- NJM Insurance (Hammonton, NJ)
- NJM's General Claims Legal department is seeking a PIP Appeal and Litigation (PAL) Adjuster who will be responsible for conducting a complete and thorough ... investigation on assigned claims and manage those claims through their...or any of the following is a plus: Guidewire Claim Center, Mitchell Decision Point, OnBase Unity Client, Agile… more
- PeaceHealth (Vancouver, WA)
- …for multi-facility, multi-specialty organization. **Essential Functions** + Resolves insurance claim rejections/denials, and non-payment of claims by payors. ... Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement… more
- Fresenius Medical Center (Savannah, GA)
- …Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient Account ... in the United States **PURPOSE AND SCOPE:** The Patient Account Representative - Collections provides administrative support to the collections operations within… more
- Rush University Medical Center (Chicago, IL)
- …circumstances of each case. **Summary** This Home Infusion Services billing representative position oversees billing and reimbursement activities for home infusion ... benefit plans. The role ensures accurate, timely, and compliant claim submission, follow-up, and collections, while managing high-dollar, high-complexity accounts… more
- Rush University Medical Center (Chicago, IL)
- …and prepares and manages monthly patient and payer statements. The Specialty Billing Representative processes and follows up on claim denials, underpayments, and ... depending on the circumstances of each case. **Summary** This Specialty Billing Representative is responsible for managing billing and accounts receivable for the… more
- Sedgwick (Chicago, IL)
- …Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Representative ** **Our teams thrive together!** We collaborate in person and embrace a ... payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices.… 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
- TEKsystems (Dallas, TX)
- …Account Representatives! MUST HAVE: 1-3 years of medical patient account representative experience, or medical insurance/authorizations experience, AND must sit in ... providers, health plan and members as they relate to eligibility, benefits, claims , coverage and authorization of services. This position will also problem-solve and… more