- Network Health WI (Menasha, WI)
- …compliance with Medicaid regulations, and serving as a subject matter expert for claims processing policies and procedures. The ideal candidate will have ... extensive experience in Medicaid claims processing , strong analytical skills, and a...procedural terminology (CPT) and international classification of diseases (ICD-10). Medical terminology, COB processing Basic Word and… more
- Sedgwick (Roseville, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville, CA **California workers compensation claims ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
- Sedgwick (Cincinnati, OH)
- …is correct. *May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . ... accuracy, and files necessary documentation with state agency. *Communicates claim action/ processing with claimant, client and appropriate medical contact.… more
- TriNet (Dublin, CA)
- …on all assigned claims . Ensure TPA is employing proper techniques to mitigate claims expense including, but not limited to: medical care is consistent and ... Management Information Systems and SalesForce Licenses and Certifications AIC, SCLA claims certification Upon Hire preferred Travel Requirements Minimal Work… more
- Solugenix (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... within the Financial Compliance Unit, including the audit of claims processed by medical groups and health...capitated hospitals, and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Stanley Black & Decker (Towson, MD)
- …reporting memoranda as requested. Preparing monthly Concur expense reports. Arranging travel and calendaring for department head. Processing settlement checks, ... and detail-oriented individual to join our Legal Team as a Supervising Claims Coordinator. In this position, you will provide administrative support to Product… more
- Sedgwick (Sun Prairie, WI)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - PIP / MED *Note: This position is for a PIP / ... Medical Payments examiner for our Auto Center. PRIMARY PURPOSE...To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and… more
- Kaiser Permanente (Denver, CO)
- …inpatient/outpatient setting required. Minimum of six (6) months of experience researching and processing medical claims required. Minimum of six (6) months ... processing , applicable insurance laws and regulations and procedures related to claims processing , including Medicare, Medicaid, work comp and no fault.… more
- Mindlance (Portland, OR)
- Description: Hiring Manager's note:- East coast claims experience required. Remote all across US Min 3 years of experience is mandatory. Shift timings: 8-4:30 ... PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
- Matheson Tri-Gas, Inc. (Irving, TX)
- …and international regulations. Assist with management of worker's compensation claims through communication with MATHESON employees, insurance representatives, and ... medical providers. Assist with management of auto, property, and...providers. Assist with management of auto, property, and liability claims through communication with MATHESON employees, insurance representatives, service… more
- Ansible Government Solutions (Fayetteville, NC)
- …outgoing and receive incoming phone calls. Review requests for reimbursement of travel costs and reconcile claims /vouchers for payments using electronic systems. ... Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Medical Support Assistants (MSA) to support the Fayetteville VA Medical Center… more
- View Point Health (Conyers, GA)
- …Program Support Generalist would be responsible for payroll of assigned services units, processing and adjusting failed claims and failed activities, review and ... PTO request or support as needed. Compile, assist and reconcile failed claims . Runs and manages failed activities. Assists staff in troubleshooting any challenges… more
- Highmark Health (Wexford, PA)
- …(15%) Responsible for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and ... authorization department. Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that… more
- Denver Health (Denver, CO)
- …processes, reconciling payer remittance, denial management and appeal functions for claims to government or grant funded programs, worker's compensation, commercial ... and information systems to perform work processes. Essential Functions : Completes claims submissions, performs review of accounts, ensure that work performed is… more
- National Guard Employment Network (Awendaw, SC)
- …lapse or reinstatement), travel and sale of tickets, and travel money products, processing remittance/depository transfers and balancing cash drawer ... Our members know and trust us! Branch Offices house travel , membership, insurance sales and support employees You will...Call Centers (ERS, Sales and Service, etc.) Automotive Services Claims Underwriting and more A DAY IN THE LIFE… more
- PAYSIGN, Inc. (Henderson, NV)
- …Qualifications 1 year minimum, 2 or more preferred years of direct pharmacy claims processing experience at a pharmacy (specialty preferred) or a pharmacy ... is responsible for leading and supervising a team of Medical Copay Claims Processors who are primarily...within an indoor office environment utilizing standard office equipment. Travel : This position does not normally require overnight … more
- Kemper Corporation (Dallas, TX)
- …Benefits: Kemper offers competitive benefits including Group Life Insurance, Major Medical & Dental, Short-term & Long-term disability, 401(k) with company match, ... Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. Appropriately keeping records, accounting for money collected,… more
- BlueCross BlueShield of South Carolina (Columbia, SC)
- …relations and Medicare experience. Preferred Skills and Abilities: Knowledge of claims processing software. In-depth knowledge of Medicare program, guidelines, ... Summary Provides education to medical providers as warranted. Description Logistics: Palmetto GBA,...normal business hours of 8:00AM-5:00PM. There will be some travel involved for in-person conferences and presentations. It may… more
- NorthShore (Skokie, IL)
- …candidate choice) Full Time Hours: Monday-Friday, 8:00am - 5:00pm Hybrid Role Local travel to other corporate locations above will be required at times. Job Summary: ... Bed Management (Grand Central) Supports Revenue Cycle applications: Coding/ Abstracting, Claims Management, Patient Access Center, Managed Care, Payer Platform, CDI… more
- Ryder (Avon, IN)
- …times, product cuts, loads not picked up by the carrier, and damage claims Coordinates processing of export orders, filling out export paperwork, generates ... Positions Pay Each Week On the Job Paid Training Medical , Dental, Vision, 401 K etc. Start at 30...you money on Tools, Cars, Hotels, Electronics/Appliances, Cell Phones, Travel , and much more Safety Gear PROVIDED Safety is… more
