- CVS Health (Franklin, TN)
- …or staffing shortages. **Required Qualifications** * 3+ years of experience in health insurance claims processing , preferably with Medicare Supplement ... **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing...Serve as a subject matter expert on Med Supp claim guidelines, system functionality, and regulatory requirements. * Respond… more
- Guardian Life (Bethlehem, PA)
- …Individual Markets Claims , you will play a key role in supporting the Life Insurance claims processing , product and system configuration on Claims ... will offer a depth and breadth of knowledge of claims processing systems including integration points, data...similar technology + 3+ years of experience as Life Claims Technical Analyst in Life Insurance industry.… more
- Hawaii Pacific Health (Honolulu, HI)
- …Six (6) months of billing or collections experience. Working knowledge of health insurance processing and knowledge of CPT and ICD codes. **Preferred ... receivable cycle. This includes: accurate and timely preparation and submission of claims and statements to third party payers and patients/guarantors; follow-up on… more
- Cardinal Health (Nashville, TN)
- …projects, audits, or other duties as assigned. **Skills:** + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity ... is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and... companies via phone, portals, or email to check claim status, request reprocessing or escalate issues. + Analyze… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …targets and improve systems. 4. The ability to work independently. 5. Background in insurance claim processing . 6. Knowledge of (HIPAA) Health Insurance ... and claims data from the MaineCare claims processing system and the accuracy of...healthcare financing programs for Maine, including the Children's Health Insurance Program (CHIP). OMS works collaboratively with the Commissioner's… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... In this role, you will manage representative terminations, exam windows, insurance appointments and processing maintenance requests for existing agents.… more
- BrightSpring Health Services (Uniondale, NY)
- …from a retail to office environment for those who are willing to learn claims , billing and insurance processing . Pharmacy Technician experience and/or ... PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make...with Shift Differentials + Health, Dental, Vision, and Life Insurance + Company-Paid Disability Insurance + Tuition… more
- Johns Hopkins University (Middle River, MD)
- …Utilize online resources to research policy and regulations to facilitate efficient claims processing . + Ability to resolve issues across different ... CPT codes and diagnosis coding. + Demonstrated experience resolving third-party payor insurance processing issues, including appeals and denials. + Ability to… more
- Mass Markets (Dallas, TX)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... In this role, you will oversee representative terminations, exam windows, insurance appointments and processing maintenance requests for existing agents.… more
- ManpowerGroup (Vienna, VA)
- …field (or equivalent work experience). + Minimum of 5-7 years of experience in life insurance claims auditing, processing , or a related role. + Proven ... payment. + Identify and investigate potential fraud, discrepancies, or irregularities in claims processing . + Provide detailed audit findings and recommendations… more
- TEKsystems (North Chicago, IL)
- …starting or continuing therapy. This position will be a subject matter expert in insurance billing claims processing and prior authorizations. This position ... and scope. * Provide subject matter expertise on medical and prescription insurance coverage/ verification claim billing medication prior authorization and… more
- TEKsystems (North Chicago, IL)
- …starting or continuing therapy. This position will be a subject matter expert in insurance billing claims processing and prior authorizations. This position ... Responsibilities: + Provide subject matter expertise on medical and prescription insurance coverage/ verification claim billing medication prior authorization… more
- Tidelands Health (Murrells Inlet, SC)
- …be completed in a timely manner. The PFS-FC is responsible for reviewing insurance processing for accuracy, reviewing patient statements to determine if payment ... and completing paperwork related to financial assistance, billing record requests, and insurance processing . Meet with patient or contact patient to confirm… 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 is expected to: + Manage their assigned caseload of Life insurance claims and ensures the accuracy and completeness of submitted claims .… 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
- Zurich NA (Stevens Point, WI)
- …is to handle claims of varying degrees of complexity with all travel insurance benefits. Claim processing benefits including but not limite to: Mid ... to the appropriate stake holders through the life of the claim . This role involves claims in which real time decisions are required and frequent conversations… 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 ... Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan...stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing… more
- Robert Half Finance & Accounting (Winston Salem, NC)
- …in health insurance or policy administration. -Strong understanding of health insurance policies, claims processing , and claims adjudication ... examiners to provide high-quality support for policyholders. -Oversee the claims adjudication process of health insurance policies....related field (eg, CPC, CPMA, or CHC) -Experience with claims processing in a managed care or… 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 ... staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units....employer matching, health care benefits (medical, dental, vision), life insurance , disability insurance , time off benefits (paid… more
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