- Houston Methodist (Houston, TX)
- …(where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial correspondence. The ... of billing practices and maintains departmental standards relating to insurance claims processing , charge entry...notes in system for each account worked. + Identifies claim processing issues and general billing trends.… more
- TEKsystems (Honolulu, HI)
- …operations across all lines of business, including Medicare, Medicaid, and commercial insurance . Key Responsibilities: Claims Processing : Oversee the ... Description The Claims Manager will oversee the claims processing operations, ensuring accuracy, efficiency, and compliance with regulatory requirements.… more
- Kelly Services (Glastonbury, CT)
- …diverse populations and high-volume workloads **Certifications:** + **Medical billing/coding or insurance claims processing certification required** **If ... / AS) preferred, or equivalent work experience + **Experience:** 2-4 years in medical claims processing , billing, or insurance customer service + **Computer… more
- BrightSpring Health Services (Louisville, KY)
- …from a retail to office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician experience and/or ... as a Claims Analystwith PharMerica! The3rd Party Claims Analystis responsible for configuring 3rdparty insurance ...and tools. This includes researching both denied and paid claim transactions, understanding root cause for denied claims… more
- Cardinal Health (Nashville, TN)
- …projects, audits, or other duties as assigned. **_Qualifications_** + Strong knowledge of insurance claim processing and denial management preferred. + ... is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and... companies via phone, portals, or email to check claim status, request reprocessing or escalate issues. + Analyze… more
- ManpowerGroup (Vienna, VA)
- …field (or equivalent work experience). + Minimum of 5-7 years of experience in life insurance claims auditing, processing , or a related role. + Proven ... payment. + Identify and investigate potential fraud, discrepancies, or irregularities in claims processing . + Provide detailed audit findings and recommendations… more
- TEKsystems (Lincoln, NE)
- …Lead to oversee the successful transition of a Medicaid data warehouse and encounter claim processing solution from vendor management to a state-run model. This ... the transition of the Medicaid data warehouse and encounter claim processing to a state-managed model. +...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Tidelands Health (Murrells Inlet, SC)
- …be completed in a timely manner. The PFS-FC is responsible for reviewing insurance processing for accuracy, reviewing patient statements to determine if payment ... and completing paperwork related to financial assistance, billing record requests, and insurance processing . Meet with patient or contact patient to confirm… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as ... claims edits from secondary claims . In the event a claim edit...standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office**… more
- Central Maine Medical Center (Lewiston, ME)
- …for our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is a full time 40-hour, ... The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to...Minimum of two years relevant experience, including knowledge of insurance billing and medical terminology * Thorough understanding of… more
- Boston Mutual Life Insurance (Canton, MA)
- … Manager. The Life Claim Examiner is responsible for managing and processing all assigned claims with adherence to company policies and contract provisions ... Claim Examiner is expected to: + Manage their assigned caseload of Life insurance claims and ensures the accuracy and completeness of submitted claims .… more
- Travelers Insurance Company (St. Paul, MN)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
- City of Boise (Boise, ID)
- …of education and/or experience. Knowledge of: workers' compensation, liability or insurance claim processing and administration; general governmental ... status and facilitates claim administrative actions. Processes self- insurance and commercial insurance claims ....accounting and three years of experience in risk management, insurance claims processing , safety or… more
- DePaul (Rochester, NY)
- …Claims Coordinator to manage the organization's insurance procurement and claims program. This includes managing the reporting, processing and adjustment ... ideal candidate will be someone with commercial risk and insurance experience, along with claims adjustment and/or...Assist in developing insurance budgets for core insurance lines, reviewing invoices for processing and… more
- Zurich NA (Stevens Point, WI)
- …is to handle claims of varying degrees of complexity with all travel insurance benefits. Claim processing benefits including but not limite to: Mid ... to the appropriate stake holders through the life of the claim . This role involves claims in which real time decisions are required and frequent conversations… more
- WTW (New York, NY)
- … claim regulatory requirements and compliance.** + **Significant experience with claims processing systems.** + **Significant experience in managing TPA's and ... + **Act as the liaison between the insured, the claim handling team, the insurance carrier, and...client meetings, assist underwriting in their renewal process, audit claims performance against best practices, and implement value added… more
- CACI International (Chantilly, VA)
- …As a Claims Processor, your duties will include analyzing and processing insurance claims , negotiating settlement elements, and maintaining accurate ... these policies and regulations. **Responsibilities:** + Analyze and process insurance claims + Negotiate settlement terms +...claim forms + Support claimants in explaining their claims Assist management with complex cases + Prepare reports… more
- University of Utah Health (Salt Lake City, UT)
- …**Required** + Three years of experience collecting, organizing and maintaining health insurance and processing medical claims . + Familiarity with ... EO/AA_ This position is responsible for researching, identifying and adjusting medical claim errors. This position is not responsible for providing care to patients.… more
- The Cigna Group (Bloomfield, CT)
- …further enhance claim accuracy outcomes + Engagement, partnership with supervisor, claim processing team, and other internal and external partners + Position ... of contracts for pricing accuracy **Qualifications:** + 1 year of Payer Solutions claim processing technical knowledge and application + Customer Service Driven;… more
- Midwest Motor Express, Inc. (Kansas City, MO)
- …efforts in prevention of cargo loss and damage so as to prevent potential claims and claim liability, assist in improving operational efficiencies and quality of ... The Cargo Claim Prevention Manager will be responsible for implementing...service center personnel to ensure compliance with all OS&D, claims , and claims prevention policies and procedures… more
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