- 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" which best describes your claim . + A. I have experience sorting, filing, and...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- Zelis (Plano, TX)
- …reimbursements. This role involves leveraging data to ensure accurate and efficient claim processing , offer insights into contract performance, and communicate ... Data Analyst will be responsible for analyzing and managing healthcare repricing claim data, with a focus on various pricing methodologies including Medicare,… more
- Invenergy (Chicago, IL)
- …including providing certificates of insurance, tracking policy endorsements, and processing invoices. + Engage with lenders' insurance consultants to ensure ... structured insurance programs + Support a wide range of claim related activities - claim notice intake, evaluation, and reporting, oversee claim … more
- Veterans Affairs, Veterans Health Administration (Portland, OR)
- …reimbursements via paper submission and work towards increase efficiency and accuracy in claims processing , provide letters to noncompliant claims that ... documents for payment utilizing the appropriate fund control point for reference. Processing of Veteran claims reimbursements utilizing BTSSS which provides a… more
- Cognizant (Blaine, MN)
- …role in designing, developing and implementing OnBase solutions to enhance our healthcare claims processing systems. With a focus on Medicare and Medicaid ... - Lead the design and development of OnBase solutions to optimize healthcare claims processing . - Collaborate with cross-functional teams to gather and analyze… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …or equivalent. * Experience: 5 years of previous experience with Oncology Claims processing for office/hospital experience preferred. * Certifications: None ... accurately. * Identify error trends from data obtained through claims review and denials. * Prepare reports and analyze...claim follow-up work for both Facility and Professional claims Essential Functions: * Ability to use computer keyboard,… more
- Elevance Health (Atlanta, GA)
- …and sources in order to accommodate the needs of our clients; this includes claim processing , customer service, & medical account management. + Oversees benefit ... but are not limited to: + Researches and interprets claims issues while ensuring good, accurate and timely customer...custom reports for internal and external clients, such as claims , drug utilization and impact reports to our clients… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …CMS and AHCA regulatory requirements + Expertise in FWA, Special Investigations and claims processing + Outstanding research and investigative skills + Proven ... with regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective action plans… more
- Zelis (NJ)
- …weekly, and monthly KPI reporting. + Monitor inventory turnaround to ensure timely processing of claims . + Oversee day-to-day workflows of CSS Supervisors and ... for clients and internal department heads regarding CSS or claim related issues. + Work closely with Account Management...you'll bring to Zelis: + 5-8 years of medical claims or customer service experience. + 3-5 years of… more
- Reynolds & Reynolds (Omaha, NE)
- …- 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