- LS Power Development, LLC (St. Louis, MO)
- …requirements. + Have experience with the intake, analysis and response to counterparty claims , including with respect to assessing and processing project change ... key contract metrics and requirements. + Identify, report, document and track contract claims , elevating claims and briefing management as necessary. + Evaluate… more
- Robert Half Accountemps (Fayetteville, NC)
- …In this role, you will play a critical part in ensuring accurate and timely processing of medical billing and claims for a healthcare facility in Raeford, North ... healthcare provider. Responsibilities: * Prepare, review, and submit medical claims to insurance companies, ensuring accuracy and compliance with regulations.… more
- CareFirst (Baltimore, MD)
- …role. **Preferred Qualifications:** + Demonstrated experience with Excel, SalesForce, and claims processing systems. **Knowledge, Skills and Abilities (KSAs)** + ... + Oversees the end-to-end process of the billing vendors and dispute resolution claim submission and payment requests. This includes the maintenance of the NSA… more
- Rush University Medical Center (Chicago, IL)
- …Benefits to identify claim denials and develop appeal strategies. + Rebilling claims and processing adjustments or refunds as needed. + Maintain patient ... managing the billing and reimbursement process for professional and hospital claims related to workplace injuries, motor vehicle accidents and third-party… more
- Broadview FCU (Albany, NY)
- …or monetary loses due to non-compliance. + Process Share Draft dispute and fraud claim requests in accordance with the check processing rules and department ... well as industry developments, regulatory changes, and compliance. + Processing Check Fraud claims timely adhering to...changes, and compliance. + Processing Check Fraud claims timely adhering to all security controls and regulatory… more
- Access Dubuque (Dubuque, IA)
- …Provide support to employees in the facility by administering First Aid, processing medical paperwork, conducting physical exams and urine tests for substance abuse ... paperwork for OSHA to meet Federal guidelines. Processes and files insurance claims for the facility. Communicates with all management personnel routinely. Completes… more
- Covenant Health Inc. (Sevierville, TN)
- …student-athletes. Schedule management for team practices, games & tournaments. Insurance claims processing for the student athlete medical care program. ... claims , and billing statements. + Incumbent oversees the coordination and processing of medical insurance plans through the claims process. Assists the… more
- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing /adjudication, recipient/provider eligibility, and third-party liability. ... in projects like the following: CMS Federal Reporting, quality measures, claims processing , Medicaid program eligibility, provider enrollment, third-party… more
- New York State Civil Service (Menands, NY)
- …applicable. Responding to claim -specific questions may require reviewing and processing claims , performing database searches using information provided by ... claimants; identifying and linking additional claim properties; determining and requesting in writing required proof and documentation; and recommending payment… more
- Philips (Chicago, IL)
- …testing and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers. **You're the right fit if:** ... + Working with various commercial insurnace payers to resolve claims and denials. + Escalating payor issue trends for...solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner. +… more