- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Level Bachelors Degree Travel Percentage None Job Shift Daytime Job Category Professional / Experienced Description The Policy and Claims Research Specialist ... as the point of contact for claim related research. Serves as a claims subject matter expert (SME) and handles incoming inquiries regarding Payment Integrity… more
- Universities of Wisconsin (Madison, WI)
- …safety, and environmental management quality property, liability, and worker's compensation claims management protection of UW System assets risk assessments and ... areas of high risk, providing guidance and expertise on workers compensation claims and workplace injuries, negotiating insurance policies on behalf of the UW… more
- Baptist Health of South Florida Federal Credit Union (Miami, FL)
- …Handles credit disputes, member hardship requests, insurance and total loss claims , and payment reminders for delinquent accounts. Provides assistance and guidance ... Receives, sorts, and distributes incoming and outgoing mail. Processes total loss claims , GAP claims , warranty claims /cancellations, and Credit… more
- Greenfield Rehabilitation Agency/Rehab Resources (Brookfield, WI)
- …resolve billing issues and ensure that all documentation is in order for claims . Customer Service: Provide clear, courteous, and professional assistance to ... as a Top Workplace for four consecutive years, we prioritize your professional growth, support, and appreciation. Whether you're looking for part-time or full-time… more
- PharmaCord (Jeffersonville, IN)
- …and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes Educate offices about the medical necessity requirements ... with payors, as applicable Assist offices to understand payor denied or underpaid claims and provide education, as applicable, for the office to resolve of rejected,… more
- Syufy Enterprises (San Rafael, CA)
- …relations, compliance, recruitment and onboarding. This position requires a versatile HR professional who can handle a broad range of duties, ensuring that HR ... proactive communication and problem-solving. Administer and manage worker's compensation claims company wide, ensuring compliance with legal requirements and timely… more
- WORKCARE INC (Boise, ID)
- …other occupational and environmental health services, as needed, while maintaining a professional and patient centered approach in an occupational setting. Travel to ... cases to providers Assist providers in managing, coordinating, documentation of Workers Comp claims & communicates with Client's WC claims carrier as needed.… more
- JS Perkins Consulting (Falls Church, VA)
- …improve financial oversight and increase collections through the Medical Affirmative Claims (MAC) and Third-Party Collections (TPC) programs. This role will provide ... Holidays 4-5 weeks PTO (depending on level) Bonus Incentives Professional Development Telework Continuing Education Credit Your Responsibilities: Financial Process… more
- Express Employment (Evansville, IN)
- …insurance payments, and account adjustments Handle medical billing, coding, and claims submissions in accordance with insurance requirements Follow up on outstanding ... insurance claims and patient balances Reconcile accounts and resolve billing...that meet your employment goals, including Administrative, Industrial, and Professional positions. Let us help you today! For more… more
- Kin Insurance, Inc. (Washington, DC)
- …offer seamless bundling, and make every step (from purchasing, servicing to claims ) simple and friction-free, especially in the places traditional insurers often ... parents, with incentive continuation based on tenure and past earnings Professional Development - Ongoing learning and development opportunities Career Growth &… more
- Independent Living Systems (Miami, FL)
- …or a related discipline. Certification such as Certified Business Analysis Professional (CBAP) or Certified Healthcare Business Analyst (CHBA). Experience with ... and implement practitioner, hospital, and ancillary contracts into the claims system, including amendments and claims testing....into the claims system, including amendments and claims testing. Program and maintain pricing setups based on… more
- Merck & Co. (Rahway, NJ)
- …symposia and meetings. Participate in and contribute significantly to professional organizations, academic or regulatory working teams Asset Regulatory Management ... management Substantive contributions to labeling committees. Ensure labels contain fair-balanced claims supported by data and supportive of asset value proposition… more
- Eisai, Inc (Nutley, NJ)
- …to appropriate therapeutic alternatives.Monitor current methodological, clinical practice and professional guidelines, as they relate to health economics and ... research studies. Experience in analyzing and collecting patient-reported outcomes, claims and EMR databases. Demonstrated ability to work collaboratively in… more
- Ashley Furniture Industries, LLC. (Tampa, FL)
- …non-employment disputes, including personal injury, construction, intellectual property, commercial claims , class actions, and consumer protection. In this role, the ... and dispute timelines. Assist in preparation for depositions, hearings, and small claims trials. Extensive interaction with customer care and risk management teams.… more
- Wagner Insurance (Magnolia, TX)
- …a collaborative team atmosphere where your contributions are valued, and your professional development is encouraged. For more information on Wagner Insurance, check ... Process state COIs as required 2. Commercial Lines Support (30%) Enter claims , NOC, and alert actions following completion of requirements with documentation scanned… more
- Eisai, Inc (Pittsburgh, PA)
- …(eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state ... transparency and disclosure laws) preferred.Demonstrated skills at building and maintaining professional relationships with key customers and others in the customer… more
- Premier Auto Credit (Glendale, CA)
- …of potential losses by identifying opportunities to open and resolve insurance claims on insured vehicles that are damaged. Ensure that all insurance verification ... and defined timelines. Consistently work to maintain a solid and professional relationship with all consumers and insurance companies. Avoid missing insurance… more
- PharmaCord (Jeffersonville, IN)
- …handle personal health information with confidentiality. Committed to honesty and integrity. Professional and have a strong sense of proper business and customer ... experience Knowledge of the specialty drug product marketplace, health insurance claims processing, and commercialization of products and working with manufacturers… more
- NorthMark Strategies (New York, NY)
- …third-party administrators to ensure effective program management. Assist with claims management, loss control initiatives, and incident reporting, supporting ... department leadership and other stakeholders. Contribute to knowledge sharing and professional development within the COE, building organizational expertise in both… more
- Express Employment (Bemidji, MN)
- …Bemidji, MN Salary: $65,000 - $75,000 Now Hiring: Human Resources Professional Express Employment Professionals is hiring an Experienced Human Resources Specialist ... testing, contribution tracking, and fiduciary coordination Respond to unemployment claims and manage workman's compensation processes and reporting Maintain… more
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