- Molina Healthcare (Dallas, TX)
- …they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and ... & ABILITIES** : * 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed… more
- Commonwealth of Pennsylvania (PA)
- …Outpatient Program to individuals of all ages. Under the guidance of a supervisor , this Therapist will establish a written goal-specific treatment plan and serve as ... spending account, and paid holidays. We encourage work/life balance with a hybrid of remote and on-site work schedules for some positions. We are a family friendly… more
- Zurich NA (Schaumburg, IL)
- …our Assumed Reinsurance Team.** This position will report to Reinsurance Financial Supervisor within Reinsurance Finance and Recoveries department. You'll be part of ... of assumed reinsurance transactions and partnering across finance, actuarial, underwriting, claims and global reinsurance teams. This position is based in… more
- Penn Medicine (Philadelphia, PA)
- …reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. **Responsibilities:** + Responsible for ... Resolution Specialist I **Department:** RAD-O-BRO Data Acct Receivable **Location:** Fully Remote **Hours:** Mon-Fri office hours per department needs **Summary:** +… more
- The Hartford (Stamford, CT)
- …to inquiries Requirements: + Proven working experience as Accounting Manager, Accounting Supervisor or Finance Manager; experience managing remote teams is a ... both technical accounting and cash accounting + Partner with IT and Claims departments on various transformation projects, including ACORD e-messaging enablement +… more
- Sedgwick (Carson City, NV)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in your daily work, your location,… more
- Ellis Medicine (Schenectady, NY)
- This position can be local or remote !! The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group ... lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the...relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …an experienced full-time Billing Assistant in our Finance department. This is a hybrid remote position where time can be spent both in the Buffalo office and at ... and consistent revenue flow for organization. + Checks clearinghouse, Availity, for any claims in error edits, corrects, and submits to payer timely. + Follow up… more
- Aston Carter (Salem, OR)
- …MIPS performance reports and support initiatives to improve coding accuracy and claim integrity. + Lead performance improvement projects to enhance charge capture, ... 2 years experience as a Coding Analyst or Coding Supervisor . + Over 5 years of coding experience, including...use of data analysis tools. + In-depth understanding of claims processing, clinical edits, fee schedules, and payer contracts.… more
- LA Care Health Plan (Los Angeles, CA)
- …medical necessity; benefit coverage appeals and reconsiderations, and complex provider claim disputes. The position is further responsible for tracking, trending and ... assignment of cases. Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze monthly appeal and… more