- Elevance Health (South Portland, ME)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... + Trains associates on all upskilling of customer service and claims to include providing professional medical service facility correspondence, usage of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built on values of succeeding ... synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it… more
- Carle Health (Champaign, IL)
- …response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration ... (CPC) - American Academy of Professional Coders (AAPC); Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA); Certified… more
- Lac Vieux Desert Northern Waters Casino Resort (Watersmeet, MI)
- …patient communications. * Communicate with outside providers, insurers, and agencies regarding claims and service coordination. * Support Tribal Elders in ... * Assists in processing and tracking PRC and third-party claims from initiation through payment; maintain complete and timely...* Administration of Federal, State and Local Grants. * Associate Degree and/ or minimum of five years working… more
- Financial Partners Credit Union (Downey, CA)
- …Full Time Job Description Objective: The Loan Resolution Specialist will support and maintain company objectives related to delinquency by efficiently collecting ... accounts for field chase when necessary. + Documentation and Claims : + Review and follow up on letters of...an equivalent combination of education and experience. + An Associate 's degree is preferred. + Proficiency in Windows, Excel,… more
- Robert Half Legal (Glendale, CA)
- …in court appearances related to workers compensation cases * Handle related insurance claims as part of the legal service provision * Maintain good standing with ... with attorneys/lawyers and staff * Participate actively in the firm's Associate Bonus Program. Requirements * Proficient in Workers Compensation procedures and… more
- US Anesthesia Partners (Austin, TX)
- …without a reasonable accommodation) + Contacts insurance companies for status on outstanding claims . + Processes and follows up on appeals to insurance companies. + ... Refiles claims as needed. + Works correspondence daily. + Maintains...to leadership. + Provides peer payer and system training support . + Gathers data and reports out in partnership… more
- Army National Guard Units (VA)
- …the next lower grade level. You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must ... ability to review medical and other information pertinent to the OWCP claims . Assures occupational health program regulations, directives, policies and systems are… more
- Freeport-McMoRan (Green Valley, AZ)
- …loss prevention and rehabilitation management/monitoring programs, maintain files, and provide necessary support in defense of claims . + Perform other duties as ... **and** five (5) years of experience in Health & Safety or related, **OR** + Associate degree **and** three (3) years of experience in Health & Safety or related,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Research and analyze case documentation, including benefit coverage, prior authorizations, claims , and regulatory guidance. + Communicate with members, providers, or ... **_Investigation and Resolution_** + Collaborate with internal departments such as Claims , Medical Management, Legal, and Compliance to obtain necessary information… more