Revenue Cycle Claims Resolution Specialist
QualDerm Partners LLC
QualDerm Partners seeks a Revenue Cycle Management specialist to identify and resolve third-party payer rejections. You will enter bills/charges with input from certified coding team and monitor missing charges in coordination with RCM leadership. Responsibilities include correcting claims, submitting electronically, contacting payers when needed, and reporting trends to improve submission success. Join a female-founded dermatology network dedicated to quality patient care. #J-18808-Ljbffr QualDerm Partners LLC
- EnableComp is seeking a Resolution Analyst to bridge client contacts with the denials and underpayment appeals process. You will manage... ...have 5+ years in healthcare billing, strong knowledge of revenue cycle concepts, and proven client-facing abilities. #J-18808-Ljbffr...Suggested
$100k - $150k
...dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We... ...We are seeking an experienced manager to lead our growing Claims Resolution function. This role requires strong management skills,...SuggestedTemporary workFlexible hoursShift work- ...Reserv is an insurtech focused on AI-driven claims processes and remote-first operations. We seek a Resolution Specialist to educate customers, triage claims, and drive efficient resolution across transportation-related claims. The role collaborates with product, engineering...SuggestedRemote work
- Trinity Health is seeking a Customer Service specialist for its Patient Business Services (PBS) department. This remote role covers day... ...with supervisors to ensure excellent customer satisfaction in a hospital revenue cycle setting. #J-18808-Ljbffr Trinity HealthSuggestedRemote jobDay shift
- Reserv is seeking a Resolution Specialist to support a remote-first claims operation focused on transportation-related auto claims. You will handle calls, guide claimants through the process, triage inventory, and collaborate with product and engineering teams to drive...SuggestedRemote job
- Root Insurance is seeking an Early Injury Resolution Adjuster to help enforce fairness in auto claims across the United States. You’ll evaluate coverage, liability, and settlements while maintaining an efficient, empathetic claims process. In this remote role, you will...Remote work
- Privia Health is seeking a Medical Claims Specialist (AR Manager) for a hybrid full-time role based in Houston, TX. In-office... ...days typically remote; you will manage denial and claim resolution within the Revenue Cycle Management team. You will collaborate with internal...Full timeWork at officeRemote work
- MetroPlus in New York is looking for a Claims Service Correspondent responsible for providing accurate responses to claim inquiries from healthcare providers. This role involves coordination with multiple departments and resolving issues professionally. Qualifications...
$24 - $26.45 per hour
...conferences. Under the direction of the Manager of Revenue Cycle Management, the Medical Claims Specialist (AR Manager) is responsible for complete, accurate... ...issues or questions that rise to the RCM team. Resolution of SalesForce cases and management of issues and the...Hourly payFull timeContract workWork at officeLocal areaRemote workHome office$300 per month
...to be a part of? At Norwood we’re forging our own path. We’re a remote-first staffing and consulting company specializing in mid-revenue cycle management within the healthcare industry. Our team of experts have delivered meaningful improvements to our partners with...Full timeWork at officeLocal areaRemote workFlexible hoursWeekend work- ...across the United States. We are expanding and seeking an underwriter to price, underwrite, and manage a growing portfolio within the Revenue-Based Finance sector. This role is based at our 180 Maiden Lane office in NYC and requires five days in the office. You will...Work at office
$80k - $95k
A leading insurance staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring 5-10+ years of relevant experience and an active adjuster’s license. The position offers a competitive salary...Remote job- 1199SEIU is seeking a healthcare claims processor to review hospital claims, determine actions to resolve pended items, and process claims using the QNXT system. You will validate data, ensure eligibility and benefits coverage, apply pre-authorization rules and contractual...
