- City of New York (New York, NY)
- …of Clerical Associates, Eligibility Specialist, and Principal Administrative Associates involved in claim review and processing . - Assign, evaluate and review ... - Liaise with the Social Security Administration on any issues related to the claims or the use of the Government Service Online (GSO) application. Salary Range:… more
- Centene Corporation (Indianapolis, IN)
- …work and managing performance preferred. Knowledge of Microsoft Excel, medical coding, claims processing , and data mining preferred. **Please note:** candidate ... related field, or equivalent experience. 4+ years of combined medical claim investigation, financial impact analysis, business analysis, compliance or fraud and… more
- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... with new-hire orientations - to include providing benefits information and processing clearances. + Performs quality checks of benefits-related data, including PPACA… more
- Hawaii Pacific Health (Honolulu, HI)
- …for the accurate and timely preparation and submission of physician claims ; follow-up on accounts receivable; making necessary corrections to charges; and ... processing timely and accurate refunds to patients and third...medical billing or collections. Demonstrated experience/knowledge of health insurance claim filing requirements for third party payers and knowledge… more
- Generac Power Systems (South Portland, ME)
- …with effective KPI reporting, fleet process development and implementation, expedient warranty claim and RMA processing , Service Dealer management, and proactive ... . Monitor fleet health and respond to trends + Process warranty orders and claims with ERP data integrity . Surface and distribute service leads . Accurately resolve… more
- Johns Hopkins University (Middle River, MD)
- …of JHU/ PBS Billing Applications. + Utilize online resources to facilitate efficient claims processing . + Capable of advance problem solving in medical billing ... as warranted. + Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or… more
- Cognizant (Long Beach, CA)
- …and delivery. + Proven experience managing healthcare-related projects, particularly in claims processing and payer-provider systems. + PMP certification or ... experienced Project Manager or Project Coordinator to lead and support healthcare claims submission and processing initiatives. This role requires strong program… more
- Illumination Foundation (Santa Ana, CA)
- …information Risk Management/Compliance + Assist HR Business Partner in managing Worker's Comp claims and requests + Processing all workers compensation claims ... and deadlines. + Partner with HR Business Partner on Workers' Compensation Claims . + Respond and prepare all documents for employee leaves of absence/accommodations.… more
- The Cigna Group (Phoenix, AZ)
- …create patient profiles in system if needed. + Prepare prescriptions for processing , including assessing validity of prescription. + Manually route orders to ... appropriate stage for processing , validation or clarity from Doctors' offices, insurances and/or...+ Accurately enter prescriptions into our system, run test claims , run test claims and support patients… more
- Molina Healthcare (Kenosha, WI)
- …appeals experience. **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing /resolution, including ... Medicare standards and requirements related to non-contracted provider dispute/appeals processing . * Establishes member and non-contracted provider grievance/dispute and… more