- State of Minnesota (Vadnais Heights, MN)
- …cycle team. This includes directing and training staff to ensure timely claims processing and efficient collection of payments. Primary responsibilities: + ... Oversee the daily operations of the revenue cycle process, including insurance claim processing for both inpatient, outpatient, residential and dental services,… more
- TEKsystems (Denver, CO)
- …be responsible for overseeing all manual data processes within Charge Entry & Claims Submissions processes. + Create weekly and monthly charge reports from data that ... way that it can then be submitted into a claim . This is a complex process - moving data...guidelines + Once the data is cleaned up, the claims submissions process is heavily automated + This is… more
- Stanford Health Care (Palo Alto, CA)
- …The Patient Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts ... - Payer clerical and technical denial review and request processing including basic appeals - Payment posting and batch...payer by phone or via the portal + Resolving claim edits + Reviewing payer variances and pursuing underpayments… more
- Atlantis Casino Resort Spa (Reno, NV)
- …and supplemental) and the administration of Family Leave and ADA Accommodation claims . The Benefits Specialist will assist with new hire health plan enrollment, ... Open Enrollment, resolution of health plan claim issues, monthly vendor billing, and semi-annual health fairs....Casino Black Hawk's Team Members regarding Benefits functions and processing of Team Member eligibility and enrollment as applicable.… more
- Holzer Health System (Bidwell, OH)
- …, processing edits, and doing their due diligence to ensure correct claim processing and payments from insurance companies and patients. The insurance clerk ... payer policies, and specific payer coding guidelines; follow-up on unpaid claims , process insurance takebacks, overpayments, and refunds, and perform other duties… more
- St. Luke's Health System (Boise, ID)
- …and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of ... copay card programs. + Accurately calculate costs and savings while processing specialty medications. + Provide customer service and explain complex insurance… more
- Ohio Machinery Co (Broadview Heights, OH)
- …to supervise the Truck Group Warranty Analysts, providing leadership and support for the processing of warranty claims specific to repair orders within the Truck ... will oversee the entire Truck Group warranty process, including submitting claims , organizing receipts, communicating variances, and resolving variances to the… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …By playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) ... * Leverage tools like Kafka, AWS Kinesis, or Pub/Sub for real-time processing across policyholder journeys. * Implement automated data cataloging, lineage tracking,… more
- ICW Group (San Diego, CA)
- …in designing and optimizing data models that support actuarial analysis, policy processing , claims processing , underwriting, compliance reporting, and ... logical, and physical) tailored for Workers Compensation Insurance data such as claims , policies, premiums, exposures, and provider networks. + Builds and maintains… more
- Aston Carter (Naperville, IL)
- …a fast-paced environment. Additional Skills & Qualifications + Experience with high volume claims processing and invoicing. + Knowledge of home systems repair ... a crucial role in ensuring smooth provider operations by arranging claims , processing inquiries, and providing exceptional service follow-up. Responsibilities… more