- Amentum (Washington, DC)
- …claim review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim ... Office suite products + Strong research and auditing skills + Experience in claim management or processing environments + Experience in government programs or… more
- Paychex (Rochester, NY)
- …guidance and direction, provides customer service for the Paychex Insurance Renewal Processing team. Uses prescribed guidelines to ensure good customer relations are ... maintained and customer claims and complaints are resolved fairly, effectively, and in accordance with Paychex policies and procedures. Responsibilities + Delivers… more
- Morley (Lansing, MI)
- …you need to know. No auto experience needed! As a remote Vehicle Processing Clerk (Disposition Coordinator) at Morley, you'll help people across the country return ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
- Cognizant (Reno, NV)
- …of the world's leading professional services companies, and we are looking to add Data Processing Specialists to our team in Reno, NV. If you are eager to learn ... mismatches, unconfirmed or missing trade bookings, non-receipts, payments, and interest claims that are payable or receivable . Fully investigate cases before… more
- Cardinal Health (Twinsburg, OH)
- …and over-the-counter medications. **Job Summary** The Pharmacy Technician, Order Processing plays an important role in delivering medication and pharmaceutical ... between dispensing pharmacies + Review patient insurance coverage status and adjudicate claims for patient orders + Enter prescriptions in pharmacy system + Maintain… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Quality Analyst, who will oversee contract and benefit configuration to ensure accurate claims processing and network compliance. This is a remote role. Primary ... discrepancies. + Collaborate with IT and operations to resolve claims configuration gaps. + Perform routine and complex audits...updates. + Assess the impact of configuration changes by processing claim adjustments, manual claim … more
- Zelis (St. Petersburg, FL)
- …outbound call center setting, this role focuses on identifying and resolving various claim processing and provider billing issues. Additionally, the Medical Bill ... financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of...their Explanation of Benefits (EOB) to verify accuracy of claim processing and provider billing + Manage… more
- Johns Hopkins University (Middle River, MD)
- …of medical billing applications. + Utilize online resources to facilitate efficient claims processing . _Professional & Personal Development_ + Participate in ... third-party payers. + Appeals reflected claims and claims with low reimbursement. + Performs claim ...+ Confirm credit balances and gathers necessary documentation for processing refund. + Identifies insurance issues of primary vs.… more
- Community Health Systems (Fort Smith, AR)
- …identifying discrepancies, and applying appropriate transaction codes to facilitate accurate claims processing . The Reimbursement Specialist I collaborates with ... field preferred_ + _0-1 years of experience in medical billing, reimbursement, claims processing , or accounts receivable required_ + _Experience with payer… more
- University of Michigan (Ann Arbor, MI)
- …approaches to Clinical Risk in partnership with the Insurance and Claims Administration Office investigation, processing , presentation and negotiation of ... covered claims . + In coordination with the Claims Manager, this position sets medical malpractice claim... Claims Manager, this position sets medical malpractice claim reserves, supervises the workflow of claims … more
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