- FlexStaff (New York, NY)
- …time off. In this role you will be ensuring timely and accurate claims processing , managing denials, and assisting with billing-related reporting and audits. ... office. Requirements: * 5+ years of experience in medical billing and claims processing , and insurance follow-up. * Certification in medical billing and coding… more
- Walmart (Raytown, MO)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Insight Global (Santa Barbara, CA)
- …loading expenses and revenue into the ledger. Extract and translate data from QNXT claims processing system into feeds required by Finance. Develop and maintain ... processes. This role will support the Finance & Accounting team by translating claims and revenue data into actionable insights and ensuring accurate ledger entries.… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …+ Experience with pharmaceutical data sources such as IQVIA, Komodo, Symphony Claims , and other syndicated resources; strong understanding of Patient/ Claims data ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- TEKsystems (Canoga Park, CA)
- …to hire an experienced RN or LVN with an active license to help address claims retro review. This role focuses on reviewing inpatient and outpatient claims for ... medical necessity and compliance, ensuring timely and accurate processing in a managed care environment. Key Responsibilities: + Perform detailed utilization reviews… more
- NTT America, Inc. (Little Rock, AR)
- …experience in Medicaid Claims Adjudication, including understanding of claims processing workflows, adjudication rules, mass-adjustments, and system ... possess in-depth expertise in Medicaid systems, particularly in all facets of claims adjudication and demonstrate a strong ability to translate complex business… more
- Robert Half Office Team (Hoffman Estates, IL)
- …their needs. The ideal candidate is detail-oriented, customer-focused, and experienced in claims processing and member services. Key Details: Role: Member ... CSR/Admin within financial services, insurance, banking, risk, or even healthcare billing/ claims -NOT a call center position) Schedule: Mon-Fri, 8AM-4PM, 100% on-site… more
- Walmart (Lutz, FL)
- …by ensuring proper policies and procedures are followed. Ensures the timely processing of claims (for example, damaged, defective, returned, liquidated items) ... Manages facility-level training and execution of asset protection, safety, and claims and receiving procedures by reviewing the application of policies, procedures,… more
- Transdev (Phoenix, AZ)
- …in accordance with company policy and within the parameters established by the manufacturers. Claims need to be filed in a timely manner. + Performs periodic audits ... of maintenance systems to ensure claims are getting flagged for potential warranty. Reports discrepancies...partnership with the technical team to ensure the timely processing of recalls and campaigns. + Work closely with… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more