- MVP Health Care (Schenectady, NY)
- …virtual, in Schenectady or Rochester, NY + 1-2 years of data entry or claims experience preferred . High accuracy and attention to detail. + Strong data ... entry skills (5,000-7,000 keystrokes per hour preferred ). + Proficiency in Microsoft Word and Excel. +...Word and Excel. + Familiarity with medical terminology and claims processing. + Curiosity to foster innovation and pave… more
- Elevance Health (Middletown, NY)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...network contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review,… more
- PeaceHealth (Vancouver, WA)
- …multi-facility, multi-specialty organization. **Details of the position** + Resolves insurance claim rejections/denials, and non-payment of claims by payors. + ... Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement… more
- Sedgwick (Dallas, TX)
- …& Insurance National General Adjuster **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Molina Healthcare (Provo, UT)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Trinity Health (Albany, NY)
- …reconciliation daily. + Report any outstanding claims to contact to ensure all claims are billed timely + Review each claim for appropriate information. + ... required but a plus. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical… more
- Avera (Sioux Falls, SD)
- …process to ensure timely claims processing.) Identifies the need to rebill claims through account review and completes claim refiling as well as submits ... for account review and follow up of unpaid, overpaid/over adjusted and denied claims . + Reviews, analyzes, and appeals denials received relative to claims … more
- Southland Holdings (Grapevine, TX)
- …strategic thinking, and problem-solving skills. The manager supports dispute resolution, claims , and contract compliance, serving as a trusted advisor to business ... responses. + Draft formal contract correspondence, including notices and claims , to protect company entitlements. + Collaborate with scheduling and… more
- Sedgwick (Dayton, OH)
- …**Education & Licensing** High School diploma or GED required. Associate degree preferred . **Experience** Two (2) years of claims management or insurance ... & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to… more
- Covenant Health Inc. (Knoxville, TN)
- …Computer experienceand basic math skills required. Knowledge of medical terminology, claims submission, customer service is preferred . Expected to perform ... position primarily works to resolve patient accounts through effective insurance claim follow-up, as defined by the department's established policies and procedures.… more