NewInsurance Claims Specialist JobotInsurance Claims SpecialistCicero, IL$80,000–$100,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We are a well-established, growing insurance company offering a great team, hybrid work environment, long-term stability and excellent career growth opportunities!
NewMedicare/Medicaid Claims Specialist JobotMedicare/Medicaid Claims SpecialistAlbuquerque, NM$18–$22 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewInside Property Adjuster Specialist - Specialty Claims Team USAAInside Property Adjuster Specialist - Specialty Claims TeamTampa, FLRemote$69,920–$125,850 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. The ideal candidate will possess strong virtual estimating skills for complex Condo claims, determine liability, litigation, and reconcile estimates while working in a telephone concentrated environment without physical inspection of loss.
Claims Legal Specialist - Conditional Demands Sentry InsuranceClaims Legal Specialist - Conditional DemandsGoldsboro, NC$31.25–$37.50Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. Act as a subject matter expert, provide technical advice, direction, and guidance to other claims associates as need arises including instruction and authority on all complex conditional settlement demands received by enterprise.
NewProperty Adjuster Specialist - Field CAT Claims USAAProperty Adjuster Specialist - Field CAT ClaimsAtlanta, GARemote$72,080–$129,740 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
NewProperty Adjuster Specialist - Field Claims USAAProperty Adjuster Specialist - Field ClaimsNashville, TNRemote$69,920–$125,850 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Claims Specialist Medical Malpractice Diedre Moire Corp.Claims Specialist Medical MalpracticeBrooklawn, NJ$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
NewClaim Specialist - Property Field Inspection State Farm Mutual Automobile Insurance CompanyClaim Specialist - Property Field InspectionWarrenton, VA$64,965.62–$99,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 20106 20109 20110 20119 20136 20137 20181 20186 20187 22026 22134 22172 22401 22405 22406 22407 22433 22508 22551 22553 22554 22556 22712 22714 22716 22718 22720 22724 22728 22734 22736 22737 22741 22742 22749. Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
NewLarge Loss Property Claims Manager Michigan Farm BureauLarge Loss Property Claims ManagerLansing, MI$99,271–$127,067 / yearTo manage all functions of the Property Specialists unit necessary to provide superior customer service by the prompt and efficient handling, control, and proper disposition of large and/or complex claims. Read, comprehend, evaluate, adjust, and supervise property claims for payment following the company procedures to include verification of policies and coverage, authorization of bills, estimates, depreciation and settlement of claims within approved limits.
NewClaims Operations Analyst Michigan Farm BureauClaims Operations AnalystLansing, MI$73,008–$91,260 / yearAssist with content development and maintenance by collaborating with teammates and content area experts to ensure training material is current and accurate. Analyze performance and training challenges to determine business goals, gaps between desired and actual results, and implement improvement methods.
Claims Examiner Medical Malpractice Diedre Moire Corp.Claims Examiner Medical MalpracticeEast Hartford, CT$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
NewClaims Adjuster MedMal Diedre Moire Corp.Claims Adjuster MedMalWarner Robins, GA$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Claims Examiner MedMal Diedre Moire Corp.Claims Examiner MedMalPawtucket, RI$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
NewInsurance Billing Specialist, Full-time Hopedale Medical ComplexInsurance Billing Specialist, Full-timeHopedale, IL$18–$23 / hourObtain accurate, ethical, and optimal reimbursement for hospital and hospital-based services, initiate follow-up of past due balances, handle all components of claims processing including management of disputed, rejected, and delayed claims. Assists patients and insurance companies with questions regarding billing procedures, charges, insurance reimbursement, copies of itemized statements, split billings, payments in office, etc.
Claims and Denial Coding Analyst St. Luke's Health Network, Inc.Claims and Denial Coding AnalystAllentown, PAFull timeIndividually 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.
NewMedical Billing Insurance A/R Specialist PedIM HealthcareMedical Billing Insurance A/R SpecialistCrystal River, FL$16–$18 / hourThe ideal candidate will have experience working insurance accounts receivable, resolving claim denials, and following up with insurance companies to ensure timely payment of claims. We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.
NewRegulatory Compliance Specialist Bakerly LLCRegulatory Compliance SpecialistEaston, PAThis role supports corporate regulatory compliance programs, labeling compliance, external certification management, and regulatory monitoring, while collaborating with R&D, QA, Procurement, Sales, and Plant Quality teams. The Regulatory & Compliance Specialist ensures that Bakerly products, processes, and external partners comply with applicable food regulations, certification requirements, and customer regulatory expectations.
