Claim Research Specialist jobs

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Validation Associate (Insurance Claims Validation)
West Corporation 877 reviews - Sherman, TX
Assign files to a recovery specialist after detailing investigation claims. Claims Recovery Services USA. Investigate assigned accounts and perform research...
Sponsored by West Corporation - 24 days ago
Claims Analyst (Medicare)
Brown & Toland Physicians 7 reviews - San Francisco, CA
Utilizes appropriate reference materials to research information, to process claims accurately. Certified Medical Reimbursement Specialist (CMRS) preferred....
Sponsored by Brown & Toland Physicians - 4 days ago
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Education Services Specialist

U.S. Army Accession Command - Harrison, IN
Participate in research projects and/or pilot programs to assist in improving current operations. You may claim military spouse preference, see the information...


University of South Florida Health - Tampa, FL
Identify claims payment errors/trends, research relevant third party billing requirements as they pertain to specific third party payors....

Claims Resolution Specialist

Magellan Health Services 133 reviews - Maryland Heights, MO 63043
The Specialist has the responsibility for accurate and timely claims research of all claim types. The Claims Resolution Specialist serves as the claims...

Payroll Specialist I, Research & Records

North East Independent School District - San Antonio, TX
Researches Payroll records and compiles salary information necessary to complete documents, to include but not limited to, Workers' Compensation thirteen week...
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Appeals / Dispute Specialist - Claims

Molina Healthcare 126 reviews - Midvale, UT
Participates in the provider hearing process as well as alleviating unnecessary hearings through research, and assists departmental staff in claim research...


Brigham and Women's Hospital (BWH) 222 reviews - Boston, MA
Experience in research using large claims databases. The Research Specialist will also help oversee large prospective quality improvement trials being conducted...

Public Affairs and Law Enforcement Coordination Specialist

Executive Office for U.S. Attorneys and the Office... - Fayetteville, AR
Employee will function as both Public Affairs AND Law Enforcement Coordination Specialist. Public Affairs and Law Enforcement Coordination Specialist GS-12 you...

Contracts Management Specialist Research

Banner Health 375 reviews - Sun City, AZ
BANNER RESEARCH SEEKS CONTRACTS MANAGEMENT SPECIALIST RESEARCH. About Banner Research. Assignments in managed care require strong contract writing skills as...

Provider Data Management & Credentialing Specialist I

Kforce - Healthcare - Chesterfield, MO 63017
Provider Data Management & Credentialing Specialist I. Research, review and make updates to user requests within provider data management system....
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Credit Risk Specialist I

Elevations Credit Union 9 reviews - Boulder, CO
Initiates and processes GAP claims. Performs complex research requiring problem solving using knowledge of loan products....
Claims Editing Analyst
The Burgess Group, LLC - Alexandria, VA
Develops test claims for UAT and QA. Extensive knowledge of medical claim editing (NCCI, etc.). Suggests and presents claim edits to clients for selection....
Sponsored by The Burgess Group, LLC - 6 days ago
Account Service Specialist
USAble Life - Honolulu, HI
Conducts research and respond to customer and broker inquiries regarding general billing, claims questions, problem resolution, delinquencies and reinstatements...
Sponsored by USAble Life - 30+ days ago
Claims Document Specialist
L.A. Care Health Plan 10 reviews - Los Angeles, CA
The Documentation specialist will be highly proficient in the use of Microsoft Word, Visio, Power. The P&P analyst/writer will assist the department in research...
Sponsored by L.A. Care Health Plan - 8 days ago

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