- 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
- 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
- Kelly Services (Franklin, TN)
- …+ Provide claim support to Nissan and Infiniti dealers + Adjudicate warranty claims to ensure timely and accurate claim payment. + Utilize resources like ... to work. **Apply to be an automotive call center representative today!** As part of our promise to talent,...or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals… more
- CDM Smith (Orem, UT)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those requirements. Ensure that proper documentation is… more
- PeaceHealth (Vancouver, WA)
- …clinical risk management risk investigations and response to events, potential claims , and grievances presented against caregivers, physicians and the organization ... for potential or actual liability and damages. Collaborating with Claims , collects documents and evidence and maintains work product in accordance with state legal… more
- Insight Global (Garland, TX)
- …an efficient operation is maintained. - Investigate and process all unemployment insurance claims . - Serve as company representative at hearings, as needed. . ... - Administer and assure compliance of all workers' compensation claims . - Review and ensure appropriate action and make...and ensure appropriate action and make recommendations with each claim . - Establish and promote maintenance of safe and… more
- Henry Ford Health System (MI)
- …high risk of denial or with high charges are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest ... with insurance payors regarding authorization issues. May be the hospital representative at external meetings which involve HFH management. + Ensuring that… more
- Henry Ford Health System (Troy, MI)
- …risk of denial or with high charges are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the highest rate ... with insurance payors regarding authorization issues. May be the hospital representative at external meetings which involve HFH management. Ensuring that services… more
- ASM Global (New York, NY)
- …talent deals for appropriate indemnification, hold harmless, and insurance provisions. 4. Claims Oversight and Coordination + Lead the organization's claims ... process by establishing clear protocols for reporting, documenting, and tracking claims related to incidents, property damage, liability, and other risk exposures.… more
- Avera (Sioux Falls, SD)
- …module, which manages health plan administration, benefits, fee schedules, claims , enrollment, care coordination, clinical/authorizations and provider data. This ... recommendations, where appropriate, to maintain acceptable levels of automation in claims adjudication and member enrollment, workflows and accurate claims … more
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