UNKNOWN

FEED

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.

St. Luke's University Health Network is a regional network of hospitals, physicians and other related organizations providing care primarily in Lehigh, Northampton, Monroe, Carbon, Schuylkill, Bucks, Montgomery and Berks counties in Pennsylvania and Warren County in New Jersey. The Network provides services at more than 150 sites. St. Luke's University Health Network is comprised of six hospital sites. The Network includes:<ul> <li> More than 80 owned physician-practice sites </li><li>300 employed primary care/specialist physicians </li><li>Various outpatient testing and service facilities</li><li>Home health </li><li>Hospice services (inpatient and outpatient)</li><li>Largest ambulance provider in Bucks County and second largest in Lehigh County</li><li>Other related organizations</li><li>57,500+ annual admissions</li><li>195,000 annual emergency room visits</li><li>1,325 physicians on the Medical Staff (96 percent board-certified)</li><li>8,600+ employees</li><li>More than 1,350 volunteers </li></ul> Areas of exceptional medical expertise include:<ul> <li>Level 1 Adult Trauma Center: fully accredited by Pennsylvania Trauma Systems Foundation; 2,400+ annual trauma cases; St. Luke's 1.75 percent mortality rate represents top decile performance, significantly better than peer group as measured by National Trauma Data Bank of the American College of Surgeons; aeromedical transport services</li><li>Oncology: first and only cancer program in Pennsylvania to receive American College of Surgeons' highest quality recognition for three consecutive years; only Pennsylvania program to receive award in 2010; region's only fellowship-trained surgical oncologists; advanced programs for melanoma (internationally recognized melanoma investigator), lung, breast, prostate, gynecologic and gastrointestinal cancers and tumors of the brain and spine</li><li>Cardiology and Cardiovascular Surgery: multiple-year recipient of highest rating for cardiac bypass surgery, represents top decile performance achieved by only 10 percent of U.S. hospitals (Society for Thoracic Surgery); region's first Joint Commission certified Heart Failure Program; comprehensive surgical services excluding heart transplants </li><li>Neuroscience: accredited Stroke Center; additional Centers of Excellence include: Balance Center, Headache Center, Memory Disorders Center, Multiple Sclerosis Center, Sleep Disorders Center</li><li>Orthopaedics: advanced expertise in total joint replacement and reconstruction, computer-assisted minimally invasive surgery, primary and reconstructive surgery of the spine, sports injuries, diseases and conditions of the hand and elbow, traumatic injuries </li><li>Women's/Children's Health: high-risk pregnancy; the region’s busiest obstetrical service; two neonatal intensive care units; pediatric specialty care provided by St. Christopher's Hospital for Children.</li><li>Robotic/Minimally Invasive Surgery: one of the nation's most experienced robotic surgical teams</li><li>Radiology: designated international General Electric Healthcare Show Site for imaging technology; designated Breast Imaging Center of Excellence by American College of Radiology</li><li>Bariatric Surgery: designated Center of Excellence by American Society for Metabolic and Bariatric Surgery and Surgical Review Corporation</li> </ul> St. Luke's offers an exceptional benefit plan for employees. Our values are reflected in all we do for patients, each other and the community: Pride - We take pride in our accomplishments and in our organization. Caring - We show consideration for others and their feelings. We treat others as we want to be treated. Respect - We recognize the value, diversity and importance of each other, those we serve and the organization. Accountability - We are responsible to make decisions and solve problems in a timely and effective manner. Flexibility - We adapt to the changing needs and expectations of those we serve. Teamwork - We work together to improve quality. The mission of St. Luke's University Health Network is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

St. Luke's University Health Network

Claims and Denial Coding Analyst

linkup_via_bold

Claims and Coding Denial Analyst

ADAPTED_NOW

Conduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. Ability to research and interpret case law, statute, and coverage forms in order to properly adjust and conclude claims.

YEAR

First Chicago Insurance Company (FCIC)

Litigation Specialist

[Applicantpro] First Chicago Insurance Company (FCIC)

In this role, you provide valuable technical insight through research of competitor technology releases, monitoring of competitor product offerings, and collection of industry intelligence data. Fraud alert: Micron advises job seekers to be cautious of unsolicited job offers and to verify the authenticity of any communication claiming to be from Micron by checking the official Micron careers website in the About Micron Technology, Inc.

Micron Technology Inc

Competitor Analyst and Procurement Specialist

TMP PX

The Manager, Short-Term Disability Claims will focus on effectively managing the performance of all individuals to achieve optimal productivity and strive for quality through accurate and timely claim decisions This individual will also maintain clear and ongoing communications with other business partners, inside and outside of claim department, such as QA, Appeals, Training Team, Program Managers, Policy and Procedures, Underwriting, Legal, etc. If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.

Preparing for the Future

Manager STD Claims

ea_via_bold

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.

HOUR

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Claim Benefit Specialist

Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas! With a legacy deeply rooted in service, hospitality, and giving back, we are committed to delivering the best experience to every Guest, every day.

