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  •  ...Claims Dispute Resolution Analyst Under the supervision of the Manager of Health Fund Operations, the Claims Dispute Resolution Analyst will be responsible for reviewing healthcare claims flagged under the "lesser of terms" payment principle and managing cases within... 
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    Building Service 32BJ Benefit Funds

    New York, NY
    1 day ago
  •  ...financially self‑sufficient and receives no financial support from Harris Health or from Harris County taxpayers. Job Summary The Claims Resolutions Analyst supports the review and resolution of payment disputes including in depth research and response to project related... 
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    340B Health

    Houston, TX
    3 days ago
  •  ...Bodily Injury Claims Specialist The Bodily Injury Claims Specialist will investigate, manage and resolve Bodily Injury claims assigned...  ...to various written, telephone and SMS text inquiries to pursue resolution of the claim. Ensures adequacy of reserves. Accountable... 
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    Liberty Mutual Insurance Group

    Indianapolis, IN
    13 hours ago
  • A healthcare organization in Houston, Texas is seeking a Claims Resolutions Analyst responsible for reviewing and resolving payment disputes. The ideal candidate will have at least five years of experience in claims payment and be proficient with Microsoft Office Suite... 
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    340B Health

    Houston, TX
    3 days ago
  • A healthcare organization located in Houston, Texas is seeking a Claims Resolutions Analyst to support the review and resolution of payment disputes. The role involves in-depth research, response preparation, tracking incorrect claims, and collaboration with leaders to... 
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    Academy of Managed Care Pharmacy

    Houston, TX
    4 days ago
  •  ...nonprofit health care organization is seeking an Epic HB/HB Claims Solutions Analyst. This role focuses on optimizing technical processes and resolving complex issues, requiring certification in Epic Resolute HB. Strong communication skills and at least five years of relevant... 
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    Courseific

    Portland, OR
    4 days ago
  •  ...learn from each other and solve the world’s most complex client challenges.You are:An experienced Epic Resolute Hospital Billing and Claims Certified Senior Analyst.The Work:Depending on the client engagement, the Epic Resolute Hospital Billing and Claims Sr Analyst will... 
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    3 days per week

    Accenture

    Atlanta, GA
    1 day ago
  •  ...managing patient Bone Marrow Transplant accounts. Submission of claims must be done in accordance with all regulatory factors. The...  ...rejected within a predetermined period and are impeding the prompt resolution of A/R. Contacts are via correspondence, telephone or meeting... 
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    University of Rochester

    Brockport, NY
    13 hours ago
  • $19.62 - $26.49 per hour

     ...receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches,...  ...Researches and calculates under or overpaid claims; determines final resolution. Contacts payers on incorrectly paid claims completing... 
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    Full time
    Local area
    Shift work

    University of Rochester

    Rochester, NY
    1 day ago
  •  ...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 comprehensive... 
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    Amerisure

    Phoenix, AZ
    3 days ago
  •  ...Claims Resolution Specialist The Claims Resolution Specialist's primary role is to resolve high volumes of aging insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available. This person should be detail oriented... 
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    Great Expressions Dental Centers

    Detroit, MI
    1 day ago
  •  ...Skilled Nursing Facility Ar Resolution Specialist A skilled nursing facility AR resolution specialist ensures the revenue for services...  ...office 1 day a week Responsibilities and duties: Obtaining claim status from insurance plans via phone and/or online portals... 
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    Full time
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    1 day per week

    Larry H. Miller Senior Health

    Sandy, UT
    1 day ago
  • $57.7k - $107.8k

    A leading healthcare organization is seeking a Systems Analyst to support and configure the Epic Resolute Professional Billing and Claims application. This role involves system analysis, user support, and addressing problems using Epic software. Candidates should possess... 
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    Highmark Health

    Phoenix, AZ
    4 days ago
  • A global consulting firm is seeking an experienced Epic Resolute Professional Billing and Claims Certified Senior Analyst in Columbus, OH. The role entails documenting business workflows, translating product requirements, and ensuring quality management. Ideal candidates... 
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    Accenture

    Columbus, OH
    1 day ago
  • A leading healthcare organization is seeking a Systems Administrator for the Epic Resolute Professional Billing and Claims application. This remote position requires 3 years of systems administration expertise, along with strong skills in analysis and communication. Candidates... 
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    Highmark Health

    Boise, ID
    4 days ago
  • A global consulting firm in Nashville is seeking an experienced Epic Resolute Professional Billing and Claims Certified Senior Analyst. In this role, you will be responsible for collaborating with teams to document workflows, analyze and design new business processes, and... 
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    3 days per week

