- AmeriHealth Caritas (Manchester, NH)
- …and root cause analysis skills are required.; + Ability to focus on technical claims processing and Provider data maintenance knowledge. + Understanding of and ... medical policy and edit reviews + Requests/runs queries to identify root causes of claim denials, incorrect payments, and claims that are not correctly submitted… more
- Guthrie (Sayre, PA)
- …of complex insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes suggestions for ... more streamlined processing . Prepares reports as required and requested. Works with...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
- Commonwealth of Pennsylvania (PA)
- …and adjustments to each service provider's contract + Ensuring accuracy and smooth processing of payments + Preparing a projection of assigned grants on an annual ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved… more
- Commonwealth of Pennsylvania (PA)
- …continuation of stay, and compiling discharge plans. Work also involves processing authorizations or denials, addressing inquires from providers and individuals ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved… more
- Commonwealth of Pennsylvania (PA)
- …other documents; and maintaining up-to-date inmate records. Additionally, work involves processing incoming and outgoing inmate transfer records and participating in ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....to provide complete and accurate information may delay the processing of your application or result in a lower-than-deserved… more
- Robert Half Office Team (Jersey City, NJ)
- …teams and third-party administrators. * Proficiency in managing documentation and processing claims -related invoices. * Ability to implement process improvements ... will play a key part in managing and improving workers' compensation claims while collaborating with third-party administrators and field operations teams. This… 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 ... Select the Level of Performance that best describes your claim . + A. I have professional experience related to...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- 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 analyzing reported data.… more
- 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 applying relevant accounting… more
- 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 ... position. Failure to provide complete and accurate information may delay the processing of your application, or result in a lower-than-deserved score or… more