Senior Claims A/R & Denial Escalations Lead (CPC)
Allied Digestive Health
Allied Digestive Health is seeking a Claims A/R and Denial Analyst Escalations – CPC Lead for its Central Business Office in West Long Branch, NJ. The role requires expert knowledge of coding guidelines, payer policies, denials management, and claims processing to ensure accurate adjudication and timely payments. The incumbent will review denials, support denial-prevention strategies, perform chart reviews, and lead escalation efforts across complex A/R projects. #J-18808-Ljbffr Allied Digestive Health
- ...Description Job Description We are hiring for a Claims A/R and Denial Analyst Escalations – CPC Lead at our Central Business Office in West Long Branch,... ...trends and communicate findings to AR management and senior leadership. • Conduct follow-up with Medicare and...ClaimsWork at officeMonday to Friday
- Albany Gastroenterology Consultants in West Long Branch, NJ is hiring a Claims A/R and Denial Analyst Escalations - CPC Lead. The role focuses on denials management, coding review, and high-level A/R projects to ensure timely, compliant payments. Qualifications include...ClaimsFull time
- AXIS (AXIS Capital) is seeking an Accident and Health Senior Claims Specialist in Red Bank, New Jersey. This role involves handling senior claims expertise across various product lines and requires strong knowledge of medical claims and cost containment strategies. Successful...SeniorClaimsWork at office
- ...Description Description: The Senior Customer Experience Manager (... ...products sold by Aspire, leads clients through Strategic Business... .... • Serve as a point of escalation, partnering with internal... ...determine where incentives can be claimed. • Coordinate the resources...SeniorClaims
- ...accurate and timely submission of claims, processing payments, and... ...claims and investigate reasons for denials.Generate and send out patient... ...medical billing and coding (CPC, CCS-P) preferred.Minimum of 2... ...excellence in eye care. As a leading provider of comprehensive eye...ClaimsLocal areaImmediate startMonday to FridayAfternoon shift
- ...from operative reports and physician documentation, collaborating with clinical and billing teams to ensure timely claim submissions. Ideal candidates have CPC/CPC-A/CCS certification and 1-2+ years of medical coding experience, with strong CPT/ICD-10 knowledge and Excel...Claims
- AXIS Capital, a leading provider of specialty insurance and global reinsurance, seeks a Senior Claims Specialist - Casualty Programs to join our North America Programs Claims team. You will report to the Claims Manager, Casualty Programs Claims and focus on complex casualty...SeniorClaims
- AXIS Capital is seeking a Senior Claims Specialist, Casualty Programs to join our North America Programs Claims team in the United States. You will manage complex casualty program claims, with emphasis on New York Labor Law, Construction, and complex disputes. You will...SeniorClaims
$78k - $107.25k
Markel Corporation is seeking a Senior Claims Examiner to manage claims from coverage inquiry through to resolution. This role involves analyzing claims, conducting investigations, and negotiating settlements. The ideal candidate will have a Bachelor’s degree with at least...SeniorClaims- Markel Group is seeking a Senior Claims Examiner to resolve moderate to high complexity claims with oversight-based authority. The role handles coverage analysis, liability assessment, and quantum evaluation, coordinating with internal and external stakeholders to mitigate...SeniorClaims
- AXIS Capital is seeking a Senior Claims Specialist for Property Programs Claims in North America. This role reports to the Head of Property Program Claims and oversees complex property claims with TPA involvement, ensuring robust reserves, coverage positions, and alignment...SeniorClaims
$140k - $160k
AXIS (AXIS Capital) is seeking a Senior Claims Specialist in Red Bank, NJ. This role involves assessing claims, analyzing coverage, and enhancing claims processing efficiency. Candidates should have expertise in claims management, the ability to mentor peers, and a commitment...SeniorClaimsWork at office3 days per week$26.44 per hour
...Monday-Friday 8:00AM-4:30PM (40hrs) The Senior Billing Specialist is a key position in the... .... This individual manages the electronic claims process, including accurate and timely... ...appropriate programs, front desk staff, remit, denial management and insurance verifications...SeniorClaimsHourly payMonday to Friday- AXIS Capital is looking for a Senior Claims Specialist in Red Bank, New Jersey. This role is part of our Excess Casualty Claims team, ensuring excellent client service and risk management. We seek skilled professionals who excel in a fast-paced environment and contribute...SeniorClaims
