- Sedgwick (Madison, WI)
- …+ Provides return-to-work support for injured workers, physicians, employers and claims teams. + Gathers return-to-work data from providers, nurses and ... compensation laws and client program design. + Enters data into the claims management system accurately. + Adheres to quality assurance standards. **ADDITIONAL… more
- Humana (Oklahoma City, OK)
- …issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate ... townhalls and/or trainings + Work with internal resources and systems (eg, claims , reimbursement, provider enrollment) to provide the Perfect Experience in all… more
- Rochester Regional Health (Rochester, NY)
- …Billing and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims ... actions. RESPONSIBILITIES: + Medical Billing Expertise: Proficient in billing, claims processing (Inpatient, Outpatient, Critical Access, Rural Health), denials… more
- Towne Park (Indianapolis, IN)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with...reports, memos, letters, and e-mails **QUALIFICATIONS** + Associate's degree preferred and a minimum of two (2) years of… more
- Akumin (Tampa, FL)
- The **Collector I** contacts payers for status of payment of outstanding claims , including commercial and government carriers, and patient liabilities in the ... appropriate time frame. Responsible for rebilling of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with… more
- NTT America, Inc. (Little Rock, AR)
- …candidate will possess in-depth expertise in Medicaid systems, particularly in claims adjudication-and demonstrate a strong ability to translate complex business ... Analyze and document business, technical, and user requirements related to Medicaid Claims Adjudication and other functional areas. * Collaborate with state business… more
- New York State Civil Service (Brooklyn, NY)
- …No Telecommuting allowed? Yes County Kings Street Address Office of Operations, Claims District Office One Pierrepoint Plaza, 5th floor, 300 Cadman Plaza West ... the Senior Workers' Compensation Examiner within the Office of Operations/ Claims Operations/Brooklyn-Manhattan District, the Workers' Compensation Examiner functions as… more
- Robert Half Accountemps (Lexington, KY)
- …work environment. The role involves handling high-volume authorizations, insurance claims , and patient communications, ensuring accuracy and timeliness in all ... billing processes. Responsibilities: * Process medical claims and ensure all billing activities comply with established...wearing scrubs, with light blue teal or navy blue preferred . Robert Half is the world's first and largest… more
- MyFlorida (Tallahassee, FL)
- …EMPLOYMENT OPPORTUNITY 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 . A post-secondary degree may be used as an...degree may be used as an alternative for the preferred experience on a year-for-year basis. * Six (6)… more
- Sedgwick (Chicago, IL)
- …Licensing** Bachelor's degree from an accredited college or university or equivalent preferred . **Experience** Ten (10) years of claims management, managed care ... Establishes policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements… more