Remote Medical Director, Appeals CenteneRemote Medical Director, AppealsAuburn, WARemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
Insurance Claims Specialist Columbia BankInsurance Claims SpecialistFederal Way, WashingtonStaffing and recruiting agencies are not authorized to submit profiles, applications, or resumes to this site or to any Columbia Bank employee and any such submissions will be considered unsolicited unless requested directly by a member of the Talent Acquisition team. The Insurance Claims Specialist is responsible for communicating effectively and professionally while handling incoming calls and written communication from/to customers.
Lead Claims Specialist - USFHP Providence Health & ServicesLead Claims Specialist - USFHPRenton, WAAs a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you''ll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population - resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population. Requsition ID: 452032 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $26.90 - $41.89
Lead Claims Specialist - USFHP Providence St. Joseph HealthLead Claims Specialist - USFHPRenton, WAAs a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you''ll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population - resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population. 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.
Sr. Claims Specialist - Commercial Auto BI Philadelphia Insurance CompaniesSr. Claims Specialist - Commercial Auto BISeattle, WA$102,150–$120,177 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertySeattle, WA$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
senior claims specialist, Risk Management Starbucks Corpsenior claims specialist, Risk ManagementSeattle, WAAdminister a portfolio of workers' compensation claims and provide strategic direction to third party administrators to ensure Starbucks' workers" compensation program delivers: prompt and appropriate medical treatment, timely wage- loss payments and other required financial benefits, opportunities for early and sustainable return to work, comprehensive claim investigation and evaluation, effective litigation and legal strategy management, compliance with all applicable state jurisdictional regulations, appropriate utilization of risk mitigation tools (i.e. Sub Rosa, MSA, etc.). Lead interactive discussions with injured partners, store leadership, healthcare providers, and claim stakeholders to identify opportunities for return to work and facilitate temporary modified duty assignments that support recovery and business needs.
AR Claims Specialist I Yakima Valley Farm Workers ClinicAR Claims Specialist IWA$19.76–$24.21 / hourQualifications: High School diploma or GED Minimum six months' experience in healthcare setting Certified Revenue Cycle Representative (CRCR) preferred Experience with FQHC billing and/or coding preferred Strong attention to detail, analytical skills, and ability to meet deadlines Knowledge of medical and insurance terminology, CPT/ICD coding structures, and UB‑04/1500 claim forms Strong written and verbal communication skills. Through diligent follow‑up, payer expertise, and collaboration with billing and revenue cycle partners, this role helps reduce denials, improve workflows, and support YVFWC's mission.
Claims Specialist - USFHP Providence Health & ServicesClaims Specialist - USFHPRenton, WARequsition ID: 447122 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - USFHP Providence St. Joseph HealthClaims Specialist - USFHPRenton, WATogether, 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. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Lead Claims Specialist - USFHP Pacific Medical Center IncLead Claims Specialist - USFHPRenton, WAAs a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you'll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population - resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population. Requsition ID: 452032 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $26.90 - $41.89
Claims Specialist Providence St. Joseph HealthClaims SpecialistSeattle, WATogether, 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. Monitors daily electronic claims transmission to research and resolve system and electronic clearinghouse claim rejection to maximize the number and percentage of patient bills processed without denials or errors.
Claims Specialist Providence Health & ServicesClaims SpecialistSeattle, WA$21.55–$33.53 / hourRequsition ID: 453362 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist - USFHP Pacific Medical Center IncClaims Specialist - USFHPRenton, WARequsition ID: 447122 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Claims Specialist Pacific Medical Center IncClaims SpecialistSeattle, WA$21.55–$33.53 / hourRequsition ID: 453362 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
NewClaims Specialist Lead The Progressive CorpClaims Specialist LeadEverett, WA$81,000–$107,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
Senior Claims Specialist - USFHP Providence St. Joseph HealthSenior Claims Specialist - USFHPRenton, WATogether, 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. 4 years of Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO, HMO, PHO or large group practice setting.
Senior Claims Specialist - USFHP Providence Health & ServicesSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Claims Specialist - USFHP Pacific Medical Center IncSenior Claims Specialist - USFHPRenton, WA$25.61–$39.88 / hourRequsition ID: 442924 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: On-site Pay Range: $25.61 - $39.88 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Insurance Claims Specialist Columbia Banking System, Inc.Insurance Claims SpecialistBellevue, WA$19–$24 / hourStaffing and recruiting agencies are not authorized to submit profiles, applications, or resumes to this site or to any Columbia Bank employee and any such submissions will be considered unsolicited unless requested directly by a member of the Talent Acquisition team. About the Role: The Insurance Claims Specialist is responsible for communicating effectively and professionally while handling incoming calls and written communication from/to customers.