- Mount Sinai Health System (New York, NY)
- …Proficient in these processes to facilitate accurate and timely payment of claims and collection. **Qualifications** + Associates Degree or high school diploma/GED ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a...11. May be responsible to prepare and verify office hours schedules. 12. May be responsible for collection of… more
- Sysco (Burlington, KY)
- …on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims ... related to general liability, motor vehicle, and property damage claims . + Partner and collaborate with all functional leaders...mouse, and telephone to talk and hear for 8 hours per day. + The ability to frequently sit… more
- CVS Health (Boston, MA)
- …This role will be handling a docket of more complex pharmacy/healthcare claims and experience handling malpractice litigation is preferred. - Litigation experience ... at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure.… more
- Superior Ambulance Service (Elmhurst, IL)
- …Tasks within 72 hours of receipt + Responsible for resolving unpaid claims that are Greater than 60 days from date of service + Reviews previously ... clients. Specific tasks include resolving insurance carrier denials, appealing claims , contacting carriers on open accounts and responding to...worked claims a minimum of every 30 days + Responsible… more
- Zurich NA (Helena, MT)
- …and satisfaction. Must be willing to work Monday through Friday between the hours of 7:30am - 7:30pm CST (shift-based scheduling), with occasional Saturday and/or ... list of four agents in customer's vicinity). + Locate claims office staff for insureds and other parties calling...staff for insureds and other parties calling to report claims . + Identify appropriate business or marketing reps for… more
- MyFlorida (Daytona Beach, FL)
- …makes necessary determination as to the correct insurance and processes all claims accordingly. Research claims for Medicaid, Medicare and other third ... party insurance. Contacts insurance carriers when necessary to re-evaluate claims for payment. Responsible for collaborating with other departments if necessary.… more
- Great Southern Bank (Springfield, MO)
- …Specialist is responsible for preventing, responding to, investigating, resolving, and reporting claims of loss due to kite, forgery, or theft. Reviews, maintains, ... of the time. + Interviews customers and/or employees regarding claims of fraud, takes steps to prevent additional losses...Monday - Friday 8:30 AM - 5:30 PM; Rotating Saturday 8:00 AM - 12:00 PM Total Hours : 40… more
- Atlantic Health System (Morristown, NJ)
- …with the ability to handle a variety of matters related to claims , policy development, and professional review activities. Responsibilities + Review professional ... liability claims and conduct...Member Benefits + Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team… more
- Prime Therapeutics (St. Paul, MN)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness & ... accuracy of Prime's financial pricing programs against adjudicated claims to identify trends and draw insights to provide...weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …B- Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Hours : 8:00am-4:00pm, 9-5 or 10-6pm Monday through Friday Must be able to ... benefits package. Responsibilities: + Experience with billing Part B claims , review and handle denials. + Knowledge with vaccine...Knowledge with vaccine billing, including Covid. + Must research claims and denial codes. + Must correctly resubmit … more