Claims Review Specialist jobs

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Appeals and Claims Quality Review Specialist - CDS
Reliance Standard - 5 reviews - South Portland, ME 04106
Conducts detailed reviews and resolves claims under appeal, DOI complaints and claims in litigation. Has superior claims knowledge within the claims department...
Casualty Claims Specialist
$57,865 - $75,355 a year
The Casualty Claims Specialist is responsible for training, coordinating, and assisting with handling casualty claims, including PIP/Med-Pay....
Desired Experience: Driver's License
Document Review Specialist
American HomePatient, Inc. - 347 reviews - Philipsburg, PA 16866
Reviews denials and corrects errors as needed. Reviews FOS billing edit lists for assigned payers. Assures corrected claims are submitted in a timely manner....
Easily apply
Coding Specialists I, II, & III
Kinetix - 20 reviews - Houston, TX
Certified Coding Specialist (CCS). Reviews patient charges to determine necessary coding to complete the account....
Desired Experience: RHIT, CPT-4, RHIA, Medical Coding Certification


Loudoun County Government - 25 reviews - Leesburg, VA
$51,896 - $75,473 a year
Review vendor reports, reconciling actual reimbursements deposited ensuring accuracy with County Treasurer, LC-CFRS, and vendor through Oracle....
Desired Experience: Oracle, Microsoft Office

Reimbursement Specialist/Data Analyst

Loudoun Pharmacy - Sterling, VA 20166
$38,000 - $49,000 a year (Indeed est.)
Loudoun Pharmacy is looking to employ an experienced professional to review reimbursement rates and data provided by numerous reports....
Desired Experience: Data Analysis
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Claims Specialist

The Doctors Company - 28 reviews - Virginia   +1 location
Claims Investigation/ Analysis. The Doctors Company is seeking an experienced Claims Specialist in the State of Virginia....

Workers Comp Claims Specialist - Lost Time Adjuster

CorVel Corporation - 262 reviews - Fairfax, VA 22030   +5 locations
$58,000 - $74,000 a year (Indeed est.)
Identifies potential subrogation claims. Previous exp with adjudicating VA workers compensation claims required....
Desired Experience: Workers' Compensation, Microsoft Office
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Workers' Compensation Claims Specialist

State of Ohio Jobs - 505 reviews - Dayton, OH 45414 (Northridge Estates area)   +3 locations
$19.77 - $25.71 an hour
As Workers' Compensation Medical Claims Specialist, 16721 (i.e., managing caseload of medical-only claims & paying medical claims for Ohio Bureau Of Workers'...
Desired Experience: Time Management, Microsoft Powerpoint, Microsoft Office, Workers' Compensation

Health Claims Configuration Specialist -Javelina

NTT Data Services, Inc. - Remote
Health Claims Configuration Specialist. Health Claims Configuration:. Bachelor’s degree or a minimum of five years of experience in health care with knowledge...
Desired Experience: Microsoft Office, 10 Key Calculator, Benefits Administration
Easily apply

Human Rights Equity/Compliance Team 1 - Human Rights Special...

Fairfax County Government - 132 reviews - Fairfax, VA
$59,951 - $99,918 a year
Requests information pertinent to claims; Ability to provide guidance and mentoring support to lower level Human Rights Specialists;...
Desired Experience: Legal Research

Specialist, Medical Necessity Claims Reviewer

Molina Healthcare - 818 reviews - Bothell, WA
3 years clinical nursing experience, including 1 year Utilization Review and/or Medical Claims Review experience....
Desired Experience: Case Manager Certification, RN, CPT-4, ICD-9, CPHQ

DOC - Claims Service Specialist - Charlotte

Allstate - 5,243 reviews - Charlotte, NC 28202 (Downtown Charlotte area)
$31,720 a year
Claims Service Specialist- Digital Operating Center Charlotte, NC. Allstate Insurance has an exceptional opportunity for a Claims Service Specialist in our...
Desired Experience: Time Management, Office Experience

Claims Specialist

Mediware - 4 reviews - Wilmington, NC
Assist other Claims and Support Specialists with open customer issues. The Claims Specialist is responsible for delivering billing support to all customers....
Claims Specialist II
The Claims Specialist II is the next level of claim examiner who is responsible for the technical review of a high volume of insurance claims some of which will...
Claims Specialist
IGS Energy - 102 reviews - Dublin, OH 43017
Claims Specialist This role handles customer enrollments and inquiries, claims processing, and contractor dispatching....