- Guidehouse (Birmingham, AL)
- …from payers by timely submitting all information needed to complete claims processing. The Central Denials Account Representative conducts thorough account reviews ... Files + 835 Electronic Files + UB04's and 1500 Claim Files + Medical Record + Making outbound calls...of concern or areas of improvement. + Resubmit Corrected Claims and supporting documentation as need for the patient… more
- CareFirst (Baltimore, MD)
- …member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. ... provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as… more
- Molina Healthcare (Columbus, OH)
- …agile system development lifecycle methodologies **Knowledge:** + Experienced in working with claims and claim configuration teams to streamline adjudication and ... stakeholders and leadership. + Ensures quality standards and compliance with company policies. + Facilitates meetings, workshops, and presentations. + Identifies and… more
- HUB International (Newport Beach, CA)
- …region's PEO client programs. This role focuses on analyzing group census and claims data, preparing competitive quotes, and partnering with the sales and onboarding ... are underwritten appropriately, competitively, and in line with carrier and company guidelines. **Essential Duties and Responsibilities:** + Review and analyze… more
- Textron (Wichita, KS)
- …of financial policies that support proper charges to applicable accounts for all claims settled\. + Assist in management claim load to maintain established ... our Supplier Recovery group\. Learn the skills necessary to negotiate disputed claims to an equitable settlement consistent with Textron Aviation policy and customer… more
- Nuvance Health (Danbury, CT)
- …and accounts receivable functions. Responsible for the assigned areai? 1/2s claims submission, payment application, denial management, and account follow-up to ... ensure optimal reimbursement. Responsibilities: 1. Accurately processes claims , payments, rejections, refunds, credit balances and unapplied cash on a daily basis… more
- Corewell Health (Grand Rapids, MI)
- …Responsible for managing and overseeing leaves of absences, ensuring compliance with company policies and legal requirements. Serves as the point of contact for ... for payroll functions. Essential Functions + Administers and coordinates integrated claims management involving Short Term Disability (STD), Long Term Disability… more
- M&T Bank (Getzville, NY)
- …execute day to day functions including filing and monitoring the insurance claim process for damaged properties, registration and deregistration of properties that ... near future. + Respond to FHA demands, including BCDE Claims , and all other claims besides principal....Adhere to applicable compliance/operational risk controls in accordance with Company or regulatory standards and policies. + Maintain M&T… more
- Robert Half Accountemps (Danville, KY)
- …ideal candidate will have a background in medical billing and insurance claims processing, with the ability to effectively communicate with insurance companies, ... feel free to apply today! Responsibilities: + Review and analyze unpaid claims to determine appropriate action for resolution. + Conduct follow-up with insurance… more
- WMCHealth (Kingston, NY)
- Patient Account Rep/Follow-Up Company : HealthAlliance Hospital City/State: Kingston, NY Category: Clerical/Administrative Support Department: Patient Accounting ... link Job Details: Responsible for timely and effective followup on insurance claims . Also responsible for billing efficiently to third party payers when needed.… more