Chili's

To Go Specialist - Now Hiring

Appcast Exclusive 1

As a Claims Supervisor, you'll manage and direct the activities of a team of Claims Examiners and Claims Benefits, and handle claims processing concerns and issues requiring a high degree of appropriate knowledge, creativity, research and communication with internal and external resources to achieve timely resolution. Guided by our HEART values of Humility, Excellence, Accountability, Respect, and Trust, we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day.

Texas Children's Hospital

Claims Supervisor

This position is focused on creating and delivering effective training programs for Claims personnel, clients, and service providers, working closely with the Claims Manager to enhance team performance, ensure compliance with policies and regulations, and drive operational efficiency. Partner with management to develop and execute scheduled specialized training sessions focused on system enhancements, workflow changes, new products or product changes, as well as policy/procedure changes.

Southeastrans, Inc.

Claims Administrator

If you're interested in the law and the legal profession, become an Army National Guard Paralegal, you will assist judges, Army lawyers, and unit commanders with legal matters and judicial work. Job training for a Paralegal Specialist requires 10 weeks of Basic Training, where you'll learn basic Soldiering skills, and 10 weeks of Advanced Individual Training and on-the-job instruction.

Army National Guard of the United States

27D Paralegal Specialist

2.10 Develop good working relationships with state and local authorities (i.e. state/local environmental and safety agencies, wastewater authorities, fire departments, etc. ) as well as appropriate Environmental Health and Safety contacts. 4.6 Ability to develop cost-benefit analyses for wide range of programs, such as health and safety training programs, in order to present the company with significant input to long range human resource planning.

Linamar Corp

EHS Specialist (Designated)

Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare

Medical Insurance Claims Specialist

Jobvite Talemetry Organic Easy Apply

SHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country. Since 1980, we've been Protecting Those Who Improve Your Community and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations.

Great American Insurance Company

Senior Casualty Claims Specialist - Specialty Human Services

To meet these expectations, WC Claims Specialists are supported by a dedicated call center who can field calls for them and other specialized units who are responsible for setting reserves, making permanency payments, and following through on subrogation so they can dedicate the time needed to manage claims. Initiate and provide excellent communication with all stakeholders (injured workers, medical providers, attorneys, policyholders, agents, etc.) professionally and proactively with a customer-centric approach.

New Jersey Manufacturers

Workers Compensation Claims Specialist, Sr

sourcestack_via_bold

OTHER

Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us. Under general direction, handles the most complex cases and those involving the most complex questions of coverage, compensability, legal liability and damages.

Berkley

Senior Casualty Claims Specialist

[AW]-iCims

JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.

CNA Financial Corp.

Blended Claims Specialist, Construction

CNA Financial Corp

Workers Compensation Claims Specialist, Complex & Settlement Focus

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. .  . Lead AI solutions in Claims: FNOL intake and triage, document and email intake (OCR/IDP, i.e. optical character recognition and intelligent document processing), claim summarization, fraud and SIU (special investigations unit) signals, reserving support, litigation prediction, and adjuster copilots.

Markel Corporation

IT Director, Claims

Markel Corporation jobs

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.

Senior Claims Examiner, Excess Construction

The Analyst reviews and audits claim files for accuracy, provides critical financial alerts to the Director on high-impact claims, and utilizes critical thinking to conduct proactive communication with internal and external partners, as well as with injured employees when necessary or as directed by leadership. The primary purpose of the Workers' Compensation Claims Analyst is to manage the investigation and administration of all Workers' Compensation claims handled by Third-Party Administrators (TPAs), ensuring program excellence and the success of our collaborative team.

Claims Specialist Jobs in the United States

Claims and Denial Coding Analyst St. Luke's University Health Network

Claims and Coding Denial Analyst St. Luke's University Health Network

Litigation Specialist First Chicago Insurance Company (FCIC)

Competitor Analyst and Procurement Specialist Micron Technology Inc

Manager STD Claims Preparing for the Future

Claim Benefit Specialist CVS Health Corp

To Go Specialist - Now Hiring Chili's

Claims Supervisor Texas Children's Hospital

Claims Administrator Southeastrans, Inc.

27D Paralegal Specialist Army National Guard of the United States

EHS Specialist (Designated) Linamar Corp

Medical Insurance Claims Specialist HCA Healthcare

Senior Casualty Claims Specialist - Specialty Human Services Great American Insurance Company

Workers Compensation Claims Specialist, Sr New Jersey Manufacturers

Senior Casualty Claims Specialist Berkley

Blended Claims Specialist, Construction CNA Financial Corp.

Workers Compensation Claims Specialist, Complex & Settlement Focus CNA Financial Corp

IT Director, Claims Markel Corporation

Senior Claims Examiner, Excess Construction Markel Corporation

Workers' Compensation Claims Analyst MGM Resorts

Similar Job Searches

See More Jobs

Stand out to leading employers.