- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims . + Participates in the development and implementation of TPL policies and ... Special Needs Trusts, and/or restitution recoveries. + Performs advanced research of claims to identify claims associated with accident-related diagnoses and… more
- NJM Insurance (Trenton, NJ)
- The Paralegal for the General Claims Legal department provides paralegal support to in-house staff attorneys for claims -based legal matters, assists attorneys' ... The GC Legal Paralegal develops reports to aid General Claims leadership through the analysis and assembly of data...letters for routinely encountered coverage issues by adding fact-specific claim details under the close guidance of GC Legal… more
- ATI (Dallas, TX)
- …initiatives across the Law Department. Key Responsibilities: Litigation Support & Insurance Claims Management + Assign matters to outside counsel and serve as the ... primary point of contact for outside counsel regarding billing, corporate representative depositions, and case strategy coordination. + Receive and process service… more
- HUB International (Chicago, IL)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... experience and in-depth knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and… more
- Robert Half Accountemps (St. Louis Park, MN)
- Description We are looking for an experienced Billing Representative to join our team. In this role, you will play a vital part in ensuring accurate and timely ... career in the healthcare industry. Responsibilities: * Prepare and submit claims to various insurance payers, including Medicare, Medicaid, and commercial providers,… more
- CVS Health (Trenton, NJ)
- …as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to ... any benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees and the… more
- WestCare Foundation (Elkhorn City, KY)
- …promote a holistic approach to substance abuse treatment and reentry support. + Claim Preparation & Submission: Prepare and submit accurate and timely medical ... claims to insurance companies, government programs, and other payers....allocation of funds. + Denial Management: Review and analyze claim denials, identify the reasons for denial, and take… more
- Clark Construction Group, LLC (Mclean, VA)
- …with our in-house legal team and is responsible for managing Clark's claim and litigation docket, leading the Company's eDiscovery process, managing Clark's owner ... contracts. Will also assist in managing task trackers. + Provide support for claims management. + Oversee and manage all elements of the Company's eDiscovery… more
- Jack Link's (Minneapolis, MN)
- …product label information, including nutrition, ingredient declaration, allergens, claims and associated product communication. This position manages several ... Be subject matter expert for product labeling regulations and claims requirements including nutrition, health and ingredient claims...off. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Accurately document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in ... of prior authorization routing and third-party review processes. . Experience with claim troubleshooting and payer override procedures. . Strong verbal and written… more
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