- Cracker Barrel (Lebanon, TN)
- …* Experience with employee communications and education; as well as third party administration and claims reconciliation . * Proficient computer skills ... including Excel, PowerPoint, Word; Workday is a plus. **WHAT'S IN IT FOR YOU ** + **Compensation and Bonuses:** Competitive Annual Salary | Annual Bonus Opportunities + **Care for Your Well-being:** Medical, Rx, Dental and Vision Benefits on Day 1| Life… more
- Billings Clinic (Billings, MT)
- …The Claim Specialist's main focus is to obtain maximum and appropriate reimbursement for all claims from government and third - party payers. The Claims ... Specialist is responsible for preparing and submitting timely and accurate insurance claims to government and third - party payers, assisting in the… more
- Guidehouse (Lewisville, TX)
- …accounting system. + Attends training sessions and seminars offered by the Hospital and Third Party Payers. + Handles all customer calls both internal and ... Adjusted claims + Provides Follow-up Billing + Prepares Billing Reconciliation **Duties and Responsibilities** + Performs daily download and reconciliation … more
- AIG (New York, NY)
- …multinational teams; * Negotiate claims non-disclosure agreements * Oversee third party administrator (TPA) service delivery, contract and relationship; * ... & casualty lines including insurance related concepts, processes, and regulations * Claims management & reconciliation experience preferred * Bachelor's Degree… more
- AIG (Dallas, TX)
- …Must be obtained within 6 months. What you'll need to succeed + Experience with Claims Third Party Administrators preferred + 3+ years previous general and ... Claims Management Analyst Join us as a ...and management reports, participating in roundtables, and performing necessary reconciliation reports with the TPA. + Property and casualty… more
- HCA Healthcare (Denver, CO)
- …of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and ... you have the career opportunities as a Medical Insurance Claims Representative you want with your current employer? We...as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid) +… more
- TEKsystems (Fresno, CA)
- …7. Splits RFF for Stoploss 8. Request provider/ member overpayments. 9. Oversees Third Party liability process. 10. Track error trends and provide feedback ... Works Blue Cross JAA reports 4. Communicates with Anthem via emails regards to Claims status 5. Performs voids and reissues 6. Works JAA reconciliation reports… more
- CVS Health (Pittsburgh, PA)
- …ensures timely credit balance resolution via refunds to patients, governmental agencies, and other third party payers. As part of the Refund team, you will work ... health care reimbursement, medical billing or insurance collections, and/or account reconciliation / account review/ account resolution. + 1+ years' experience in… more
- Banner Health (Chandler, AZ)
- …field preferred. Proficiency and experience with third party claims adjudication and claims rejection reconciliation preferred. Proficiency and ... services from the Specialty Pharmacy. Assisting the specialty pharmacists with claims processing, inventory management, and all necessary reporting requirements to… more
- Banner Health (Gilbert, AZ)
- …field preferred. Proficiency and experience with third party claims adjudication and claims rejection reconciliation preferred. Proficiency and ... experience with non-sterile, sterile and hazardous drug compounding preferred. Work experience which demonstrates analytical ability, judgment and interpersonal skills in pharmacy or healthcare preferred. Experience and proficiency with computer software… more
- Banner Health (Glendale, AZ)
- …field preferred. Proficiency and experience with third party claims adjudication and claims rejection reconciliation preferred. Proficiency and ... experience with non-sterile, sterile and hazardous drug compounding preferred. Work experience which demonstrates analytical ability, judgment and interpersonal skills in pharmacy or healthcare preferred. Experience and proficiency with computer software… more
- Banner Health (Casa Grande, AZ)
- …field preferred. Proficiency and experience with third party claims adjudication and claims rejection reconciliation preferred. Proficiency and ... experience with non-sterile, sterile and hazardous drug compounding preferred. Work experience which demonstrates analytical ability, judgment and interpersonal skills in pharmacy or healthcare preferred. Experience and proficiency with computer software… more
- MyFlorida (Largo, FL)
- …Business Manager III who is responsible for the timely and accurate submission of third - party claims to all payers, the Professional Accountant responsible ... to the Department of Financial Services. + Monitors the timely submission of clean claims to all Third - Party payers. + Monitors and provides direction… more
- UNC Health Care (Eden, NC)
- …communities we serve. Summary: Reviews, verifies, edits and submits/transmits claims and claims ata to third party payers, insurance carriers, federal ... knowledge of federal and state claim processing regulations and third party payer contracts, including payment rates and claims processing requirements and… more
- Oak Orchard Health (Brockport, NY)
- …the Senior Accountants. Analyzes reports and initiates immediate follow-through with third party billing organization for correcting identified billing problems. ... approve weekly patient statements before being processed/billed. Participate meetings with third party billing organization and insurance payer representatives,… more
- WMCHealth (Poughkeepsie, NY)
- …to the billing and follow-up of claims . + Responsible for filing insurance claims for multiple third party payers. Addresses any edits pertaining to ... on all rules and regulations governing billing and reimbursement of multiple 3rd party payors. Utilizes tools available including websites, payor meetings,… more
- Kinder Morgan (Houston, TX)
- …pipeline easements. Also provides guidance to internal KM right of way agents directing 3rd party right of way agents. * Ensures compliance with all company ... performance * Provides safety leadership to staff members and 3rd party right of way agents. *...other support functions (ie regulatory, outreach, engineering, operations, legal, third party contractors, construction and environmental) to… more
- Audi (Vici, OK)
- …validating IFRS 17 results. Coordinate with multiple stakeholders including VCI IT, third party consultant (Deloitte Poland), actuarial, product team, technical ... sources are correctly sourced and work with IT and third - party vendors to support automation and accuracy....in data flow that may be discovered in this reconciliation Link new claims (RSA) data source… more
- WMCHealth (Valhalla, NY)
- …Internal Applicant link Job Details: Job Summary: The Patient Accounting Clerk processes insurance claims to third party health carriers for billing of ... insurance follow up, filing, and other clerical tasks. Responsibilities: + Prepares and submits claims to third party payers to obtain reimbursement for… more
- Doosan Bobcat (ND)
- …insurance claims management and claim litigation processes * Coordination of 1st party claims against insurers or 3rd parties. * Oversee coordinate ... and state-of-the-art trends in risk management, safety, loss control and claims management strategies. * Establishing and regularly updating a comprehensive risk… more