Healthcare Claims Specialist

Job Title: Claims Adjuster SpecialistFirma de Reclutamiento en PR is seeking a highly skilled Claims Adjuster Specialist to join our team. This role plays a crucial part in handling claims and ensuring that customers receive fair compensation for their losses.About the Role:This position involves reviewing and evaluating insurance claims to determine their...

Abarca Health is igniting a revolution in healthcare, and we're looking for a skilled Pharmacy Claims Quality Assurance Specialist to join our team.Job DescriptionWe're seeking a detail-oriented professional with 2+ years of experience in quality assurance and software development life cycles. As a Pharmacy Claims Quality Assurance Specialist, you'll be...

About the RoleWe are seeking a skilled Health Claims Specialist to join our team at Manpower Inc. As a Health Claims Professional, you will play a crucial role in ensuring accurate and timely processing of health claims.Key ResponsibilitiesVerify and process health claims in accordance with established procedures and regulations.Communicate effectively with...

Company OverviewManpower Inc. is a global leader in the staffing industry, providing workforce solutions to meet the needs of clients worldwide. Job SummaryWe are seeking a Medical Claims Specialist to join our team in [location]. This role will be responsible for processing medical claims efficiently and effectively, ensuring timely payment and compliance...

Job SummaryWe are seeking a skilled Healthcare Collections Specialist to join our team in San Juan, PR. This is a challenging and rewarding role that requires excellent communication and problem-solving skills.About the RoleThis position plays a critical role in creating a quality experience for patients by resolving issues related to claims and accounts...

About the Role:As a Financial Claims Specialist at AIG, you will be responsible for assessing and managing complex liability claims within authority limits. You will perform coverage and quantum analysis throughout the claims' lifecycles, ensuring timely and accurate resolutions for our customers.What You'll Do:Proactively assess and manage complex liability...

About the RoleAbarca Health is seeking a skilled Pharmacy Claims Quality Assurance Specialist to join our team. As a key member of our Quality Oversight Department, you will play a critical role in ensuring the quality and integrity of our pharmacy claims testing and adjudication processes.Key ResponsibilitiesOptimize testing and monitoring activities to...

Job Overview:">The Medical Billing Specialist - Accounts Receivable position at Acadia Healthcare is a rewarding opportunity for individuals with strong customer service skills and medical billing/collections experience. This role is responsible for the timely submission of claims to third-party payors and collection of outstanding accounts receivable.">Key...

At UnitedHealth Group, our mission is to provide quality healthcare services to millions of people worldwide. We believe that everyone deserves access to healthcare, and we strive to make the health system work better for everyone.We are seeking a skilled Claims Representative to join our team. In this role, you will be responsible for authorizing payments...

We are seeking a highly skilled Auto Bodily Injury Claims Specialist to join our team at First Chicago Insurance Company. Our new office in Oak Brook is now open and we are looking for an experienced professional to support our growth.Key Responsibilities:Investigate and settle automobile bodily injury claimsReview and determine course of action on each file...

Critical Role in Healthcare Financial OperationsAs a Business Office Clerk at Acadia Healthcare, you will play a vital role in ensuring timely submission of claims to third-party payors and collection. Your attention to detail and strong customer service skills will be instrumental in maintaining positive relationships with clients and payors.Key...

Job DescriptionWe are seeking a highly skilled Financial Lines Claims Specialist to join our team. In this role, you will be responsible for assessing and managing complex liability claims within authority limits from the first notification of loss to a timely, accurate and customer-focused resolution.The ideal candidate will have a strong understanding of...

Company OverviewUnitedHealth Group is a global organization that delivers care and pharmacy benefits to millions of people worldwide. We believe in creating a healthier atmosphere where everyone can thrive.About the RoleThe Healthcare Appeals Resolution Specialist will play a vital role in reviewing, researching, and resolving all types of appeals and...

AIG is a leading global insurance organization providing property casualty insurance in over 70 countries and jurisdictions. The company aims to make a positive difference for its colleagues and communities, encouraging volunteer efforts through the Volunteer Time Off and Matching Grants Programs.Job OverviewThis role leads and manages the Medium Complexity...

Company Overview">Elevance Health is a leading healthcare company dedicated to improving lives and communities. We are a Fortune 25 company with a long history in the healthcare industry, seeking leaders at all levels who are passionate about making an impact on our members and the communities we serve.">Salary">We offer a competitive salary of approximately...

At Protalents, we're seeking a skilled Healthcare Compliance Specialist to ensure seamless integration of our Collocation and Reverse Collocation Models across various sites. As a key member of our team, you will interact with diverse stakeholders, including the Utilization Department, Medical Practice Groups, Behavioral Health Facilities, and...

About the RoleWe are seeking a skilled Healthcare Utilization Specialist to join our team at Elevance Health. This is an exciting opportunity for a motivated and detail-oriented individual to work in a dynamic environment.Job SummaryThe Healthcare Utilization Specialist will be responsible for conducting preauthorization reviews for diagnostic imaging...

Job Summary:We are seeking a highly skilled Healthcare Representative to join our team at Target Human Resources Solutions. As a key member of our team, you will provide exceptional customer service and timely resolve inquiries regarding patient care, eligibility, benefits, and claims.Key Responsibilities:Verify patient eligibility and arrange appointments...

We are seeking a highly skilled Medical Staff Coordinator/Specialist to join our team at Healthcare System At San Juan, Pr. This role plays a vital part in the Medical Staff Services department.This position will be responsible for providing administrative support to various medical staff committees and department chairs. Key duties include coordinating...

Acadia Healthcare is seeking a highly skilled Care Coordinator Specialist to join our team.