- 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 ... PerformanceSelect the Level of Performance that best describes your claim . + A. I have experience instructing AND physically...addresses the items listed below which relate to your claim . If you indicated you have no work experience… 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 ... PerformanceSelect the "Level of Performance" which best describes your claim . + A. I have provided VOCATIONAL training in...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- Molina Healthcare (Kenosha, WI)
- …concisely and accurately 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
- UnityPoint Health (Ankeny, IA)
- …a timely manner. This position requires strong decision-making ability around complex claims processing workflows and regulations that requires utilization of ... delays, resulting from no response, denied, rejected and/or pending claims with the objective of appropriately maximizing reimbursements and...accounts with Stop Bills and "DNBs" to ensure all claims are filed in a timely manner + Ensure… more
- ICW Group (Sacramento, CA)
- …Administrations is adhering to regulatory and internal guidelines as they apply to claims processing and adjudication. This position will collaborate with other ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement.… more
- BrightSpring Health Services (Lubbock, TX)
- …and employees of worker's compensation claim process. Assist as needed with claim processing . Keep supervisors and management team informed of open claims ... required for clinical staff credentialing process + Provide Automatic Data Processing Enterprise entry and administration support for the Division + Conduct… more
- Molina Healthcare (UT)
- …managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and modifier usage. + Strong ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Nuvance Health (Danbury, CT)
- …Charge Capture preferred. .In depth knowledge of electronic data interchange and claims processing , third party payer rules, reimbursement practices and ... and Revenue Cycle to identify, analyze and resolve CDM-related claim submission issues. Assist in the CEWL and EBEW...the Charge Integrity Audit Team by running reports and processing changes. Works closely with the CDM Analyst. 11.Maintain… more
- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... Submitting your DD214 promptly helps ensure smooth and timely processing . Out of Class experience will not be accepted...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Reynolds & Reynolds (Wichita, KS)
- …- Obtaining any needed documentation from the customer to assist with processing maintenance claims - Assisting customers with general questions related to ... inbound calls from AGWS Customers to assist with questions related to maintenance claims . You will assist customers by walking them through and helping them… more