- Health Care Service Corporation (Richardson, TX)
- … auditing experience is a strong plus. + Knowledge of or experience with BlueChip claims processing is a strong plus. + Knowledge of quality review processes is ... The Audit Specialist Intern responsibilities may include assisting with claim accuracy audits and performance tracking of Administrative Services Only… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Medicaid systems and policy. *Minimum one year of experience with liability insurance claims processing . *CPT, ICD-9 or ICD-10 coding, and HCPCS knowledge. ... advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims . *Participates in the development and implementation of TPL policies and… more
- Schlumberger (Houston, TX)
- …contract requirements to subcontractors by reviewing identifying, highlighting, and processing . Manage flow downs across the different stakeholders through ... but not limited to contract compliance, change management and claim mitigation strategies. + Analyzing the basis and extent...+ Analyzing the basis and extent of change Tracking claims and monitoring progress through the claims … more
- Army National Guard Units (Raleigh, NC)
- …policies/regulations; serve as a technical expert in matters regarding employees' claims for Workers Compensation; serve as the Injury Compensation Program ... illnesses; coordinate case details between employees, supervisors, medical personnel, claims offices; review claims /medical documents; review CA-1, CA-2,… more
- US Tech Solutions (Columbia, SC)
- …indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices. + Performs medical claim reviews for one ... onsite position + A typical day would like in this role: reviewing claims for medical necessity/reviewing cam policies for non-covered procedures. + Team: We process… more
- Robert Half Accountemps (Danville, KY)
- …The ideal candidate will have a background in medical billing and insurance claims processing , with the ability to effectively communicate with insurance ... + Knowledge of medical terminology, billing codes (CPT, ICD-10), and insurance claim processing . + Excellent communication skills, both verbal and written,… more
- Geisinger (Danville, PA)
- …to ensure accurate coding and proper setup of payment terms within the claims processing module. This role also involves contributing to special projects ... will bring a solid understanding of CMS1500 and UB04 claim forms, CPT/HCPC codes, Revenue codes, and ICD-10 coding,...resolution of Workflow rules that allow for automation of claims processing . + Configures the eligibility process,… more
- MyFlorida (Bay Pines, FL)
- …employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: + Current ... VA Regional Office, Bay Pines, Florida Department of Veterans' Affairs, Bureau of Claims Services. The primary responsibility of the incumbent in this position is to… more
- FLACRA (Newark, NY)
- …FLACRA's billing and payment collection processes. This position is responsible for processing claims , managing accounts receivable, and ensuring timely and ... up on outstanding balances. + Work with insurance companies to address disputed claims and resolve processing issues. + Maintain and update tracking spreadsheets… more
- Lowe's (Suwanee, GA)
- …+ Escalated customer concern resolution + Working alerts and queues + Inputting customer claims into the claim portal system + Responsible to support delivery ... Delivery processes to solve inquiries/issues and maintain customer satisfaction. Processing orders and fulfilling customer needs to ensure customer satisfaction.… more