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Claims Service Specialist
1 week ago
Arbella Insurance Group Quincy, United StatesJoin a Best Place to Work Company · Claim your future with Arbella If you're looking for a dynamic opportunity to help customers through their toughest challenges, you're in the right place. · What will you do? · Claim Service Specialists are advocates for our customers. They tal ...
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Claims Specialist
2 weeks ago
TEKsystems Deerfield, IL, United StatesDescription: · Claims Specialist's work one on one, via phone, with travelers who travel with and rely on mobility equipment. The travelers mobility equipment has been damaged by the airline, therefore, the CS functions as a case manager, handling each damage claim with the trave ...
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Claims Specialist
2 weeks ago
TEKsystems Deerfield, IL, United StatesDescription: · Claims Specialist's work one on one, via phone, with travelers who travel with and rely on mobility equipment. The travelers mobility equipment has been damaged by the airline, therefore, the CS functions as a case manager, handling each damage claim with the trave ...
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Fraud Claims Sr Specialist
3 weeks ago
Citizens Bank Medford, United StatesAs a Fraud Claims Sr. Specialist , you'll play a pivotal role in ourFraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of ...
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Claims Specialist
2 weeks ago
TEKsystems Deerfield, United StatesJob Description · Job DescriptionDescription: · Claims Specialist's work one on one, via phone, with travelers who travel with and rely on mobility equipment. The travelers mobility equipment has been damaged by the airline, therefore, the CS functions as a case manager, handling ...
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Fraud Claims Sr Specialist
1 week ago
Citizens Medford, United StatesAs a Fraud Claims Sr. Specialist, you'll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of ...
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Fraud Claims Sr Specialist
2 weeks ago
Citizens Medford, United StatesAs a Fraud Claims Sr. Specialist, youll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of f ...
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Fraud Claims Sr Specialist
1 week ago
Citizens Medford, United StatesAs a Fraud Claims Sr. Specialist, youll play a pivotal role in our Fraud and Claims Operations group, one of our most critical departments at Citizens. Our team is dedicated to protecting our customers, maintaining the highest standards of service, and ensuring the integrity of f ...
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Claims Specialist
2 weeks ago
TEKsystems Deerfield, United StatesJob Description · Job DescriptionDescription: · Claims Specialist's work one on one, via phone, with travelers who travel with and rely on mobility equipment. The travelers mobility equipment has been damaged by the airline, therefore, the CS functions as a case manager, handling ...
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Social Security Administration Malden, United StatesSummary · LOCATION: This position is located in Region I, Area II, Malden, MA, 192 Commercial Street, Malden, MA · TOUR OF DUTY: Flextime | Full-time | Alternate work schedules may be available · TYPE OF POSITION: One Permanent position. · This job is open to Internal to an a ...
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Social Security Administration Malden, United StatesSummary LOCATION: This position is located in Region I, Area II, Malden, MA, 192 Commercial Street, Malden, MA TOUR OF DUTY: Flextime | Full-time | Alternate work schedules may be available TYPE OF POSITION: One Permanent position. Responsibilities The position description number ...
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Construction Defect Claims Specialist
3 weeks ago
Capstone Search Group Boston, United States Full timeAbout the Role · Highly successful property and casualty with assets totaling over $2 billion and rating of "A" Excellent that writes premium coverage for businesses in 20+ states offers opportunity to join growing Construction Defect Claim team as a Construction Defect Claims Sp ...
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Claims Specialist
2 weeks ago
CorVel Corporation Acton, United States Full timeThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of ...
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Claims Service Specialist
1 week ago
Arbella Insurance Group Quincy, United States Full timeJoin a Best Place to Work Company · Claim your future with Arbella If you're looking for a dynamic opportunity to help customers through their toughest challenges, you're in the right place. · What will you do? · Claim Service Specialists are advocates for our customers. They ...
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Claim Service Specialist
1 week ago
Arbella Insurance Group Quincy, United States Full timeVoted Boston's #1 Best Place To Work by the Boston Business Journal in 2023 · Claim your future with Arbella If you're looking for a dynamic opportunity to help customers through their toughest challenges, you're in the right place. What will you do? · Claim Service Specialist ...
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Healthcare Claims Specialist
2 weeks ago
LogixHealth Bedford, United StatesLocation: On-Site in Bedford, MA · This Role: · The Claims Specialist is an entry-level position that provides a great opportunity of an in-office learning experience, and you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcar ...
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Healthcare Claims Specialist
3 weeks ago
LogixHealth Bedford, United StatesLocation: On-Site in Bedford, MA · This Role: · The Claims Specialist is an entry-level position that provides a great opportunity of an in-office learning experience, and you will work with internal teams to provide cutting-edge solutions that will directly improve the healthc ...
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Claims Specialist, Audit
1 week ago
LogixHealth Bedford, United StatesLocation: On-Site in Bedford, MA · This Role: · As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and will bring your exp ...
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Claims Specialist, EDI
2 weeks ago
LogixHealth Bedford, United StatesJob Description · Job DescriptionLocation: On-Site inBedford, MA · This Role: · As a Claims Specialist in EDI at LogixHealth, you will perform general tasks in the EDI Department on the Billing Team. You'll contribute to our fast-paced, collaborative environment and will bring y ...
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Claims Specialist, Audit
1 week ago
LogixHealth Bedford, United StatesJob Description · Job DescriptionLocation: On-Site in Bedford, MA · This Role: · As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative envi ...
Medical Claims Specialist - Somerville, United States - Cataldo Ambulance
Description
Job DescriptionJob Description
Job Overview:
We are seeking a highly organized and detail-oriented individual to join our team as a Medical Claims Follow-up Specialist.
The successful candidate will be responsible for reviewing denied or rejected claims, conducting thorough research to identify the reason for denial, and working with insurance companies and patients to resolve issues and ensure timely reimbursement.
The ideal candidate will have strong communication skills, a customer service mindset, and the ability to work independently in a fast-paced environment.
Responsibilities:
Review and monitor status on submitted claims to ensure the claims have been successfully received by the payors
Review denied or rejected claims to identify the reason for denial
Conduct research and gather necessary information to support claim appeals
Work with insurance companies to resolve claim issues and ensure timely reimbursement
Contact healthcare providers to obtain necessary documentation or clarification regarding claims
Update patient accounts and follow up with patients regarding outstanding balances or insurance coverage
Stay current with healthcare regulations and guidelines related to medical claims
Maintain accurate and up-to-date records of claims and related activities
Provide excellent customer service to patients, healthcare providers, and insurance companies
Perform additional assignments and special projects based on business need at the direction of the Manager
Qualifications:
High school diploma or equivalent; associate or bachelor's degree in healthcare administration, business, or related field preferred
Minimum of 2 years of experience in medical claims processing or related field
Knowledge of medical terminology, CPT/HCPCS codes, and ICD-10 coding
Proficiency in Microsoft Office and experience using healthcare billing software
Strong attention to detail and ability to multitask in a fast-paced environment
Excellent written and verbal communication skills
Ability to work independently and as part of a team
Customer service mindset and ability to handle sensitive or confidential information
Adaptability and a willingness to take on additional tasks and responsibilities as needed.
Knowledge of international payment and invoicing processes is a plus.
This is a full-time position with a competitive salary and benefits packages.
If you meet the requirements and are interested in this position, please submit your resume and cover letter for consideration.
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