- CDM Smith (Albuquerque, NM)
- …CDM Smith has been supporting FEMA for two years in developing policy, procedures, and processing claims in support of the Hermit's Peak Calf/Canyon fire. We are ... looking for additional staff to process claims with a focus on high quality output. Staff...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Molina Healthcare (Cleveland, OH)
- …claims and claim configuration teams to streamline adjudication and resolve claim processing issues + Familiar with payment integrity and other cost ... recovery processes + Direct PM experience in Managed Care Operations ( claims , system configuration, provider data management preferred) + Demonstrated ability to… more
- Robert Half Accountemps (Irvine, CA)
- …payments * Work with insurance companies to resolve discrepancies and ensure proper claim processing * Respond to patient and insurance company inquiries ... accounts to identify outstanding balances * Conduct daily follow-up on outstanding claims and patient accounts via phone calls, emails, and written correspondence *… more
- Corewell Health (Caledonia, MI)
- …AR trends and issues. Identify and trouble shoot issues that impact claim processing delays. + Demonstrates professional communication, including verbal and ... Job Summary Processes inpatient and outpatient claims to insurance companies, employers and patients. Follows...portfolio and take appropriate action to ensure compliant, timely claim resolution. + Ensures payer and governmental agency regulatory… more
- CVS Health (Phoenix, AZ)
- …experience in PBM or pharmacy. -2+ years experience in PBM or pharmacy claim processing systems. -Familiarity with current CMS Medicare Part-D compliance ... of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review… more
- Philadelphia Insurance Companies (Plano, TX)
- Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad ... range of claims related services in the areas of transportation, product...following up on status of funding for the remittances, processing payments, processing adjustments, responding to payment… more
- Cedar Rapids Community School District (Cedar Rapids, IA)
- …workers' compensation laws. + Manages the Incident reporting system with daily review of new claims and processing the claims to 3rd party vendor. Ensures ... for all leave of absence cases and workers' compensation claims . Effectively coordinates all cases/ claims to include...of work and maintain a highly organized system of processing documentation, employee contacts and notices. + Must maintain… more
- BrightSpring Health Services (Gainesville, FL)
- …Inform operations of worker's compensation claims process. Assist as needed with claim processing . Keep supervisors and management team informed of open ... areas of employee recruitment, hiring, retention, and evaluation + Processing , verifying, and maintaining documentation relating to personnel activities...claims and return-to-work status + Conduct workplace investigations, as… more
- Commonwealth of Pennsylvania (PA)
- …position, the Clerical Assistant 2 will be responsible for managing the processing and distribution of all incoming and outgoing US Mail, interdepartmental mail, ... 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" which best describes your claim . + A. I have experience sorting, filing, and… more
- Sedgwick (Tampa, FL)
- …customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL FUNCTIONS ... + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or… more