- Beth Israel Lahey Health (Burlington, MA)
- …and maintains open communication with third party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and… more
- Robert Half Accountemps (Los Angeles, CA)
- …process within the healthcare industry. Your expertise will help ensure claims are processed efficiently and payments are collected accurately. Responsibilities: * ... Review submitted claims to verify accuracy and completeness before forwarding them...* Verify that required authorizations, TARs/SARs, are included in claim submissions, and take steps to secure missing authorizations… more
- Advocates (Framingham, MA)
- …key member of the Benefits Team and is responsible for managing employee leave claims , including FMLA, state Paid Family Leave (PFL), ADA, and other leave programs. ... High School Diploma/GED **Responsibilities** + Assist employees with leave of absence claims process. + Review and investigate leave claims through phone… more
- Robert Half Accountemps (Dallas, TX)
- … claim within 45 days from the date of service. Perform appeals for underpaid claims or claim denials as assigned by the Billing Manager. Procure payment or ... information concerning assigned payers to establish proper and timely payment of claims . * Determines average claim entry, processes timeframes for assigned… more
- Lincoln Financial (Columbia, SC)
- …be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical resource for ... Group Protection benefit specialists and claim professionals. You will evaluate medical information to clarify...this role you will provide coaching and guidance to claims regarding medical management. **What you'll be doing** *… more
- Travelers Insurance Company (Milpitas, CA)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- Sedgwick (Oklahoma City, OK)
- …criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and ... reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance.… more
- Sedgwick (West Hills, CA)
- …determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best ... and RESPONSIBILITIES** + Establishes FMLA and other unpaid state, military, and/or company -specific leave claims ; tracks and codes documentation in accordance… more
- Sedgwick (Cedar Rapids, IA)
- …determinations based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best ... and RESPONSIBILITIES** + Establishes FMLA and other unpaid state, military, and/or company -specific leave claims ; tracks and codes documentation in accordance… more
- Sedgwick (Dublin, OH)
- …payments and/or adjustments for client paid leave plans and ensures that on-going claim management is within company service standards and industry best ... + Establishes FMLA and other paid and unpaid state, military, and/or company -specific leave claims ; tracks and codes documentation in accordance with… more