- CVS Health (Hartford, CT)
- … * Proficient in Microsoft Word, Excel and other computer software ** Preferred Qualifications:** * Managed care/ claims review experience preferred ... areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to… more
- Cedars-Sinai (Los Angeles, CA)
- …underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all audits and ... work queues accounts and completes account follow-up activities including: obtaining claim status, responds to insurance company and other authorized third-party… more
- Philadelphia Insurance Companies (Jersey City, NJ)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... producers and clients + Assist Corporate Reinsurance, Accounting and Claims on problems as they arise + Assist in...and/or administrative activities at Company Qualifications + College degree preferred + Minimum of 5 years of ocean or… more
- Mount Sinai Health System (New York, NY)
- …in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management) strongly preferred . + Minimum 7-10 years ... ensure optimized processes deliver measurable improvements in cost-to-collect, clean claim rates, denial reduction, and cash acceleration. 4. Workflow… more
- New York State Civil Service (Albany, NY)
- …SAMS software program to perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use in aid calculations and ... implementation of guidelines and procedures, and risk-based analysis for post-edit claim verification projects;* Process revisions to school districts' prior year… more
- CommonSpirit Health (Prescott, AZ)
- …+ Assists patients via telephone and/or written response regarding account/ claim status inquiries. Responds professionally and within appropriate timeframes to ... in reconciling accuracy with outside vendors. + Generates bills or re-bills claims to insurance companies. Conducts timely follow up with insurance companies… more
- Philadelphia Insurance Companies (Plano, TX)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... as needed. 10. Interacts and coordinates activities with other departments (eg Claims , Loss Control, Client Solutions, and Accounting). Working in coordination with… more
- Philadelphia Insurance Companies (Plano, TX)
- …+ College degree preferred + 1 to 2 years experience as claims support staff + Basic Accounting background + Efficient and accurate typing skills + ... Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad… more
- Acosta Group (Bentonville, AR)
- …The Director will manage a team including the Sr. Risk Claims Analysts and collaborate closely with internal stakeholders, third-party administrators, brokers, ... and insurers to ensure effective claims management, litigation, risk financing, and compliance. **RESPONSIBILITIES** **Essential Functions of this Position:** +… more
- System One (Washington, DC)
- …Healthcare Technical Writer with a strong background in health insurance and claims documentation. This role will be responsible for creating, reviewing, and ... maintaining clear, accurate, and compliant documentation related to claims processes, policies, systems, and standard operating procedures (SOPs). The ideal… more