    Accenture

    Nashville, TN
    1 day ago
  • $57.7k - $107.8k

    A leading healthcare organization is seeking an Epic Analyst to configure, roll out, and support the Epic Resolute Professional Billing and Claims application. This role requires strong systems analysis skills, with responsibilities including business requirements documentation... 
    Remote job

    Highmark Health

    Olympia, WA
    2 days ago
  • $15k - $20k

     ...Description We're Hiring: Billing & Coding Specialist (Hospital Claims Analyst) Dallas, TX (ONSITE) $60, 000-$80, 000/year +...  ...next opportunity in hospital billing, coding, and claims resolution ? This is a high-paying, research-intensive role with incredible... 
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    Phaxis

    Plano, TX
    1 day ago
  • A leading healthcare provider is seeking an Epic Billing Analyst to configure and support the Epic Resolute Professional Billing and Claims application. The role involves analyzing system requirements, educating users, and troubleshooting issues to enhance the user experience... 
    Remote job

    Highmark Health

    Madison, WI
    13 hours ago
  •  ...Claims Resolution Specialist (Hybrid) Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are continuing to grow. We offer the... 
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    Monday to Friday
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    Austin Regional Clinic

    Austin, TX
    3 days ago
  • $11 - $13 per hour

     ...any missing payments and/or remittance advice forms. Identifying claim denial reasons, membership discrepancies or billing errors and...  ...an established medical billing company looking for a claims resolution specialist. We offer a relaxed atmosphere in a fast paced office... 
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    360medicalbillingservices

    Oklahoma City, OK
    3 days ago
  • All Jobs > Revenue Cycle & Claims Resolution Specialist Description Looking for a Job You Love—and More Time with Your Family? AW Health Care is currently seeking a full‑time Revenue Cycle & Claims Resolution Specialist for our Home Health team. The position can be located... 
    Full time
    Temporary work
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    Aging Well Health Care, LLC

    Saint Louis, MO
    3 days ago
  •  ...seeking a detail-oriented individual to manage complaint and appeal resolutions. The role involves responding to customers, identifying trends...  ...include 1+ years of experience with health insurance and claims, and knowledge of plan documents is essential. The position... 
    Full time

    CVS Health

    Madison, WI
    3 days ago
  • A leading insurance brokerage firm is seeking a Claims Specialist in Kansas City, MO. The role involves evaluating, processing, and investigating insurance claims while ensuring compliance with policies and regulations. Successful candidates will have a bachelor’s degree... 

    Risk Strategies Company

    Kansas City, MO
    1 day ago
  • A claims operations company is seeking a Resolution Specialist to manage basic claims and handle customer interactions. The role is hybrid, based in Charlotte, NC, requiring a high school diploma or GED and skills in customer service, Microsoft products, and critical thinking... 

    Resolvion

    Charlotte, NC
    1 day ago
  • $65.84k - $82.3k

    A leading energy company seeks an Analyst for Claims Management in Rochester, NY. The role involves investigating property damage claims, negotiating settlements, and maintaining meticulous records. Candidates should have a Bachelor's degree, ideally with at least 3 years... 

    Iberdrola Energie Deutschland GmbH

    Rochester, NY
    2 days ago
  •  ...do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better. Summary The Claims Resolution Specialist is responsible for ensuring accurate, timely, and compliant resolution of medical claims, balance billing issues, and... 
    Full time
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    Remote work
    Flexible hours

    Valid8 Financial, Inc.

    Austin, TX
    1 day ago
  • A leading healthcare solutions provider is seeking a Professional Claims Analyst. This role involves analyzing insurance claims to ensure compliance and enhance operational processes. The ideal candidate will have at least three years of experience in claims, strong analytical... 
    Remote work
    Flexible hours

    Gainwell Technologies

    Wisconsin
    4 days ago
  • $65.84k - $82.3k

    A major utility provider is seeking an Analyst in Claims Management to handle the investigation and settlement of claims, ensuring professional management of all cases. This role requires a detail-oriented individual capable of negotiating settlements and working closely... 

    AVANGRID Inc.

    Rochester, NY
    1 day ago
  • A logistics company in Overland Park is seeking a Claims Specialist to handle claims resolution and documentation. Responsibilities include reviewing and analyzing claims, communicating with stakeholders, and managing customer claims portals. Candidates should have strong... 

    ACERTUS

    Overland Park, KS
    1 day ago