- The Computer Merchant, LTD. (West Mclean, VA)
- …of Facets and their integration within payer systems. Proven expertise in Claims Adjudication and Processing . JOB DESCRIPTION: As an QNXT/Facets Developer ... of Facets and their integration within payer systems. Proven expertise in Claims Adjudication and Processing . Solid knowledge of Medicaid, payer systems,… more
- Kelly Services (Honolulu, HI)
- …supervision of the Claims Supervisor, you'll perform essential functions related to dental claims processing . This role requires adherence to claims ... combination of education, experience, and training; dental office or dental claims processing experience preferred **Skills and Knowledge** + Working… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SUPERVISOR - 36000333 Date: Jan...+ 100% of the premium for individual or family dental insurance + 100% of the premium for basic life ... . Requisition No: 866202 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SUPERVISOR - 36000333 Pay Plan: Lottery Exempt Serv Position Number:… more
- Providence (Mission Hills, CA)
- …of functional area ie, claims operations, HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- AssistRx (Phoenix, AZ)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim rejections, claim… more
- North Carolina State University (Raleigh, NC)
- …dental and medical terminology, dental procedural and diagnostic coding, medical- dental cross-coding, electronic claims processing , and the policies ... along with effective use of insurance portals. + Filing dental insurance claims and pre-treatment estimates for...patients; obtaining and providing the clinical documentation necessary for claims processing , such as x-rays, chart notes,… more
- WelbeHealth (Los Angeles, CA)
- …corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and configuration change ... detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies + Move claims free of… more
- HCA Healthcare (Nashville, TN)
- …reports, assigns work, maintains weekly on hand reports Monitors performance and claims processing times to ensure compliance with performance standards. Perform ... for claims processors and claims examiners. Technical competence with claims processing software. Supervisory skills in claims processing .… more
- New York State Civil Service (White Plains, NY)
- …include, but are not limited to:* Oversee all aspects of workers compensation claims processing from inception to closing* Initially determine the compensability ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1/Trainee 1/2 (Group 90) - NYHELPS Occupational Category Other Professional Careers… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …a must + Health care or pharmaceutical experience, particularly in a medical claims processing , billing provider, or insurance environment + Knowledge of EOB ... + Prior experience in a high-volume processing setting (ie, doctor's office, claims processing department, etc.) a plus. + Will be trained to support… more
- Ford Motor Company (Livonia, MI)
- …PSMAC, both virtually and in person. **What you'll do ** + Manage and own the Claims Processing and support teams + The Claims Team are Schneider Logistics ... + Serve as the Subject Matter Expert (SME) for claims administration and processing + Administer dealer...life that works for you, including: * Immediate medical, dental , vision and prescription drug coverage * Flexible family… more
- ManpowerGroup (Roseland, NJ)
- … Claims Customer Service Representative, you will be part of the Claims Processing department supporting healthcare members and providers. The ideal candidate ... administration or related field preferred. + Experience in medical claims processing or customer service within a...eligible for:** + Medical and Prescription Drug Plans + Dental Plan + Supplemental Life Insurance + Short Term… more
- Consolidated Electrical Distributors (Irving, TX)
- Summary Job title: Loss Control Claims Coordinator II Job ID: null Department: Loss Control Location: null-null Description Summary: Consolidated Electrical ... Inc. (CED), a large, nationwide wholesale electrical distribution company, is seeking a Claims Coordinator to join the Loss Control Department. The Claims … more
- TEKsystems (Santa Barbara, CA)
- …claims specialist with expertise in D-SNP (Dual Eligible Special Needs Plan) claims processing . Skilled in researching, correcting, and resolving pended ... adherence. + Maintain daily activity logs and assist with claims processing . + Perform additional duties and...this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital… more
- HCA Healthcare (Nashville, TN)
- …the Data management team. The Data Management team is responsible for ensuring that claims processing platform is optimally and accurately configured to meet the ... of technical professionals. **Duties include, but not limited to:** + Ensure claims processing platform is optimally and accurately configured and maintained… more
- Sedgwick (Baltimore, MD)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE:** + Analyzing and processing claims through well-developed action plans to an appropriate ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation EVERGREEN (Needs MD, DC, VA exp) Are you… more
- Sedgwick (Long Beach, CA)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Account | Long Beach, CA... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Marlton, NJ)
- …distance to Sedgwick Office **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | Auto BI with Complex BI &... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Sedgwick (Memphis, TN)
- …only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal ... processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger...+ A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more _As required by… more
- Sedgwick (Brea, CA)
- … and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzing and processing claims through well-developed action plans to an appropriate ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Brea, CA (Hybrid) Are you looking for an… more
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