- Commonwealth of Pennsylvania (PA)
- …questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are ... to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved...Select the Level of Performance that best describes your claim . + A. I have experience compiling information for… more
- Commonwealth of Pennsylvania (PA)
- …position. Failure to provide complete and accurate information may delay the processing of your application, or result in a lower-than-deserved score or ... of PerformanceSelect the "Level of Performance" which best describes your claim . + A. I have experience monitoring inventory levels including requisitioning… more
- CareFirst (Baltimore, MD)
- …with areas such as Medical Policy, Legal and Legislative Affairs, Claims Processing Areas, Customer Service Operations, Provider Representatives, Credentialing, ... findings about the ability to pay or deny a claim or claim lines using clinical and/or...policy edits, and educating the above areas regarding appropriate claims processing for a particular provider/facility or… more
- Molina Healthcare (Bothell, WA)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- Molina Healthcare (Rio Rancho, NM)
- …is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing . + Reevaluates medical claims and associated records ... care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in… more
- Spire Energy (St. Louis, MO)
- …the LIRS Board and periodic regulatory filings, as well as monthly processing of claim reimbursement requests. Duties and Responsibilities Insurance Programs ... recommendations for appropriate coverage, annual renewals at favorable rates, and claim notification and reimbursements + Manage the insurance renewal process,… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... working with insurance plans and understanding of claim adjudication processes. Non-Bargaining Unit, E01 - Partner MSO...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- The City-County of Butte-Silver Bow (Butte, MT)
- …knowledge of the methods and procedures utilized by insurance carriers in processing workers' compensation and liability claims . + Knowledge and implementation ... + Ability to operate a personal computer and utilize standard word processing , spreadsheet, database, and claims management applications appropriate to assigned… more
- AIG (Atlanta, GA)
- …established guidelines and authority, indemnity, and legal payments through the appropriate Claims Processing Systems. + Assist with ad-hoc duties, projects, ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...between salvage vendor and property owner. + Assist in processing of paperwork related to a total loss of… more
- Wellpath (Franklin, TN)
- …degree or equivalent experience. Experience + Minimum of five years of experience in claims processing and claims audit functions. **We are an Equal ... appeal. **Key Responsibilities** + Complete accurate and timely audits of out-of-facility claims , confirming eligibility, claim amounts, and related events. +… more