- Molina Healthcare (GA)
- …+ Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission. + Ability ... and timely implementation and maintenance of critical information on claims databases. Validate data to be housed on databases...provide solutions. + Ensure all team members comply with company and legal requirements. + Ensure tasks are completed… more
- UHS (Binghamton, NY)
- …this role, you will investigate, analyze, and resolve denied insurance claims -ensuring timely reimbursement and supporting the financial integrity of our ... providers, and internal teams to turn denials into resolved claims and confusion into clarity. Join a team where...guidelines and timelines. + Analyze and document trends in claim denials, identifying patterns related to payor behavior, system… more
- Insight Global (South Jordan, UT)
- …valid claim identification and documentation (letter writing). Identifies potential claims outside of the concept where additional recoveries may be available. ... for auditing inpatient medical records and generating high-quality recoverable claims for the benefit of our client and their...tools, etc. The salary is 95K. We are a company committed to creating diverse and inclusive environments where… more
- Aldridge (Libertyville, IL)
- …orders, and other related agreements. You will help manage and strategize construction claims and litigation and be responsible for overseeing claims and legal ... as required. + Draft and advise as to proper claim strategy and contract execution. + Provide advice to...across the organization. + Manage labor and employee relations claims as needed. + Manage outside counsel on litigation… more
- Sedgwick (Atlanta, GA)
- …or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education ... **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products + Excellent oral and… more
- Select Medical (Canonsburg, PA)
- …As a key part of our team, you'll help resolve outstanding insurance claims , ensuring our patients are billed accurately and without unnecessary impact. We're ... Account Receivables team member, you'll independently work on resolving unpaid insurance claims while contributing to our collective goal of accurate billing for our… more
- Surgery Care Affiliates (New Albany, IN)
- …what is required to bill. + Verifies and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims , and gathers appropriate medical ... future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here… more
- Siemens Energy (Orlando, FL)
- …contractual risks, drafting and negotiating agreements, documenting, defending and enforcing claims , and advising and supporting project and site management in the ... to handle multiple projects at the same time and claim management. + Self-driven individual with the ability to...Energy, we are more than just an energy technology company . With ~100,000 dedicated employees in more than 90… more
- Siemens Energy (Orlando, FL)
- …contractual risks, drafting and negotiating agreements, documenting, defending and enforcing claims , and advising and supporting project and site management in the ... able to handle multiple projects atthe same time and claim management. + Self-drivenindividual with the ability to formulate...Energy, we are more than just an energy technology company . With ~100,000 dedicated employees in more than 90… more
- CVS Health (CA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... will be responsible for making both pre and post-payment claim payment determinations based on Aetna Clinical Policy and/or...Responsible for peer to peer reviews of SIU related claims based on provider escalation or state/federal requirements +… more