- Prime Healthcare (Farmers Branch, TX)
- …and plans of reach / exceeding key performance indicators (KPI) relating to billing operations , which include but are not limited to: 837 files, billing edits, clean ... claim rate standards, billing errors and trends, as well as claim rejections and trends. Through strategy development, aligning the annual initiatives and… more
- Post Holdings Inc. (St. Louis, MO)
- …administrators and disability carriers to ensure accurate and timely processing of claims . + **Leave operations ** : Perform weekly, biweekly, or monthly ... managers, and business unit HR partners on leave eligibility, claims payments, and leave impacts on other health &...timely payment of fees/premiums to vendors/carriers. + **Life insurance claims ** : Support beneficiaries in the filing of life… more
- USAA (San Antonio, TX)
- …handles simple liability, evaluates, and settles high volume and low complexity auto claims with repairable vehicles. + Resolves claims through proactive problem ... and sets expectations with external and internal business partners to facilitate claims resolution. + Supports members, business partners, and claimants, through use… more
- MyFlorida (Tallahassee, FL)
- …COMPENSATION EXAMINER DIVISION: RISK MANAGEMENT BUREAU: STATE EMPLOYEE WORKERS' COMPENSATION CLAIMS CITY: TALLAHASSEE COUNTY: LEON SPECIAL NOTES: Preferences: + Two ... (2) years of professional experience involving workers' compensation claims . + Six (6) months' experience in a position...Six (6) months' experience in working with workers' compensation claims in any capacity. + Six (6) months' experience… more
- The County of Los Angeles (Los Angeles, CA)
- …which have the potential to negatively impact the County's programs, policies or operations or might result in serious monetary losses. Candidates are expected to ... of Los Angeles in the defense of workers' compensation claims before the California Workers' Compensation Board, the California...County of Los Angeles in defense of workers' compensation claims . Approves contract law firms request for payment of… more
- LA Care Health Plan (Los Angeles, CA)
- …culturally-appropriate manner. Coordinates multi-departmental (Member Services, Product Network Operations (PNO), Claims , Utilization Management (UM), Pharmacy, ... Sales and Quality Management (QM)) processes to ensure identification of member's claims of gaps in coverage and resolution of cases for members' satisfaction… more
- Two95 International Inc. (New York, NY)
- …opportunities and the root causes for them, and collaborate with the client and our operations staff to achieve our goals. More specifically, your job would be to: * ... * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively...analyses * Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data quality checks * Partner… more
- Humana (Oklahoma City, OK)
- …role will require critical thinking/problem solving skills, understanding of health plan operations , and strong interpersonal skills. Key Role Objectives + Serve as ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Cardinal Health (Doral, FL)
- **Location: Onsite in Doral, Florida Office** **_What Customer Service Operations contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up &… more
- MTA (Brooklyn, NY)
- …from inception to resolution. + Handle, complex, high-exposure personal injury claims during all phases of litigation, including statutory hearings, depositions, ... conferences, settlement negotiations, and trials. + Critically analyze personal injury claims and develop, implement, and oversee litigation strategies designed to… more