- South County Hospital (Wakefield, RI)
- …nurses, new employees, and other staff to promote patient safety and minimize claims exposure. + Provide on-call support and timely consultation on risk-related ... + Prepare and present reports and data related to risk, patient safety, claims , and regulatory compliance to committees, leadership, and medical staff. + Manage the… more
- CareFirst (Baltimore, MD)
- …across the company. Provides communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted in-network providers including ... to drive and influence provider behavior towards favorable outcomes in support of corporate initiatives and positive member interactions. **TRAINING AND EDUCATION:**… more
- CareFirst (Baltimore, MD)
- …the company to provide communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted, in-network providers, including ... ensuring they are engaged in the value of our programs in support of positive member interactions. **RELATIONSHIP MANAGEMENT:** + Establishes and maintains… more
- Henry Ford Health System (Troy, MI)
- …to review bankruptcies, assisting with Coordination of Benefits, third party liability claims , etc. 5. Initiates and resolves account receivable errors with the ... and adding or removing balances to/from external collection agencies, coding errors, claim filing errors, etc. 6. Effectively discusses the patients' options for… more
- Dayton Children's Hospital (Dayton, OH)
- …the operations and functions of the department's billing services, which can include claims processing, claim edits, claim rejections, denials and insurance ... Education + High school diploma or GED required + Associate degree preferred Experience + 3+ years of experience...+ We're better together - We collaborate, communicate, and support one another to deliver optimal care. + We… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Accurately document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in ... SUMMARY: Polaris Specialty Pharmacy is seeking a Benefits Verification specialist to support patient access to specialty medications. This role is essential in… more
- Zurich NA (Washington, DC)
- …School Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including ... an associate degree and 3 or more years of experience in...and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of… more
- Walmart (Shelby, NC)
- …its relevance to the enterprise strategy. Describes the interdependence of support functions and line operating functions. Identifies the primary operational ... assigned area of work. Creates action plans to address audit findings. Validates claim records work with worker's compensation case managers for investigation of … more
- Towne Park (Lake Buena Vista, FL)
- …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
- Travelers Insurance Company (Hartford, CT)
- …also includes the opportunity to coordinate with key business partners in Claim , Underwriting, Product and Finance. Key responsibilities include: - Evaluating a ... issues and drivers of frequency and severity trends. - Working closely with Claim to understand individual claim activity and broader environmental dynamics that… more