- Covenant Health Inc. (Knoxville, TN)
- …documentation for insurance appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and posts payments as necessary. ... staff and external vendors as it relates to department operations . Serves as a liaison between Revenue Integrity and...end and back end appeals hand-offs, payer correspondence, and claims processing. + Participates in the education and training… more
- Henry Ford Health System (MI)
- …high risk of denial or with high charges are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest ... receivable required. + Knowledge of best practices related to revenue cycle operations and day-to-day functionality. + Knowledge of CPT and diagnosis coding and… more
- MVP Health Care (Rochester, NY)
- …justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law ... CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data. + Working knowledge of MS Office (Word, Excel and Outlook) +… more
- Zurich NA (Houston, TX)
- …Guard. This may include selling and servicing our insurance products, supporting our claims centers, or providing travel assistance to our clients around the world. ... is highly skilled and trains in various centers providing keen insights to the operations of Travel Guard. The Resource Pool Specialist is expected to understand the… more
- CareFirst (Baltimore, MD)
- …to mitigate risk to CareFirst, supplement existing technology, maintain critical operations , support corporate initiatives including but not limited to provider ... procedures, including experience with providers, training, customer service, and claims processing. **Preferred Qualifications:** + Bachelor's Degree in business,… more
- AGCO Corporation (Morton, IL)
- …ID: 101194 Location: Morton, IL, US Brand: PTx Workplace Type: Onsite Not everyone can claim to feed the world, but it is part of our every day. Behind everything ... Impact** + Respond to customer quality requirements including non-conformance reports, Warranty claims , and 8D or similar requests + Collaborate and partner with… more
- Nestle (Schaumburg, IL)
- …understanding of safety principles and the ability to apply to the company's operations . + Understanding of worker compensation and claims management a plus. ... of the Return to Work program. + Conducts workers' compensation claim investigations. + Develops and maintains close communication with insurance carriers,… more
- UNC Health Care (Kinston, NC)
- …posting, patient accounts receivable management and follow up, charge entry, EDI/ claim submission/ claims rejections, and external collection activities. Provides ... communities we serve. Summary: The DME Billing Manager oversees the day-to-day operations of Down East Medical Supply's revenue cycle process including referral… more
- AIG (New York, NY)
- …will be a trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. How you will create an ... models for various business functions such as pricing or claim monitoring + Work closely with underwriting business partners...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- MAPFRE Insurance (Webster, MA)
- …documentation. Job tasks provide support to all areas of Insurance Operations . **Responsibilities** + Process and deliver correspondence to intended party for ... Claims and Underwriting. + Index documents received electronically and...deadlines. + Process Merit Rating Board Hearing Lists and Claim print requests. + Process various data entry functions… more