- AXIS Capital is seeking a Portfolio Lead to oversee Claims and Corporate strategic investments. You will blend project management with business... ...maintain roadmaps, budgets, and risk, and collaborate with senior leaders to drive strategic launches. You will work in a hybrid...Claims
- AXIS Capital in Red Bank, NJ, seeks a Portfolio Lead to oversee claims and corporate strategic investment portfolios, driving planning, governance... ...Delivery, Data & Analytics, AI and COE teams while engaging senior leaders to shape and launch programs. Responsibilities...Claims
- Senior Claims Specialist, Excess Casualty Claims - NA page is loaded## Senior Claims Specialist, Excess Casualty Claims - NAlocations: New York, NY: Alpharetta, GA: Chicago, IL: Red Bank, New Jersey: Short Hills, NJtime type: Full timeposted on: Posted Todayjob requisition...SeniorClaims
$90k - $105k
CPC Behavioral Healthcare is seeking a Senior Program Coordinator for their Freehold location. The role involves providing clinical, administrative, and operational leadership for outpatient mental health services. Key responsibilities include supervising staff, ensuring...Senior- Solarlandscape in Asbury Park is looking for a Senior Accounts Payable Associate to enhance the Procure-to-Pay process. You'll partner with the Director of Accounts Payable, mentor junior members, and manage complex AP issues. The position requires strong analytical skills...SeniorFlexible hours
- ...Job Description Description: As the Senior Benefits Account Manager at The Competitive... ...Companies (TCAC), you’ll play a dual role — leading by example in the management of your own... ...client and employee issues related to claims, billing, and eligibility, serving as a trusted...SeniorClaimsWork at office
$137.5k - $229k
...laws that govern our operations. Role Overview The Portfolio Lead oversees the Claims and Corporate strategic investment portfolios, providing a... ..., Data & Analytics, AI and COE teams while engaging senior leaders to shape and launch initiatives. Key Responsibilities...ClaimsWork at office3 days per week- A New Jersey law firm is looking for a Supervising Civil Litigation Paralegal to lead a dynamic litigation team. In this role, you will manage a caseload of cases, provide oversight to paralegals, and ensure quality throughout the process. You will also prepare legal documents...SeniorWork at office
$53.9k
...Forster Company Overview Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard... ...team. This is position will interact internally with Claims, Policy, Digital Transformation, IT, Actuarial and externally with...SeniorClaimsRemote work$125k - $145k
...basis prohibited by the laws that govern its operations. AXIS Capital, Senior Claims Specialist – Casualty Programs About AXIS This is your opportunity to join AXIS Capital – a leading provider of specialty insurance and global reinsurance. We give people and...SeniorClaimsFull timeFor contractors- Kiely Family of Companies is seeking a Senior Estimator to bid cost estimates for utility projects and manage them through construction. This role involves developing schedules, costs and applying construction principles for heavy underground water resources projects....SeniorFull timeFor contractors
- ...primary purpose of this job is to handle claims from coverage enquiry through legal liability... ...authority. Present at roundtables to senior claims leaders and underwriters on cases... ...on the business; may be assigned project lead for larger projects. Represent Markel at...SeniorClaimsContract workWork experience placementWork at office
$82.9k
...Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty... .../or certificates are properly issued.The Senior Compliance Analyst should be comfortable... ...), collaborating with Underwriting, Claims, Legal, and Actuarial to produce final quality...SeniorClaimsTemporary workWork experience placementWork at officeRemote work$19.95 - $21.95 per hour
A leading automotive retail company in New Jersey seeks a Commercial Parts Pro to enhance customer relationships and support sales growth. The ideal candidate will have expertise in automotive systems and parts, with responsibilities including customer service and Team...SeniorHourly payFull time$140k - $160k
...request for candidates taking part in the selection process. Role Senior Claims Specialist, Excess Casualty - North America Claims Job Code 13... ...Participating in mediations and attending trials as required. Leading initiatives to enhance claims processing efficiency and...SeniorClaimsWork at office3 days per week$25.77 per hour
...exceptional work environment where you can do the kind of work that leads to fulfillment and professional growth. Responsibilities... ...billing staff to assure intake order accuracy results in clean claims submission. Act as liaison between Intake, Warehouse Operations...SeniorClaimsHourly payDaily paidFull timePart timeApprenticeshipWork experience placementShift workNight shiftWeekend workAfternoon shift
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