NewEnvironmental Health & Safety Specialist JobotEnvironmental Health & Safety SpecialistChatsworth, CA$90,000–$100,000 / yearThis role serves as the site subject matter expert on OSHA and environmental regulatory compliance, partnering with operations and leadership to proactively mitigate risk, maintain audit readiness, and strengthen environmental stewardship initiatives. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
NewContracts & Legal Operations Specialist Proficient Auto LogisticsContracts & Legal Operations SpecialistJacksonville, FL$70,000–$90,000 / yearWe offer a broad range of auto transportation and logistics services, primarily focused on transporting finished vehicles from automotive production facilities, marine ports of entry, or regional rail yards to auto dealerships around the country. Working closely with Legal (internal and external), Procurement, Finance, Risk, and Operations, this role helps ensure contracts are properly executed, organized, compliant, and easily accessible while supporting litigation, insurance, and regulatory matters as needed.
NewSenior Billing Specialist JobotSenior Billing SpecialistVancouver, WA$28–$33 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Proficiency with Excel and calculators to perform moderately complex calculations, including unit and weight conversions; skilled in 10-key data entry with a high degree of accuracy.
NewMedical Billing/Coding Specialist Fusco Personnel Inc.Medical Billing/Coding SpecialistLatham, NYFull timeThis position works collaboratively with providers, clinical staff, patients, and insurance carriers to support efficient revenue cycle operations and ensure compliance with all applicable healthcare regulations. Fusco Personnel is actively recruiting for a detail-oriented and experienced Coding & Billing Specialist to join our client and their growing healthcare team.
NewMedical-Denial Management Specialist Orthopedic Associates of HartfordMedical-Denial Management SpecialistFarmington, CTThe Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing staff to ensure proper reimbursement and prevent future denials. Our growing practice is currently seeking a Medical-Denial Management Specialist with Epic experience to join our Billing & Collections team in our Farmington, Connecticut business office.
Senior General Liability Litigation Specialist ECLAROSenior General Liability Litigation SpecialistO Fallon, MO$1 / hourResponsible for evaluating, monitoring, and managing high-severity casualty claims, providing strategic oversight on litigated matters, and partnering with cedents, defense counsel, and internal stakeholders to drive optimal outcomes. This role requires deep expertise in complex GL exposures including premises liability, product liability, and negligent hiring/supervision as well as a strong background in litigation management and trial experience.
NewRegulatory Affairs Specialist Medline IndustriesRegulatory Affairs SpecialistJob Posting Only, IL$79,000–$119,000 / yearFull timePrepare comprehensive regulatory strategies for new devices, new launch markets, and post-market device changes, ensuring that the content, context, organization, and quality of supporting information is sufficient to meet all regulatory requirements, commitments, and agreements. Complete and maintain regulatory filings by collaborating with internal and external groups, evaluating supporting technical in-formation, writing appropriate summary documentation, and supporting the response to non-conformances and questions from regulators.
Senior Regulatory Affairs Specialist Medline IndustriesSenior Regulatory Affairs SpecialistJob Posting Only, IL$92,000–$138,000 / yearFull timeComplete and maintain varied regulatory filings by leading internal groups, collaborating with external groups, evaluating and providing direction on supporting technical information, writing appropriate summary documentation, providing direction on product/project changes, and responding to non-conformances and questions from regulators. Prepare comprehensive regulatory strategies for new devices, new launch markets, and post-market device changes, ensuring that the content, context, organization, and quality of supporting information is sufficient to meet all regulatory requirements, commitments, and agreements.
Sr. Regulatory Affairs Specialist Medline IndustriesSr. Regulatory Affairs SpecialistWork From Home, IL$92,000–$138,000 / yearFull timeComplete and maintain varied regulatory filings by leading internal groups, collaborating with external groups, evaluating and providing direction on supporting technical information, writing appropriate summary documentation, providing direction on product/project changes, and responding to non-conformances and questions from regulators. Prepare comprehensive regulatory strategies for new devices, new launch markets, and post-market device changes, ensuring that the content, context, organization, and quality of supporting information is sufficient to meet all regulatory requirements, commitments, and agreements.
NewMedical Billing Specialist (On-Site) PedIM HealthcareMedical Billing Specialist (On-Site)Crystal River, FL$16–$18 / hourWe are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County.
Senior Claims Specialist / Insurance Follow-Up - Physicians Billing (REMOTE - WA Providence St. Joseph HealthSenior Claims Specialist / Insurance Follow-Up - Physicians Billing (REMOTE - WASeattle, WARemoteFull timeIt is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewADA Associate/Specialist Larkin Benefit AdministratorsADA Associate/SpecialistPhoenix, AZRemote$50,000–$60,000 / yearJob Location: As a remote-first organization, employees are expected to primarily work within reasonable driving commute to our main office locations (Roseville CA, Atlanta GA, Phoenix AZ, and Oklahoma City OK) to meet the requirements of team gatherings, one-off meetings, and company-wide events, as well as the legal, tax, and security regulations based on our business operations. Provide excellent customer service by answering phones, responding to emails, and communicating effectively with clients' employees in a timely manner - answering questions regarding leave entitlement, client policies, the interactive discussion process, and benefits.
