- AIG (Jeffersonville, IN)
- …extended service programs, customer service support, service network management, claims processing services and service contract underwriting. With ... satisfaction, they turn to us. Position Overview: The Operations Claims Analyst will work closely with the Service and...need a reasonable accommodation, please send an email to ###@aig.com. Functional Area: CL - Claims Service Net Warranty,… more
- DXC Technology (Nashville, TN)
- …the death claims area** + **Hands on and deep knowledge on the death claims full cycle processing experience** + Demonstrated ability to build and lead a ... of inclusiveness within the team + Oversee the operation of a business processing transaction team to include setting performance metrics and team goals as well… more
- NTT DATA North America (TX)
- …for improvement. **Requirements for this role include:** + 3+ years of medical claims processing experience + 5+ years of experience using a computer ... potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance… more
- State of Massachusetts (Boston, MA)
- …not 30x weekly benefit amount determinations. Review wages/earnings and issues on current claim to determine claimant eligibility on the new claim . Determine ... procedures. * Review employment history and adjudication issues on the claimant's prior claim * Review wages/earnings and issues on current claim to determine… more
- Cedars-Sinai (Los Angeles, CA)
- …audits within established departmental productivity and accuracy standards. Assists with processing re-bills post coding audit changes and assists with coding ... innovation. **Req ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : Cedars-Sinai… more
- Albany Medical Center (Albany, NY)
- …preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, ... and have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials.Able to communicate effectively and successfully with team members, providers, contractors, payors, and their Leadership group daily.… more
- City of New York (New York, NY)
- …Staff Analyst NM III to function as a(n) Executive Director, Financial Review & Claims Processing who will: - Manage, plan and develop the operational activities ... of DFRP, ICP and SNAP-CR Directors as they administer their specific program areas which are responsible for initiating adverse actions on cash assistance cases due to information obtained via computer matches, sanctioning individuals who fail to cooperate… more
- Trinity Health (Davenport, IA)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting, or ... customer service activities or an equivalent combination of education and experience. Some knowledge of health insurance and governmental programs, regulations, and billing processes, eg, Medicare, Medicaid, Social Security Disability, Champus, Supplemental… more
- Molina Healthcare (Rio Rancho, NM)
- **Job Description** **Job Summary** Responsible for collecting, storing, processing , and analyzing large sets of data. The primary focus will be on choosing optimal ... tools such as Python, Ruby or Perl. * Experience in building stream- processing systems, using solutions such as Kafka, Storm or Spark-Streaming * Experience… more
- State of Massachusetts (Boston, MA)
- …on current claims to determine claimant eligibility on the new claim . Also responsible for overseeing staff who determine adequacy for monetary determinations by ... job. Incumbent of this position is expected to have knowledge of wage processing functions. Supervises and coordinates the work of staff responsible for completing… more