- City of Bellingham (Bellingham, WA)
- …industrial insurance. Serves as main point of contact with the City's third-party claim administrator and coordinates administration of claims . + Responsible for ... Workers' Compensation and Safety. In this role, you'll manage complex injury claims , support return-to-work efforts, and ensure compliance with state and federal… more
- Trinity Health (Livonia, MI)
- …edit features to resolve edits prior to completing coding. Interprets, researches and resolves claim edits that occur after coding to support timely final claims ... and procedures codes, APCs, CPT, HCPCS codes, modifiers, internal edits and claim edits that could impact hospital reimbursement. Interprets bundling and unbundling… more
- MAPFRE Insurance (Boston, MA)
- …. + 3-4 years supervisory experience in Material Damage or Physical Damage Claims is preferred . + Advanced formal insurance and management education a ... Material Damage working with our ACMIC efforts. + Provide claims technical direction and assistance to staff members, keeping...other communications. + Pursue the development of an Autobody preferred shop program. + Explore new methods of working… more
- Ryder System (Juneau, AK)
- …+ 3 years or more Related experience, Required + 2 years or more Property claims experience Preferred **SKILLS** + Commitment to customer service + Strong verbal ... ._ **Job Description** : **SUMMARY** The Resolution Coordinator facilitates customer damage claims and acts as a liason between Ryder Last Mile's sub-contracted… more
- Cardinal Health (Charleston, WV)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...+ HS, GED, bachelor's degree in business related field preferred , or equivalent work experience preferred +… more
- HRDC IX (Bozeman, MT)
- …assists the staff in maintaining financial records and preparing accounts payable claims for the HRDC, in compliance with established policies and applicable local, ... Assists in the processing of all HRDC Accounts Payable claims on a weekly/bi-weekly basis (Approx. 90-150 claims...monthly) and maintains all accounts payable records; + Inputs claim form data into accounting system; + Performs Fiscal… more
- CVS Health (Harrisburg, PA)
- …review a clinical determination and understand rationale for decision. * Able to research claim processing logic and various systems to verify accuracy of claim ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- TEKsystems (Baltimore, MD)
- …account balances utilizing Patient Accounting software (EPIC) Timely submission/transmission of claims and verification of claim acceptance where appropriate for ... HAVE: 2 years of Medicaid Medical Billing experience, EPIC experience is highly preferred but not needed! Description Will be mainly focused on their Medicare… more
- CCMS & Associates (Detroit, MI)
- …property adjusting experience + Maintain own current estimating software - Xactimate preferred (Symbility experience a plus) + Working computer - internet access and ... and commercial field property inspections utilizing Xactimate software + Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses… more
- CVS Health (Hartford, CT)
- …test plans and test results. + 3+ years of HRP experience. + Claims adjudication background. ** Preferred Qualifications** + Knowledge of Medicare Advantage ... to, Medicare pricing methodologies and contracts, various Medicare Advantage claim policies, ClaimsXten/Cotiviti edits, Utilization Management and Provider Demographics.… more