- Humana (Concord, NH)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Concord, NH)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Manchester, NH)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Carrington (Concord, NH)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Concord, NH)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Beth Israel Lahey Health (Burlington, MA)
- …initiate corrected claims and appeals. Duties include hands-on coding, documentation review , and other coding needs for ICD-9, ICD-10. Works directly with the ... toward process improvements within the Central Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials, and… more
- Beth Israel Lahey Health (Burlington, MA)
- …geared toward process improvements within the Central Billing Office. 16. Assists the supervisor with the resolution of claims issues, denials, appeals and ... for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement. The role also includes... for re-processing and reimbursement. The role also includes review and rework of all types of PFS denials.… more
- Cardinal Health (Concord, NH)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (East Hampstead, NH)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Kittery, ME)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- Beth Israel Lahey Health (Burlington, MA)
- …and movement disorders. As part of your responsibilities, you will proactively review provider appointment lists and patient chart notes to identify individuals who ... enrollment in available programs, handles customized communications, ensures ongoing claims processing accuracy and efficient delivery throughout the treatment… more
- Walgreens (Methuen, MA)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Cardinal Health (Concord, NH)
- …Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a ... receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems....other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Job Description:** 1. Conducts initial post-offer/pre-placement physical assessment, including review of immunization status, and provides required testing or ... of leave as medical provider or circumstances require. Works with employee's supervisor to ensure that employee needing work restrictions or limited duty is… more