- IQVIA (Atlanta, GA)
- …for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will ... **Patient Support Medical Claims Processing Representative** _Contract Remote...+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Sr Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up ... course of three years. This is a Work From Home opportunity. **Benefits** HCA Healthcare, offers a total rewards...+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans… more
- TEKsystems (Earth City, MO)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... be willing to work Saturdays occasionally. * A high-speed home internet connection and a quiet at -...applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability… more
- EquipmentShare (St. Louis, MO)
- …(On call during the weekend only in special circumstances) Primary Responsibilities + Claims Processing : Efficiently process insurance claims from initiation ... Future Claims Representative Opportunities at EquipmentShare! EquipmentShare...in a customer service role, with prior experience in claims processing or the car rental industry… more
- TEKsystems (Brookfield, WI)
- …time frame is reached without resolution. - Monitors computerized system for claims processing errors and make corrections and/or adjustments as needed. ... and corporate policies to resolve claim and claim issues. - Settles claims with Claimants...- Performs other duties and responsibilities as assigned. Skills Claims processing , Claims Analyst, Medicare,… more
- Axis (Alpharetta, GA)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion Set accurate and timely claim reserves and make referrals ... team that is among the best in the industry. At AXIS, we believe that we are only as...these are processed accurately and promptly, including monitoring and processing of claims bordereaux and ISO searches… more
- Sedgwick (Dallas, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Salt Lake County (Salt Lake City, UT)
- …Onsite medical clinic, childcare and gym; hospital insurance, pet insurance auto and home insurance and discounts at County facilities. For Benefits information ... MINIMUM QUALIFICATIONS Four (4) years of experience investigating, negotiating, and adjusting claims and claim settlements; of which two (2) years may… more
- New York State Civil Service (Liverpool, NY)
- …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 Occupational Category Other...claim can be retired.Specific duties to be discussed at time of interview. Minimum Qualifications For Appointment to… more
- TEKsystems (Brookfield, WI)
- … claims with accuracy and efficiency. If you have a strong experience in claims processing and Medicaid, we'd love to hear from you! Key Responsibilities + ... PM About the Role Seeking a detail-oriented and experienced Claim Processor to join our growing team. This role...school diploma or equivalent. + 1.5+ years of healthcare claims processing experience. + Familiarity with CPT,… more
- Lincoln Financial (Helena, MT)
- …Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee **Relocation assistance:** is not available for this opportunity. ... will provide leadership and direction to a team of claims specialists, technical claim specialists, and lead...* Meeting all established quality assurance benchmarks. * Ensuring claims processing is consistent with applicable policies,… more
- Prime Therapeutics (Denver, CO)
- …skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication ... pharmacies to drive timely and accurate documentation receipt and review + Analyze pharmacy claims to identify those at the highest risk for error; utilize… more
- NTT DATA North America (Decatur, IL)
- …and insured members. . Assist with audits for assigned group. . Assist with claims processing and over specific for new or backlogged groups. KNOWLEDGE, SKILLS ... providers and case management company for information regarding problem claims . . Print/mail EOBs and claim forms.... High School Education required. . 3 Years of Claims Processing Experience . TPA Experience .… more
- CenterWell (Topeka, KS)
- …and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer ... or the equivalent + Minimum of two years medical claims processing experience preferred + Knowledge of...Home /Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
- New York State Civil Service (Albany, NY)
- …Cost Control Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on ... of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC...project documents and contractor records to determine if the claim has merit and the value of the … more
- Elevance Health (Richmond, VA)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
- Reynolds & Reynolds (Omaha, NE)
- …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...have a quiet designated work space to work from home ~^~Must have reliable internet with at least… more
- HCA Healthcare (Houston, TX)
- …an Third Party Liability Claims Specialist, you will be responsible for processing insurance accounts to address claim issues and thereby affect payment ... want to join an organization that invests in you as a Third Party Liability Claims Specialist? At Parallon, you come first. HCA Healthcare has committed up to… more
- Billings Clinic (Billings, MT)
- …software systems, developing reports, and assisting in coordination of medical malpractice claims at the direction of the Risk Management Director and/or ... wide Risk Management Plan that organizes both risk prevention measures and claims processing and management systems for Billings Clinic and regional… more
- Alight (IN)
- …resulting in either approval, denial or extension of the leaves. + Managing and processing employee leave claims in compliance with federal, state, and company ... through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal...**Flexible Working** So that you can be your best at work and home , we consider flexible… more