- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis, and medical record reviews of complex claims and ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Molina Healthcare (Pittsfield, MA)
- …subrogation, and/or eligibility criteria. ** Preferred Education** Bachelor's Degree ** Preferred Experience** + 3+ years Provider Claims and/or Provider ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Molina Healthcare (GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... data issues (eg, provider match error rate) and Configuration issues for claims payment. * Produces reports related to provider network information. * Establishes… more
- Zurich NA (Queens County, NY)
- …School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 3 or more years of experience...and 8 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft… more
- Zurich NA (New York, NY)
- …High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the insurance industry and the legal ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
- Zurich NA (Phoenix, AZ)
- …an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors Degree + CPCU + ... and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of experience… more
- Elevance Health (Atlanta, GA)
- …Proven experience building and commercializing data platforms, products, and services is preferred . * Expertise in real-world data ( claims , EHR, clinical, ... : - Clinical data: EHR/EMR, labs, imaging, clinical notes, registries, genomics is preferred . - Administrative data: claims , authorizations, pharmacy data is … more
- Baylor Scott & White Health (Salt Lake City, UT)
- …I performs duties of moderate complexity, judgment, and scope. The associate must know professional and technical charge editing processes. **Essential Functions ... as needed to resolve charge errors. + Accountable for claim edit and Discharged Not Billed (DNB) work queues...cycle knowledge is essential. + Access service experience is preferred . **Belonging Statement** We believe that all people should… more
- Kaleida Health (Buffalo, NY)
- …guiding EEs through the process, maintaining ADA records and following up with ADA claim closures as needed. Coordinates the leave of absence and return to work of ... managers in identifying transitional return to work opportunities. Works closely with claim administrators in tracking and minimizing lost time. Serves as a Human… more
- Towne Park (Lake Buena Vista, FL)
- …revenue for overnight vehicles that have not been charged for parking. Maintains claim checks and guest folio archives. Produces guest vehicle key inventory for ... as instructed by the Account Manager.- 10% + Collects claim checks/tickets from all guests prior to issuing keys....High School Diploma or GED + Cashier/cash handling experience preferred **Knowledge:** + Ability to understand 24 hour and… more