- Avera (Sioux Falls, SD)
- …process to ensure timely claims processing.) Identifies the need to rebill claims through account review and completes claim refiling as well as submits ... **Location:** Avera Downtown Building-Sioux Falls ** Worker Type:** Regular **Work Shift:** Day Shift (United...and follow up of unpaid, overpaid/over adjusted and denied claims . + Reviews, analyzes, and appeals denials received relative… more
- State of Massachusetts (Boston, MA)
- …on current claims to determine claimant eligibility on the new claim . Also responsible for overseeing staff who determine adequacy for monetary determinations by ... (UI) program which provides temporary income assistance to Massachusetts workers who are unemployed through no fault of their...with MGL Chapter 151A, 430 CMR, the Job Service Representative 's Handbook, Revenue Procedures as well as the Code… more
- State of Massachusetts (Boston, MA)
- …the Unemployment Insurance (UI) program which provides temporary income assistance to Massachusetts workers who are unemployed through no fault of their own and who ... to work, available for work and looking for a job. The Job Service Representative is responsible for making determinations on eligibility for benefits in disputed … more
- CVS Health (Boston, MA)
- …+ Clinical background a plus. + Experience with Aetna and CVS products, claim systems, and digital member applications. + Associate degree or equivalent ... as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to… more
- Towne Park (Nashville, TN)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... an environment that retains talented associates + Responds proactively to associate feedback and suggestions, including satisfaction surveys and exit interviews +… more
- Walworth County (Elkhorn, WI)
- …reimbursement from State and other agencies for DHHS services, managing the claims process to maximize reimbursement. Timely prepares all monthly, quarterly and ... annual fiscal reports/ claims for HHS federal and state funding. Participates in...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- Avera (Sioux Falls, SD)
- **Location:** Avera Downtown Building-Sioux Falls ** Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for ... Monitor and resolve Discharged Not Billed (DNB) accounts to ensure timely claim submission. + Investigate denials and underpayments, identify root causes, and… more
- Towne Park (Miami Beach, FL)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... an environment that retains talented associates. Responds proactively to associate feedback and suggestions, including satisfaction surveys and exit interviews.… more
- Walworth County (Elkhorn, WI)
- …High school diploma or equivalent supplemented by 60 college-level credits, an associate 's degree, or two years of full-time law enforcement experience with current ... Care Plan (S125 plan) Health Savings Account (S223 plan) WORKERS COMPENSATION: You are covered by Workers ...Department and are at the discretion of the County's representative , except as otherwise required by law. Under emergency… more
- Sunrise Senior Living (Hicksville, NY)
- …reconciliation per Sunrise internal business controls. + Process and manage unemployment and worker 's compensation claims and update claim activity as ... duty satisfactorily. The requirements listed throughout this job description are representative of the knowledge, skills, and abilities required. + Associate… more
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