- City of New York (New York, NY)
- … claims and address 3rd Party No-Fault Arbitrations; 4) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims... claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical data to identify claims … more
- City of New York (New York, NY)
- …position include, but are not limited to the following: 1) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... to gather information relevant to the investigation of the claim ; 13) Investigate, identify, and report fraudulent claims... claim ; 13) Investigate, identify, and report fraudulent claims , utilize statistical data to identify claims … more
- CVS Health (Springfield, IL)
- …of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... and fostering collaboration with internal and external stakeholders to optimize claim processing , minimize errors, and enhance overall operational effectiveness… 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 an on-site, full time ... The rate of pay is $20.00 per hour. The Claims Processing Billing Representative's responsibility is to...Maintains WIP counts at or below goal. 7. Identifies claim problems to include all denials, claim … more
- IQVIA (Atlanta, GA)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- NTT DATA North America (MO)
- NTT DATA is seeking to hire **Remote Healthcare Claims Processing Associates** to work for our end client and their team. This is scheduled to be a 8+ month ... this Role the candidate will be responsible for:** + Processing of Professional claim forms files by...schedule **Requirements:** + 1+ year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… more
- NTT DATA North America (MO)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this ... Role the candidate will be responsible for:** + Processing of Professional claim forms files by...schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… more
- NTT DATA North America (MO)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role ... Responsibilities** - Processing of Professional claim forms files by...**Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a… more
- CVS Health (Franklin, TN)
- …communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling ... heart, each and every day. **A Brief Overview** Performs claim documentation review, verifies policy coverage, assesses claim...stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing… more
- MVP Health Care (Schenectady, NY)
- …and Macess Systems. + Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + ... improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is the opportunity...Reviews and ensures the accuracy of all changes to claim line information based on information received from other… more
- CVS Health (Franklin, TN)
- …of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs work flow to ensure the efficient and ... and fostering collaboration with internal and external stakeholders to optimize claim processing , minimize errors, and enhance overall operational effectiveness… more
- Travelers Insurance Company (Tampa, FL)
- … 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
- AssistRx (Orlando, FL)
- …to implement and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing/ Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 Shircliff ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, ... System + 2 years retirement related experience and 2 years of claims processing experience, or 4 years customer service experience in retirement related field… more
- City of New York (New York, NY)
- …New York, and has a wastewater conveyance and treatment system capable of processing over 1.3 billion gallons of wastewater per day to protect the environment ... is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office....BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling ... claim disputes. + Claim knowledge including professional, facility and ancillary claims...+ Strong knowledge of contracts, medical terminology, and appeals processing and procedures. + High School Diploma or GED… more
- Wells Fargo (Charlotte, NC)
- …the Head of Claims and Recovery. This group is responsible for end-to-end claims processing for all dispute types. This individual will lead the ATM, Debit ... Fargo is seeking a Fraud & Claims Operations Director to report to...transformation initiatives. **Required Qualifications:** + 8+ years of Fraud Claim Investigation or Policy Violations, Risk Management, or Compliance… more
- Superior Ambulance Service (Elmhurst, IL)
- …pertaining to specific claim issues. + Maintain working relationships with departments processing claims . + Handle claims involving loss due to fire, ... a database system. + Determining policy coverage and calculating claim amounts. + Processing claim ...pressure. + High attention to detail. + Provide timely processing and adjudication of claims . + Prepare… 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 ... in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software… more