- Delta Dental of Iowa (Johnston, IA)
- …in challenging situations. Preferred + Bachelor's degree in related field. + Dental claims and/or other ancillary benefits processing . + Experience working with ... benefits are implemented correctly to support seamless enrollment, billing, and claims adjudication. You will collaborate closely with internal stakeholders to… more
- System One (Baltimore, MD)
- …record abstraction to determine benefit eligibility and support claims processing /adjudication. It includes pre- and post- claim medical review for ... ensuring compliance with corporate and medical policies. Essential Functions + Claims Review & Analysis (35%) Review and analyze professional and institutional… more
- Robert Half Accountemps (Lombard, IL)
- …for candidates with a background in medical billing and a commitment to accuracy in claims processing and payment reconciliation. You will play a vital role in ... on Medicaid-funded services. Responsibilities: * Process and submit clinic patient claims to Medicaid and private insurers twice weekly, ensuring all necessary… more
- LS Power Development, LLC (St. Louis, MO)
- …requirements. + Have experience with the intake, analysis and response to counterparty claims , including with respect to assessing and processing project change ... key contract metrics and requirements. + Identify, report, document and track contract claims , elevating claims and briefing management as necessary. + Evaluate… more
- Sedgwick (Tallahassee, 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
- Sedgwick (Orlando, FL)
- …customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL ... + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or… more
- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing /adjudication, recipient/provider eligibility, and third-party liability. ... in projects like the following: CMS Federal Reporting, quality measures, claims processing , Medicaid program eligibility, provider enrollment, third-party… more
- TEKsystems (Chesapeake, VA)
- …a manageable monthly patient volume of ~100 patients, ensuring timely and accurate claim processing . + Take complete ownership of billing operations, including: ... originate from our hospital system. + Submit and manage claims across multiple payer portals, including Medicare (primary payer...+ Claim submission + Payment posting + Denial management +… more
- Philips (Malvern, PA)
- …testing and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers. **You're the right fit if:** ... + Working with various commercial insurnace payers to resolve claims and denials. + Escalating payor issue trends for...solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner. +… more
- Aflac (Farmington, CT)
- …on state regulations. + Coordinates correspondence, forms, and other documents via the claim system; documents the claims system in an accurate and comprehensive ... Makes timely, accurate, and customer-focused new and ongoing Absence Management claim decisions; reaches out to obtain relevant healthcare provider, employer,… more