist for our office located in De Pere, WI . This role directly... ...with the law. Make decisions and ensure the successful resolution of inquiries and complaints by preparing accurate and timely...Contract workWork at officeImmediate startFlexible hours
- ...Summit is who you turn to when you need a specialist who not only knows workers’ comp but... ...Responsibilities Manages a large inventory of complex claims to evaluate compensability/liability.... ...prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and...Full timePart timeSeasonal workWork at officeRemote work
- ...To support a dynamic claims team, the full-time remote Claims Specialist II will manage the claims process for vehicle and property damage, ensuring excellent... ...with legal counsel and other departments for resolution Required Qualifications High school diploma or equivalent...Full timeRemote work
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