- Robert Half Accountemps (Des Plaines, IL)
- …needed. * Utilize billing software and systems efficiently to ensure timely payment processing . * Conduct follow-ups on pending claims to ensure resolution and ... In this role, you will handle essential billing operations, ensuring accurate claims submissions and resolving unpaid claims with insurance providers. This… more
- City of Lakeland (Lakeland, FL)
- …claims activity, providing a forum for discussion and adjustment of the processing of all insurance and self-insured claims in workers' compensation, property ... the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and… more
- Centene Corporation (Madison, WI)
- …and validating the results. + Responsible to configure source system (Xcelys - Claims processing system) - setting up members benefits and authorization ... requirements within Xcelys Claim processing system. + Develops ad-hoc reports to conduct data analysis and validation. + Confers with area/department to analyze… more
- Future Tech Enterprise, Inc. (Garden City, NY)
- …payroll and direct deposit issues. + Familiarity with workers' compensation claim processing (preferred). #LI-onsite Employment decisions at Future Tech ... ensuring accurate timesheet entry, assisting employees with payroll inquiries, and processing payments. This role requires strong attention to detail, organizational… more
- Sharp HealthCare (San Diego, CA)
- …of knowledge of health plan operations, health plan software configuration, enrollment and claim file processing and trading partner management, and data ... Plan operational data sets including, but not limited to, eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt… more
- Mass Markets (Wichita, KS)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... customer serviceagents to support inbound customer service, help desk, and back-office processing representatives . In this role, you will provide full lifecycle… more
- Stanford Health Care (Palo Alto, CA)
- …National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), payer specific edit processing required to ensure clean claim submission for both ... surgical encounters, applying hospital and professional modifiers to CPT codes, processing any errors associated with the revenue cycle process, and collaborates… more
- Globus Medical, Inc. (Audubon, PA)
- …employees. This role serves as a primary contact for employee inquiries, claim research, and issue resolution, ensuring compliance with applicable laws, regulations, ... + Collaborate with the Payroll Manager to ensure accurate and timely processing of benefit contributions and adjustments. + Assist with onboarding activities,… more
- City of New York (New York, NY)
- …and claiming data for data entry into multiple database systems for agency claims submitted annually for Federal and State reimbursement. - Analyze fiscal year ... claims , revenue, invoices and payment vouchers to ensure alignment...monthly Expense, Payment and Claiming reports to ensure accurate processing . Analyze, review and provide recommendations for Agency Program… more
- BrightStar Care (Naples, FL)
- …into a database using this set medical protocol to produce a statement or claim . * Investigate rejected claims , verify this information with the health provider, ... an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing Authorizations , appeals and re-… more