Talent.com
Claims Recovery Specialist II - MD
Claims Recovery Specialist II - MDVirtualVocations • Oakland, California, United States
Claims Recovery Specialist II - MD

Claims Recovery Specialist II - MD

VirtualVocations • Oakland, California, United States
2 days ago
Job type
  • Full-time
Job description

A company is looking for a Claims Recovery Specialist II - MD / DC (Remote).

Key Responsibilities

Review and audit medical and dental claims to recover overpayments

Contact carriers, members, and providers to recover and settle claims

Distribute correspondence to policyholders and participate in audit-related meetings

Required Qualifications

High School Diploma or GED

5 years of claims processing experience

Preferred : 1 year of adjustment processing experience

Mathematical ability / aptitude

Ability to deal with internal and external clients

Create a job alert for this search

Recovery Specialist • Oakland, California, United States

Related jobs
Recovery Specialist II (on call) - Mental Health 616

Recovery Specialist II (on call) - Mental Health 616

Telecare Corporation • San Leandro, CA, United States
Full-time
They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live. What You Will Do to Change Lives.The Recover...Show more
Last updated: 30+ days ago • Promoted
Fulfillment Specialist (Contract)

Fulfillment Specialist (Contract)

Color Health • Burlingame, CA, United States
Full-time
Color Health is revolutionizing cancer care with the nation's first Virtual Cancer Clinic, delivering high-quality, physician-led multidisciplinary care across all 50 states.Our innovative, guideli...Show more
Last updated: 24 days ago • Promoted
Senior Associate, Scheduling / Claims

Senior Associate, Scheduling / Claims

Swinerton • San Francisco, CA, US
Full-time
Consult with project teams to review and analyze entitlement positions with regards to schedule delays, productivity impacts, and review subcontractor claim positions, as well as develop schedules ...Show more
Last updated: 30+ days ago • Promoted
Receiving Specialist

Receiving Specialist

Comoto • Hayward, CA, US
Part-time
Comoto Holdings is America's largest and fastest-growing omnichannel platform in the powersports aftermarket-products industry. dedicated to advancing the experience of powersports enthusiasts acro...Show more
Last updated: 30+ days ago • Promoted
Lead Recovery Specialist II - Behavioral Health 155

Lead Recovery Specialist II - Behavioral Health 155

Telecare Corporation • Oakland, CA, United States
Full-time
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural dive...Show more
Last updated: 30+ days ago • Promoted
Supervisor, Claims Processing

Supervisor, Claims Processing

San Francisco Health Plan • San Francisco, CA, United States
Full-time
Reporting to the Director of Claims, the Supervisor, Claims Processing organizes and supervises the work of Claims staff and leads daily operations according to industry and SFHP standards.The Supe...Show more
Last updated: 30+ days ago • Promoted
Project Controls Specialist III

Project Controls Specialist III

Global Infrastructure Partners • San Francisco, CA, US
Full-time
TYLin is a globally recognized, full-service infrastructure consulting firm committed to providing innovative, cost-effective, constructible designs for the global infrastructure market.With over 3...Show more
Last updated: 30+ days ago • Promoted
Claims Representative II

Claims Representative II

Solera • San Jose, CA, US
Full-time
Claims Admin Support II - Virtual US.Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience....Show more
Last updated: 30+ days ago • Promoted
Claims Specialist - Crop

Claims Specialist - Crop

QBE Insurance • San Francisco, CA, US
Full-time +1
At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities.It is our aim to continuously build a strong candidate pipeline across all our bu...Show more
Last updated: 30+ days ago • Promoted
Scheduling / Claims Associate

Scheduling / Claims Associate

Swinerton • San Francisco, CA, US
Full-time
Job Description Summary : Consult with Project Teams to review and analyze entitlement positions with regards to schedule delays, productivity impacts, and review subcontractor claim positions, as w...Show more
Last updated: 30+ days ago • Promoted
Claim Specialist - Property Field Inspection

Claim Specialist - Property Field Inspection

State Farm • Oakland, CA, United States
Full-time
US-CA-Oakland;US-CA-Antioch;US-CA-Brentwood;US-CA-Concord;US-CA-Walnut Creek;US-CA-Pleasant Hill;US-CA-Crockett;US-CA-Hayward. US-CA-Martinez;US-CA-Oakley;US-CA-Pittsburg;.Being good neighbors - hel...Show more
Last updated: 30+ days ago • Promoted
Recovery Specialist II - Mental Health 616

Recovery Specialist II - Mental Health 616

Telecare Corporation • San Leandro, CA, United States
Full-time
They made it easier for me to live, breathe, eat, and stay clean.Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live. What You Will Do to Change Lives.The Recover...Show more
Last updated: 30+ days ago • Promoted
Recovery Specialist III

Recovery Specialist III

Horizon Services, Inc. • San Leandro, CA, US
Full-time +1
Quick Apply
Signing Bonus $2000 Sign-On Bonus for Bilingual Applicants : .Distributed in 4 parts : $500 after 30 days, $500 after 90 days, $500 after 150 days, and $500 after 210 days of employment) JOB TITLE : &...Show more
Last updated: 30+ days ago
Full Risk Claims Specialist - Remote (Multiple Positions) - 25-171

Full Risk Claims Specialist - Remote (Multiple Positions) - 25-171

Hill Physicians Medical Group • San Ramon, CA, US
Remote
Full-time
At Hill Physicians Medical Group, we're shaping the healthcare of the future : actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our me...Show more
Last updated: 30+ days ago • Promoted
Full Risk Claims Specialist - Remote (Multiple Positions) - 25-172

Full Risk Claims Specialist - Remote (Multiple Positions) - 25-172

Hill Physicians Medical Group • San Ramon, CA, US
Remote
Full-time
We're delighted you're considering joining us! At Hill Physicians Medical Group, we're shaping the healthcare of the future : actively managed care that prevents disease, supports those with chronic...Show more
Last updated: 15 days ago • Promoted
Patient Account Representative II

Patient Account Representative II

Stanford Health Care • Palo Alto, CA, US
Full-time
Patient Account Representative.The Patient Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and po...Show more
Last updated: 24 days ago • Promoted
Collection Specialist

Collection Specialist

Software Guidance & Assistance, Inc. (SGA, Inc.) • San Leandro, CA, US
Full-time
Software Guidance & Assistance, Inc.The PFS Collection Specialist is responsible for all aspects reviewing payer contracts, claims and performing third party collection activity for hospital se...Show more
Last updated: 30+ days ago • Promoted
Claims Liaison

Claims Liaison

Solera • Fremont, CA, US
Full-time
Claims Liaison - Virtual West Coast.Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience.I...Show more
Last updated: 4 days ago • Promoted
Regional - AR Resource

Regional - AR Resource

PACS • Fremont, CA, US
Full-time
Now Hiring : Regional Accounts Receivable Resource for the East Bay Region.Ensure accuracy and efficiency in accounts receivable processes throughout the region. Regularly meet in person and virtuall...Show more
Last updated: 16 days ago • Promoted
Payment Resolution Specialist - FT - Days - Billing and Collection @ MV

Payment Resolution Specialist - FT - Days - Billing and Collection @ MV

El Camino Health • Mountain View, CA, US
Full-time
El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community : On...Show more
Last updated: 2 days ago • Promoted