$54k - $103k
...defined authority limits, to manage commercial claims with moderate to high complexity and... ...investigations, develop and employ resolution strategies, and authorize disbursements within... ...business partners, achieving quality and cycle time standards, providing regular, timely...Work experience placementWork at officeLocal area$71.44k - $87.31k
...Job Title Manage claims adjudication by identifying contractual variances between posted and expected reimbursement... ...trends and be part of the team that works towards resolution and improvement of the revenue cycle processes. Directly manage and resolve all assigned...Work experience placement$83k - $154k
...Time Salary Range: USD $83000.00 - $154000.00 Job Category: Claims Description Liberty Mutual's Specialized Claims group has... ...and outside counsel, and driving timely, defensible resolutions for our Construction Industry accounts. (Note: this role does...Full timeWork at officeLocal areaImmediate startRemote workHome office- ...directly handle lawyers' and accountant's professional liability claims. What you will do: Be responsible for primary and... ...engineers professional liability claims from first notice through resolution, including coverage evaluation and litigation management....Remote workWeekend work
$80k - $95k
...Claims Specialist Atlanta, Georgia, United States; New York, New York, United States At-Bay is the world's first InsurSec provider designed... ...five years coming from small and mid-size businesses with revenue under $2B, providing an integrated solution to help manage...$72k - $141k
...with these key customers. Our Healthcare Claims team is seeking Complex Claims Consultants... ...overall investigation, management and resolution of claims in multiple states within your... ...professionally and effectively, achieving quality and cycle time standards, providing timely updates...Full timeWork experience placementWork at officeLocal areaFlexible hoursShift work$18 - $22 per hour
...Job Description Title: Authorizations Specialist The Impact You Will Have: Liberty... ...and technicians, and ensuring all claims adhere to company guidelines, ultimately... ...contributing to the satisfaction and timely resolution of our customers' needs. Your duties...Work at officeFlexible hours$150k - $200k
Claims Specialist, Transactional Liability Department: Claims Employment Type: Permanent - Full Time Location: US - New York Reporting... ...Transaction Liability claims from first notification through to resolution. You’ll apply strong technical judgement and commercial...Permanent employmentFull time$100k - $150k
...Coach, train, and performance-manage underwriters. - Partner with revenue/production leadership to improve conversion quality. - Monitor... ...risk controls. - Strong judgment, communication, and conflict-resolution skills. - Track record of improving team consistency and...Full time$20 - $26 per hour
Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya Care is a venture‑backed startup with a mission... .... If something’s off track, raise it early and drive it to resolution. Be the expert in your craft: Strive to deeply understand your...Full timePrivate practiceRemote workShift work- ...and expert guidance. About the Role Reporting to the Senior Claims Specialist, you will work closely with the Underwriting and Middle... ...timely and adequate case reserves and work toward the prompt resolution of claims. Work closely with the Middle Office/Operations Team...Contract workWork at office
$69.6k - $92.4k
...Summit is who you turn to when you need a specialist who not only knows workers’ comp but... ...Responsibilities Manages an inventory of claims to evaluate compensability/liability. Plans... ...prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication...Full timePart timeSeasonal workWork at officeRemote work- Job Title: Customer Service Representative - Healthcare Claims Pay Rate: $25 to $30/hr. on W2 Job Summary We are seeking a dedicated... ..., and collaborating with internal departments to ensure timely resolution of inquiries. The ideal candidate will have strong communication...Work at officeLocal area
$100k - $170k
...Berkshire Hathaway GUARD Insurance Companies is seeking a Habitability Claims Adjuster to manage litigated California habitability claims... ...California habitability claims from assignment through resolution. Analyze coverage, liability and damages exposure and determine...Work at officeRemote workWeekend work$140k - $170k
We are seeking an experienced and highly skilled Complex Casualty Claims Specialist to join our claims team. This role is responsible for the investigation, evaluation, and resolution of high-severity and high-exposure excess casualty claims, including those involving complex...- EMC Insurance seeks a seasoned claims professional to manage casualty claims from notice through resolution. You will verify coverage, obtain statements, and document in the system while upholding regulatory requirements and company policies. Responsibilities include setting...
$55k - $60k
Posting Description Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for... ...call handling of call transfers to provide claims issue resolution. Experience: Prior claims adjudication experience. Active...Full timeTemporary workPart timeWork experience placementLocal areaRemote work
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