- Butterball (Huntsville, AR)
- …a diverse array of career opportunities and paths which include our farms, processing facilities and support offices. We are the largest producer of turkey products ... and other employment-related rules and regulations including unemployment compensation claims , wage and hour, labor, employment eligibility, etc. * Conducts… more
- 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
- IQVIA (Miami, FL)
- **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
- CVS Health (Franklin, TN)
- …and every day. **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ... Serve as a subject matter expert on Med Supp claim guidelines, system functionality, and regulatory requirements. * Respond... claims . * Step in to assist with claims processing during peak volumes or staffing… more
- CVS Health (Raleigh, NC)
- …communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling ... stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing...multiple systems at once to resolve complex issues. + Claim processing experience preferred but not required.… more
- NTT DATA North America (St. Louis, 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
- Providence (Mission Hills, CA)
- …in medical/institutional claims examining within a medical group/IPA setting claim processing experience. + 2 years experience in a medical/institutional ... of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting… more
- CenterLight Health System (NY)
- …Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Coordinate with Finance ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a...in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software.… 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: Minimum of 1 year of business/office experience. Sr. Claim Examiner: Minimum of 2 years life/medical claims experience required. Knowledge… more
- CVS Health (Harrisburg, PA)
- …adjudicates routine Medicare claims on HRP system in accordance with claim processing guidelines. Claims adjudication results should meet/exceed ... a vendor). - Utilizes all applicable system functions available ensuring accurate and timely claim processing Note: Our CBS positions in Medicare are not limited… more
- Travelers Insurance Company (Houston, TX)
- … 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
- CVS Health (Columbus, OH)
- …for claim or reconsideration. **Required Qualifications** 2+ years claim processing experience. Experience in a production environment. Demonstrated ... competently, accurately and efficiently. **Preferred Qualifications** Self funded medical claim processing experience DG system knowledge **Education** High… more
- CVS Health (Phoenix, AZ)
- …-Working within turnaround times to meet client performance guarantees for claims processing . -Meeting productivity and accuracy standards. **Required ... include: -Outbound calls to Members and/or Providers for verification of information - Processing and adjudicating paper claims . -Maintaining integrity of … more
- Samsung SDS America (Dalton, GA)
- …+ 2+ years of data analytics experience required. Transportation/Logistics Freight claims processing experience preferred. + Excellent verbal and written ... goal and to delegate workload to maximize efficiency. + Transportation/Logistics Freight claims processing experience preferred. + Bilingual in Korean and… more
- CVS Health (Franklin, TN)
- …detailed review and analysis of Medicare Supplement claims . Verifies claim validity, and ensures accurate and timely processing . Identifies potential ... and training initiatives. **Required Qualifications** * 3+ years of experience in claims processing or data analysis, including Medicare Supplement claims… more
- Molina Healthcare (Everett, WA)
- …appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing . + Identifies and reports quality of care issues. + ... for 2 weeks. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an… 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
- Henry Ford Health System (Detroit, MI)
- …in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. . ... Reviews claims for accuracy, including proper diagnosis and procedure codes. . Reviews claim rejections and communicates with payers to resolve billing issues. .… more
- Ascension Health (Jacksonville, FL)
- …party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review ... claims for accuracy, including proper diagnosis and procedure codes. + Review claim rejections and communicates with payers to resolve billing issues. + Prepare… more
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