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Resolution Specialist Jobs in Iowa

Medical Claims Resolution Specialist (Remote)
By MultiPlan Inc. At , Remote $19.83 an hour
JOB REQUIREMENTS (Education, Experience, and Training):
Knowledge of general office operations and/or experience with standard medical insurance claim forms
Address counter-offers received and present proposal for resolution while adhering to client guidelines and policy and procedures
Provider education to providers online provider portal services available for proposal review and approval
Good Communication (verbal, written and listening) teamwork, negotiation and organizational skills
Ability to use software and hardware related to job responsibilities, including MS Word and MS Excel spreadsheets and database software
A/R Research And Resolution Representative
By US Acute Care Solutions At , Remote $12.91 - $21.52 an hour
At least one year of medical insurance or billing experience or equivalent training or education.
Maintains knowledge of current government and/or carrier regulations relevant to the industry.
Knowledge of medical insurance and its terminology.
Basic knowledge of ICD-10 and CPT codes.
Ability to work effectively in remote setting.
Serves as an active contributor in team meetings.
Problem Resolution Team Specialist (Esc)
By Department of Education At , Malden, 02148 $74,337 - $107,695 a year
Training or knowledge of education law, particularly special education, and preferably student discipline, bullying and other mandated areas
Providing technical assistance and guidance to parents, advocates and school administrators on the implementation of regulatory requirements.
Strong interpersonal, communication skills – ability to communicate and work effectively with a wide range of constituencies in a diverse community.
An Equal Opportunity/Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
Performing other duties as required.
The successful candidate will possess:
Issue Resolution & Quality Coordinator
By DeKalb County, GA At , Decatur, Ga $58,662 - $94,446 a year

Salary Range: $58,662-$94,446 FLSA: Exempt The purpose of this classification is to monitor and coordinate quality assurance and resolution of complex customer service issues for the ...

Senior Claims Resolution Specialist, Commercial Bi
By Liberty Mutual At , Remote $73,600 - $97,700 a year
Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
Manages, investigates, and resolves claims.
Strong written and oral communications skills required.
Strong interpersonal, analytical, negotiation and investigative skills required.
Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.
Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
Sr. Claims Resolution Specialist Iii, Commercial Bi
By Liberty Mutual At , Remote $92,700 - $140,600 a year
Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office.
Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
May be involved in special projects and/or mentoring at the direction of local management.
Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed procedures and authority.
May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
Billing Resolution Specialist - 12:30-9:00Pm
By Privia Health At , Remote $17.00 - $18.75 an hour
1+ year of full time experience in a call center customer service environment preferred; remote work experience preferred
Technical Requirements (for remote workers):
Must provide accessibility to secure, quiet work space with direct high-speed internet connection to effectively work remotely
Answer high volume, inbound phone calls from patients, utilizing a cloud based phone system.
Educate our patients on patient financial responsibility surrounding deductibles, copays, and coinsurance.
Confidently inform and collect patient balances using Privia financial policy guidelines.
Senior Claims Resolution Specialist - Business Lines Specialty
By Liberty Mutual Insurance At , Remote $91,300 - $146,700 a year
Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
May be involved in special projects and/or mentoring at the direction of local management.
May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
A full working knowledge of claims operations and procedures is required.
Senior Claims Resolution Specialist, Complex Casualty
By Liberty Mutual Insurance At , Remote $82,500 - $104,000 a year
Demonstrated leadership ability and time management skills to delegate work appropriately and organize resources effectively.
Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage issues.
May serve as the backup for the manager when needed, reviewing file reports, evaluations, reserve recommendations and authority requests.
Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required.
Must have an advanced knowledge of coverage, liability, and complex claims handling procedures.
Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.