Commercial Payers Claims Resolution Specialist
Sturdy Memorial Hospital
Sturdy Memorial Hospital in Attleboro, MA, is looking for a dedicated professional for third-party billing functions. The role involves resolving claim denials, utilizing Cerner and SSI systems effectively, and ensuring correct reimbursement. The ideal candidate will possess excellent communication skills, be able to multi-task in a team environment, and have at least 2 years of hospital billing experience. This position offers a competitive salary range and comprehensive benefits. #J-18808-Ljbffr Sturdy Memorial Hospital
$19.85 - $30.05 per hour
...requirements. Responsible for all aspects of hospital/professional claim review and resolution. Education & Experience High School Diploma or equivalent... ...follow‑up reports and identify repeat claim errors by payer. Take appropriate action on delinquent accounts and report...CommercialHourly pay$19.85 - $30.05 per hour
...Third Party Billing Specialist Scheduled weekly hours: 40 Perform third party... ...all aspects of hospital/professional claim review and resolution. Education High school diploma... ...reports. Identify repeat claim errors by payer. Take appropriate action on...CommercialFull time$121k - $140k
...Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance... ...bodily injury claims under commercial general liability policies. Conducting... ...levels. Developing and implementing resolution strategies to achieve high quality outcomes...CommercialTemporary workFor contractorsWork at officeRemote work3 days per week$100k
...meet the unique coverage and claims-handling needs of businesses... ...Defect Technical Claims Specialist Employment Type: Full-Time... ...financial outcome and timely resolution. Properly setting claim... ...related experience adjudicating commercial general liability bodily...CommercialFull timeLocal areaRemote work$59.9k - $98.2k
Workers Compensation Claims Specialist II 133801 Zurich is seeking an experienced Workman’s Compensation... ...will handle single and multi-party commercial line Workman’s Compensation claims of... ...the coverage. Work to have a timely resolution to claims by developing case strategy;...CommercialFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...Commercial Liability Claims Examiner | Auto, General Liability & Product Liability | Nationwide Jurisdictions | Licensing Required PRIMARY PURPOSE... ...well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine...CommercialWork at officeRemote workFlexible hours
$50k - $55k
...Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF... ...the file towards prompt and appropriate resolution. Identifies and pursues subrogation... ...position. Familiarity with personal and commercial lines policies and endorsements Ability...CommercialContract workWork at officeFlexible hours$85k - $100k
...Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI |... ...Liability Claims Examiner working within commercial (captive) insurance program(s) ? Are you... ...action plans to an appropriate and timely resolution. Assesses liability and resolves claims...CommercialWork at officeLocal areaRemote workWork from homeFlexible hours$75k - $85k
...Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury |... ...process complex bodily injury auto and commercial transportation claims by reviewing coverage... ...managing damages, while ensuring timely resolution within service expectations, industry best...CommercialWork at officeLocal areaFlexible hours$19.85 - $30.05 per hour
...Sturdy Memorial Hospital in Attleboro seeks a third-party billing specialist for their Medicare team. This role involves claim review, resolution, and maintaining accuracy in billing operations. Candidates should have at least 2 years of billing experience and excellent...Hourly pay- ...Job Title: Payer Enrollment Coordinator Work Mode: Onsite Duration: 6 Month (Possible Extension... ...: Complete Medicare, Medicaid, and commercial payer enrollment applications for... ...regional directors to resolve enrollment/claims issues. Manage payer web portal access and...Commercial
- ...Sedgwick is seeking a Commercial Liability Claims Examiner in Providence, RI or remote to analyze Auto, General Liability, and Product Liability claims. Your role will involve processing claims and negotiating settlements while ensuring adherence to service expectations...CommercialRemote work
$61.04k - $111.21k
...OES Sales Specialist Sensata Technologies is looking for an OES Sales Specialist in the... ...growth areas in the company - the Commercial Equipment (CE) business. The primary responsibility... ...OEM platforms and regions Supports resolution of service‑specific commercial issues...CommercialTemporary workWork experience placementWork at officeFlexible hoursShift work$70.9k
