Health Insurance Claims Specialist

Remote Full-time
Job Description:
• Support attorneys by reviewing claim files
• Compile factual summaries
• Identify key documents
• Facilitate legal analysis regarding liability
• Potential defenses, exposure valuations, and settlement strategies
• Review and analyze health care claim files
• Evaluate merits and potential liability of claim batches
• Maintain case summaries, claim trackers and databases
• Synthesize information into actionable summaries

Requirements:
• Familiarity with health care insurance claims
• Strong working knowledge of payer-provider contracts
• Medicare/Medicaid rules and regulations
• Claims reimbursement frameworks
• Experience reviewing and interpreting large volumes of healthcare claims data
• Strong written communication skills
• Excellent attention to detail
• Proficiency with MS Suite and data driven analysis tools
• Ability to work collaboratively with attorneys and clients

Benefits:
• healthcare
• vision
• dental
• retirement
• all-purpose leave
• back up childcare
• wellness programs
• cultural events
• social activities

Apply Now

Apply Now
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Principal Customer Success Data Scientist - Industry Analytics

Remote Full-time

[Remote] Recruiter

Remote Full-time

Data Engineer - Emerging Technology

Remote Full-time

Design Consultant - Thousand Oaks / Westlake Village

Remote Full-time

**Experienced Remote Customer Service Representative – Virtual Call Center Operations**

Remote Full-time

Open Connect Strategic Negotiator

Remote Full-time

Senior Attorney for Clean Energy Policy Advocacy

Remote Full-time

Advanced Cluster Management for Kubernetes Consultant

Remote Full-time

**Immediate Hiring: Data Entry Administrative Assistant at arenaflex**

Remote Full-time

[Remote] Vet Tech Product Specialist

Remote Full-time
← Back to Home