- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …to understand business systems and articulate deficiencies and opportunities in both claim processing systems; HealthRules and Amisys. Understanding of provider ... role will act as the point of contact for claim related research. Serves as a claims ...etc.) Strong understanding and experience in all aspects of claims adjudication, processing , and analysis. Ability to… more
- UnisLink (Phoenix, AZ)
- … reprints or corrections. Communicating with internal teams to support efficient claim processing . Ensuring all tasks follow HIPAA regulations and company ... . Pulling client notes and charge information to support claim workflows. Sorting, batching, and processing incoming... forms. Knowledge of electronic health records (EHR) and claims processing software. Familiarity with different types… more
- Aequor (Golden Valley, MN)
- …both the Miscellaneous Wet Chemistry and Sample Coordinating, Intake and Processing lab. These fast-paced, high-volume commercial labs use wet chemistry, high-tech ... instrumentation and food processing techniques to test food samples ranging from ingredients...Results will be used, by our customers, to support claims listed on food labels. **This position involves potential… more
- CoxHealth (Springfield, MO)
- …High School Diploma or Equivalent Experience Preferred: medical billing experience and claims processing knowledge; familiar with the insurance industry and ... collection process Skills Excellent verbal and written communication skills. Able to work independently and collaboratively in teams. Self starter. Proficient in using computers and computer systems Ability to multi-task and have attention to detail… more
- Monster (Wilmington, DE)
- Volt Solutions is immediately hiring for a Claims Representative Position type: Fulltime/Contract Location : Wilmington, DE Duration : 12+ Months As a Claims ... analytics and reporting services, working to improve and automate Client Processing systems. Manages moderate to complex external client issues. Directly advises… more
- Carrot (Des Moines, IA)
- …Bachelors Degree 1-3 years of relevant work experience including claims submission/ processing experience Highly detail-oriented and organized Structured ... issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in Spanish (to support...to lean in to changing priorities and processes Track claims and denials through the entire lifecycle Identify gaps… more
- Monster (New Paltz, NY)
- …insurance companies, medical professionals and patients' on daily basis to resolve claims processing issues. Recognize issues relating to provider credentialing ... be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims ...vendor and facilitates payer requirements as needed for electronic claims processing and retrieval of electronic remittance… more
- Syufy Enterprises (San Rafael, CA)
- …. Work closely with insurance providers and employees to facilitate smooth claim processing and return-to-work programs. Collaborate with hiring managers to ... proactive communication and problem-solving. Administer and manage worker's compensation claims company wide, ensuring compliance with legal requirements and timely… more
- Monster (Baltimore, MD)
- …Commissioners with relevant information needed for the adjudication of workers' compensation claims . It is responsible for processing Orders, Settlements and ... support to a Workers' Compensation Commissioner in the review, adjudication and processing of contested workers' compensation claims . Notes: Candidates may… more
- Monster (Washington, DC)
- …standards. Develop and update SOPs to clearly outline step-by-step procedures for claims processing and related operational workflows. Translate complex ... Proven experience developing SOPs and process documentation. Strong understanding of claims processing systems, terminology, and workflows. Proven ability to… more
- Monster (Westerville, OH)
- …Epic PB and Claims applications. Understanding of healthcare billing, coding, claims processing and reimbursement workflows. Provide daily system support and ... Epic certified Analyst to support the Patient Billing and Claims Skills Requied: Certification in Epic Professional Billing and...issue resolution related to charge capture, claim edits, remittance processing , and denials. Knowledge… 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 ... Support Create and maintain spreadsheets, data tables, and tools to support processing of DD 1131s Cash Collection Vouchers, appeals packages, and deposit activities… more
- Interior, Bureau of Indian Affairs (Portland, OR)
- …APPROVAL. Duties Help Provide casework services to assist with processing applications, reviewing referrals, service requests, interviewing applicants, assessing ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… more
- LAZ Parking (Nashville, TN)
- …Responsible for claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest ... compliance and ensuring the operation follows audit protocol. Responsible for payroll processing ; ensuring sign off on hours in timely manner; collaborate with the… more
- LAZ Parking (Santa Cruz, CA)
- …Responsible for claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest ... compliance and ensuring the operation follows audit protocol. Responsible for payroll processing ; ensuring sign off on hours in timely manner; collaborate with the… more
- LAZ Parking (Auburn, AL)
- …Responsible for claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest ... compliance and ensuring the operation follows audit protocol. - Responsible for payroll processing ; ensuring sign off on hours in timely manner; collaborate with the… more
- LAZ Parking (Santa Barbara, CA)
- …Responsible for claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest ... compliance and ensuring the operation follows audit protocol. Responsible for payroll processing ; ensuring sign off on hours in timely manner; collaborate with the… more
- Monster (Garden City Park, NY)
- …management and business administration, and knowledge of ICD-10-PCS, CPT/HCPCS with claims processing and data management responsibilities a plus. Process ... of hospital and the compliance officer. Participates in the reviews of claim denials and rejections pertaining to coding and/or support of medical necessity,… more
- Monster (Washington, DC)
- …Assuring accuracy of input data Reviewing / verifying results Transferring reinsurance claim processing to Claims Department Coordinating with external ... reinsurer(s) Monitoring reinsurance arrangements, proposing changes when appropriate Prepare and maintain documentation of reinsurance program Additional Actuarial Functions Conduct Risk-Based Capital analysis by LOB Respond to external auditor requests… more
- NATIONAL PARTNERS IN HEALTHCARE (Richardson, TX)
- …and complaints that may pertain to all phases of operations including billing, claims , claim denials, payments, and collection activities. Records all customer ... (ie, skill in calculation of charges, payments and adjustments) Knowledge of insurance processing , guidelines and general laws related to all payers Must be able to… more
