- Fifth Third Bank, NA (Grand Rapids, MI)
- …previously filed dispute. This may include specialized disputes, including denied claims , reassertions, repeat offenders, and Private Bank client customers. The ... Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems...functions of the job while referring exception cases to Supervisor /Manager. Performance Metrics: + Quality: Maintain a high level… more
- MyFlorida (Orlando, FL)
- …that is responsible for investigation, calculation and recovery of overpayment claims for public assistance programs (Temporary Cash Assistance, Food Assistance, ... is responsible/liable and reason for the overpayment. Accurately establishes overpayment claims and the dollar amount of overpayments eligible for recoupment, based… more
- Guidehouse (Lewisville, TX)
- …**:** None **What You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily operations and activities of ... and three days working from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow...team members when needed + Supporting of staff / supervisor to be successful and work as a team… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …its parts. Under direct supervision of the department manager or supervisor , the Specialist, Pharmacovigilance is focused on meeting ConnectiveRx's obligations for ... of the Manager, Pharmacovigilance. Sources may include recorded calls, claims , faxes, text messages, chat logs, and other records....or healthcare environment (preferably in a call center or claims processing). + Medical call center or medical … more
- BJC HealthCare (St. Louis, MO)
- …**Responsibilities** + Completes accounts receivable insurance collections and follow-up on claims to expedite payment from assigned insurance companies. + Contacts ... insurance companies regarding claims , updates account information, and completes basic administrative tasks on accounts. + Completes necessary follow-up tasks in a… more
- The Hartford (Stamford, CT)
- …both technical accounting and cash accounting + Partner with IT and Claims departments on various transformation projects, including ACORD e-messaging enablement + ... to inquiries Requirements: + Proven working experience as Accounting Manager, Accounting Supervisor or Finance Manager; experience managing remote teams is a plus +… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well ... Must be able to create and maintain required databases as determined by supervisor . + A strong understanding of physician charge practices and billing methodologies… more
- University of Southern California (Newport Beach, CA)
- …to document authorization requests, follow-up on items and provide outcomes to the Supervisor daily, prior to end of shift. + Follow-up on outstanding authorization ... needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment +...area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting. + Pref… more
- OLV Human Services (Lackawanna, NY)
- …A critical part of the role involves evaluating insurance coverage, managing claims processing, and ensuring all aspects of patient care are accurately documented ... with Finance to ensure patient charts are updated appropriately, if claims are denied/rejected. * Implement and maintain systems for insurance verification,… more
- Kinder Morgan (Houston, TX)
- …franchise and permit rights, encroachment resolutions and settlements of damage claims , review and critique both legal documents and engineering drawings. Position ... to minimize litigation + Negotiate property damage settlements and loss claims associated with capital projects and day-to-day pipeline operations necessary to… more
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