- Mindlance (Atlanta, GA)
- Job Title: Claims Examiner - Workers Compensation Location: Remote Job Length: 3 Months (Possibility of extension) Manager's Note: . Alaska work comp license or a ... adjuster's license. Job Overview: Analyze complex or technically difficult workers' compensation claims to determine benefits due. Work with high-exposure claims … more
- Creative Financial Staffing (Grand Rapids, MI)
- …a growing mental health company that's looking to hire a Billing Supervisor . Their mission is to promote and provide mental health, intellectual/developmental ... and this position can be remote, however this Billing Supervisor needs to live within Michigan. Our client offers...phases of accurate billing of primary, secondary, and tertiary claims to Medicare, Medicaid, Commercial, Work Comp, Automotive, and… more
- George Washington University (Rockville, MD)
- …(EHR) and integration with other data sources such as linkages (eg administrative claims data, national death index) into a data warehouse for longitudinal cohort ... api. Designs and deploys machine learning and other data processing and analytical pipelines to build a strong foundation...The omission of specific duties does not preclude the supervisor from assigning duties that are logically related to… more
- PrideStaff (Tempe, AZ)
- …employees (Department Specialists, Account Specialists, Quality Assurance Specialists, and Claims Processors). The Correspondent may also assist with special ... communications. Identify and review potential customer service issues with the Supervisor and proactively seek potential solutions. Review fund transactions; Ensure… more
- Hired by Matrix (Greer, SC)
- …Performs accounting duties such as budget planning, budget steering, invoice processing , and claims management. Aligns receivables/payables with internal and ... Performs month-end entries. Performs other duties as assigned by operations supervisor . What You'll Bring: BS/BA Degree, preferably in Accounting or Business… more
- Creative Financial Staffing (Mounds View, MN)
- …individual with experience in medical insurance, third-party payers and processing refundsPrimary Responsibilities: Review, investigate and resolve credit activity ... Research claim payment discrepancies and rebill/refund claims as needed Initiate refunds of identified overpayments and...refund requests Collaborate with Contract team and Cash App Supervisor to report or make posting corrections, as necessary… more
- Percepta (Melbourne, FL)
- …complaint to applicable laws, communicating effectively with the employee and the Manager/ Supervisor , and processing all paperwork as necessary. * Coordinates ... related hearings and investigations. * Represents the Company for any unemployment claims . * Facilitate and/or provides HR related training to the workforce. *… more
- Conduent (Hunt Valley, MD)
- …culture where individuality is noticed and valued every day. **Job Description:** **Senior Supervisor , Claims Processing ** **Are you a seasoned leader ready ... team members to achieve their goals?** **About the Role:** As a Senior Supervisor , Claims Processing , you will lead a complex medical claim processing… more
- BrightSpring Health Services (Longmont, CO)
- …top-quality care come join our team and apply today! We are seeking Claims Supervisors with 3rdparty claims experience. Pharmacy Technicians, with supervisory ... Responsibilities * Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide...in any special projects that may be assigned by Supervisor or Manager.* Manages staff attendance and time sheets… more
- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SPECIALIST - 36000116 Date: Apr 17, 2024 Location: TALLAHASSEE, FL, US, 32301 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 822431 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SPECIALIST - 36000116 Pay Plan: Lottery Exempt… more
- Wellpath (Nashville, TN)
- …activities, such as reserve adequacy, analysis of exposures, compliance monitoring, and claims processing , in conjunction with insurance carriers and TPAs. + ... at a time. **How you make a difference** As the Claims Litigation Senior Supervisor , you willbe responsible foroverseeing the day-to-day management of the… more
- Universal Health Services (Reno, NV)
- …and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Claims Supervisor will play a crucial role in ensuring the ... field or equivalent experience + Minimum of 3 years in healthcare claims processing or a related role. + In-depth knowledge of healthcare billing, coding,… more
- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … more
- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. On-site in Hartford, CT required Claim Supervisor : Responsible for the overall supervision of Medical Claim Processing ... evaluate and coach staff to provide cost effective claim review/ processing and claim service while ensuring compliance and quality...+ 1+ Year prior work experience in a claim processing role. + The candidate must have success in… more
- CVS Health (High Point, NC)
- …Model Position Summary Responsible for the overall supervision of Claim Processing employees. Achieve superior service performance through an integrated process of ... evaluate and coach staff to provide cost effective claim review/ processing and claim service while ensuring compliance and quality...2 plus years prior work experience in a claim processing role. - The candidate must have success in… more
- Kelly Services (Honolulu, HI)
- …- Friday 8am - 5pm** **Pay rate: $19/hr** Under the supervision of the Claims Supervisor , the Claims Processor performs all functions accurately related ... to dental claims processing . They adhere to processing rules, guidelines, and policies while meeting department productivity, quality, and accountability… more
- Crawford & Company (Lake Zurich, IL)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... In Everything We Touch Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents… more
- Baylor Scott & White Health (Dallas, TX)
- …This hybrid role as the Claims Analyst is accountable for claims processing , research, and adjudication to correctly apply benefit determination and ... Rx-drug claims (CMS 1500 and UB04), by claims processing guidelines. **ESSENTIAL FUNCTIONS OF THE...Identifies and reviews systematic or procedural problems with the supervisor for timely follow-up and correction. + Completes reports… more
- NJM Insurance (Trenton, NJ)
- …accounts + Prepare, attend, and participate in Claim Reviews as needed with the Claims Supervisor + Participate in training programs to keep current on relevant ... basic knowledge of WC Law, medical terminology, and utilization of an automatic claims processing system. + Level II - 3-5 years' experience as a Workers' Comp… more
