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The Claims Resolution Specialist provides assistance in resolving provider claims payment status issues, provider payment disputes, eligibility, and authorization verification. The incumbent will be responsible for following regulatory requirements in conjunction with...
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Responsibilities:
The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and...
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...and a commitment to absolute integrity, East West Bank gives people the confidence to reach further.
Overview:
Asset Resolution Specialist is responsible for the collection of overdue payments for Single Family Loans, Home Equity Lines of Credit and Credit Cards...
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...millions of Americans achieve aspirations of homeownership through the complete mortgage journey.
A Typical Day:
The Lien Resolution Specialist II is responsible for processing lien releases, subordinations, deed corrections, and partial releases timely and...
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...Credit/Collections/Dispute Resolution Specialist
Location: Cerritos, CA
Job ID: #69203
Pay Range: $29/hr
Duration: 12 months
The credit/collections/dispute resolution specialist should have excellent customer service, negotiation, communication, and analytical...
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...JOB DESCRIPTION
We are seeking a highly skilled Application Analyst with expertise in Epic Resolute and Claims & Remittance modules to join our dynamic team. The role involves critical tasks such as the implementation, upgrade, and modification of Epic applications...
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...with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire.
Job Description
The Claims Specialist is responsible for accuracy of claims submission, benefits and eligibility verification, accuracy of client information. In...
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Indotronix is seeking a Onsite Job - Credit/Collections/Dispute Resolution Specialist for a Job Opportunity in
Job Title : Onsite Job - Credit/Collections/Dispute Resolution Specialist
Location : ST LOS ANGELES CA
Duration : 12 Months Contract...
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...advancement.
Responsibilities:
Work closely with Billing Resolution Lead & Practice Manager
Work as liaison between region and billing... ...for accuracy
Working with TMS manager regarding any TMS claim issues
Auditing billing errors
Insurance verification as...
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Full time
**Description**
The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge...
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...Job Description
Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment...
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...A Brief Overview
Under moderate supervision performs administrative duties of moderate technical complexity in support of the Claims function. Incumbent must achieve a quality claim product on an ongoing basis by consistently applying best practices within expected...
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...To research and resolve complex claims issues which cr oss interdepartmental lines and... ...recommendations for ongoing, long term resolutions to issues. Identi fies items to address... ..., IT staff , and PR Lead Project Specialist/Auditor. Leads or participate s in special...
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Night shift
...Job Description
We are recruiting for two Claims Eligibility Specialists for a thriving Independent Physician Association (IPA) based within the Greater Sacramento area. The Claims Eligibility Specialist supports the claims department and is responsible for verifying...
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...PAYMENTS CLAIM SPECIALIST WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud claims and disputes with precision and quality. They must be confident when interacting directly with colleagues and clients...
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Senior Pharmacy Resolution Specialist Location Remote in California : You could be the one who changes everything for our 28 million members... ...with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication determination...
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Full time
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...all levels of difficulty and complexity under programs administered by SSA; and use state of-the-art technology to access and update claims information.
Requirements
Conditions of Employment
All application materials must be received by the closing date....
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...goal of helping millions of Americans achieve aspirations of homeownership through the complete mortgage journey.
The Lien Resolution Specialist is responsible for the timely and accurate preparation of Lien Release/Satisfaction of Mortgage documents; in accordance...
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Work experience placement
Local area
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...plan for the role.
Description
The Workers Compensation Claims Specialist works within a Workers Compensation Claims Team, using the... ...complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability...
Local area
...income communities and residents and to support the safety net required to achieve that purpose.
Job Summary
The Claims Documentation Specialist II is responsible for creating, editing and updating documents that will provide an in-depth record of the procedures,...