...Description Summary Experienced with handling Auto Liability claims to include under Ryder's self-insured, self-administered... ...contracts. Customer focused and self-motivated. Experience with Commercial Auto claims is a plus. ESSENTIAL FUNCTIONS Investigates and...CommercialFull timeRemote work- ...A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters... ...as well as first party automobile claims for personal and commercial insurance policyholders. Position Summary: A national independent...CommercialImmediate startRemote work
$55k - $75k
...appropriate follow-up in tracking system for claims team to handle. Maintain files in... ...members to ensure appropriate and timely resolution, as needed. Qualifications and Requirements... ...experience or 4+ years of P&C Commercial Lines industry experience. High School...CommercialFull timeTemporary workInterim roleWork at officeLocal areaFlexible hours$50k - $55k
...Sedgwick is seeking a Claims Representative for a remote position to analyze and process auto and transportation claims. The ideal candidate... ...processing property damage claims, developing action plans for resolution, and maintaining professional client relations. Salary ranges...Remote work- ...relatively complex and/or extensive commercial property claims in a variety of business classes. The... ..., police and fire investigators, specialists, accountants, and others to fully and... ...and investigative skills. Conflict resolution and negotiation abilities Highly...CommercialWork at officeNight shiftWeekend workAfternoon shift
$107.6k - $161.4k
...Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages... ...authority levels; Developing and implementing resolution strategies to achieve high quality outcomes; Proactively...Temporary workWork at officeRemote work3 days per week- ...education, assistance, and issue resolution with healthcare providers (... ...networks, provider and payer dynamics, and socioeconomic factors... ..., reimbursement processes, claims submissions, procedures, and... ...Medicare, Medicaid Managed Care, Commercial). Execute business in...CommercialPermanent employmentFull timeWork at officeLocal area
$80k - $100k
...customers in the healthcare, school, university, military, and commercial building setting? We provide unsurpassed security and life-... ...distributor product/solution training sessions. Coordinate the resolution of product and field service issues. Manage brand shelf space...CommercialContract workWork experience placementWork at officeHome office$70k - $90k
...Insurance Office of America is seeking an Account Manager - Commercial Lines for a fully remote position. This role involves managing an assigned book of business, ensuring account retention, and supporting new business initiatives. The ideal candidate has 5 years of...CommercialRemote work$116k - $151k
...patients. Position Summary The Manager Payer Analytics & Operations is a key contributor... ...Pricing & Contracting, Patient Services, Commercial Operations, and IT to deliver actionable... ...patient access. Generate insights from claims, hub, and patient services data to identify...CommercialTemporary workWork experience placementRemote work$90k - $120k
...including litigation, title curative / title claims, and post‑judgment litigation (with... ...identify potential title issues and assess resolution options. Conduct legal research. Draft... ...in the area of residential or commercial real estate, foreclosure, FDCPA, RESPA,...Commercial- ...Specialty to enhance AI training data through your extensive underwriting expertise. This remote position requires 4–5+ years in commercial and specialty insurance.Key responsibilities include evaluating complex risks, analyzing coverage, and ensuring compliance with industry...CommercialRemote work
- ...The ideal candidate understands complex selling cycles, long commercialization timelines, and the technical, quality, and regulatory... ...selection, trials, qualifications, commercialization, and issue resolution. Translate customer performance, processing, and compliance...CommercialContract workWork at officeLocal areaRemote work
$68k - $80k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Comp This role requires direct experience... ...Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim...Contract workFlexible hours- ...Global Program Management Director in Attleboro, MA. This role is pivotal for overseeing end-to-end program execution across the full Commercial Equipment portfolio. You will lead various initiatives, ensuring alignment with client needs and market trends. You'll be...Commercial
- New Day Executive Search is looking for a detail-oriented Commercial Lines Account Manager in Pawtucket, Rhode Island. The role focuses on managing commercial accounts and delivering exceptional client service, ensuring smooth renewals, and supporting account growth. Ideal...CommercialFlexible hours
- Nbutexas in Pawtucket, Rhode Island, is seeking a detail-oriented Commercial Lines Account Manager to manage and service a diverse book of business. This role emphasizes exceptional client service and supporting account growth in a fast-paced agency environment. The ideal...CommercialFlexible hours
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