Onboarding Specialist for HR ECLAROOnboarding Specialist for HRAurora, IL$25–$30 / hourResponsibilities:Employee Onboarding Support:Backup to HR Specialist - Able to input new hires into GHR and manage all aspects of the employee onboarding process including:License Verification. Learning Management System (Tuitio):Administration and monitoring of annual and ongoing education within the LMS platform.
NewProperty Adjuster Specialist - Field CAT Team USAAProperty Adjuster Specialist - Field CAT TeamDenver, CORemote$78,560–$141,410 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
NewProperty Adjuster Specialist - Field USAAProperty Adjuster Specialist - FieldNew York, NYRemote$85,050–$130,410 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
NewProperty Adjuster Specialist - Desk USAAProperty Adjuster Specialist - DeskSan Antonio, TX$69,920–$133,620 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
NewMiddle Market Underwriting Specialist Sentry InsuranceMiddle Market Underwriting SpecialistIrvine, CA$98,900–$148,300 / yearIn the state of California, at an Underwriting Specialist Senior level, based on qualifications and experience the range for annual compensation for this position is between $119,600 - $179,400. In this role, you will: Work closely with agency partners and internal sales partners to obtain information needed to properly underwrite, price, and program individual policies/accounts.
Pharmacy Technician - Patient Access Specialist (Hybrid) A-Line Staffing SolutionsPharmacy Technician - Patient Access Specialist (Hybrid)Cary, NC$22–$24 / hourContractorFull timeThis is an excellent opportunity for experienced Pharmacy Technicians, Certified Pharmacy Technicians (CPhT), Patient Access Representatives, Insurance Verification Specialists, or healthcare professionals with prior authorization and specialty pharmacy experience. This role is responsible for insurance verification, benefits investigation, prior authorization support, pharmacy claims adjudication, refill coordination, and medication delivery scheduling.
M&A Specialist Diedre Moire Corp.M&A SpecialistSan Jose, CA$300,000–$400,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Tax Accountant Attorney Mergers Acquisitions Divestitures Equity Funds Tax JD CPA MBA Representations Warranties Insurance RWI Transactional Risk Insurance #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Shall: • Determine acceptability of Representations and Warranties Insurance and Transactional Risk Insurance options for Mergers and Acquisitions deals using high level financial risk analysis and negotiating with buyers and sellers.
NewM&A Tax Specialist Diedre Moire Corp.M&A Tax SpecialistPhoenix, AZ$300,000–$400,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Tax Accountant Attorney Mergers Acquisitions Divestitures Equity Funds Tax JD CPA MBA Representations Warranties Insurance RWI Transactional Risk Insurance #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Shall: • Determine acceptability of Representations and Warranties Insurance and Transactional Risk Insurance options for Mergers and Acquisitions deals using high level financial risk analysis and negotiating with buyers and sellers.
Accounts Receivable Specialist- Physician Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Physician BillingAllentown, PARemoteFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
NewCertified Coding and Billing Compliance Specialist Snowline Hospice of El DoradoCertified Coding and Billing Compliance SpecialistPlacerville, CA$55,000–$75,000 / yearThis role evaluates clinical documentation, assigns ICD-10, CPT, HCPCS, E/M, CCM, and TCM codes, identifies missed or incorrect charges, and resolves coding and claim discrepancies prior to submission. The position works closely with providers and the billing team to support documentation integrity, denial prevention and resolution, audit readiness, and regulatory compliance, while providing education and reporting to strengthen revenue integrity.
NewPre-Lit Case Manager JobotPre-Lit Case ManagerTorrance, CA$40–$45 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
PFS Facility Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Facility Medical Billing Specialist (PRN)Findlay, OhioDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
PFS Professional Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Professional Medical Billing Specialist (PRN)Findlay, OhioDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
PFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shiftFindlay, OhioDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Accounts Receivable Specialist- Hospital Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Hospital BillingAllentown, PAFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Accounts Receivable Specialist - Hospital Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist - Hospital BillingAllentown, PAFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Accounts Receivable Specialist St. Luke's Health Network, Inc.Accounts Receivable SpecialistSellersville, PAFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Accounts Receivable Specialist- Professional Radiology Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Professional Radiology BillingAllentown, PARemoteFull timeIndividually 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. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Coding Appeals Specialist St. Luke's Health Network, Inc.Coding Appeals SpecialistAllentown, PAPart timeThe Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.