- Cedars-Sinai (Los Angeles, CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... may act in the absence of the lead and/or supervisor . This position may be cross trained in other...claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include… more
- Allied Universal (Salem, NH)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Henderson Brothers Inc. (Pittsburgh, PA)
- …+ Job Title: Claims Specialist + Department: Commercial Lines + Division: Risk Control/ Claims + Reports To: Claims Supervisor + Contract: No + FLSA ... service by assisting with the management of all claims from the initial report of the claim... updates. + Manage data entry in agency management system . + Aid clients through property damage restoration process.… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …pharmacy receipts. Information is entered into adjudication systems as required. Claims are paid or rejected based upon system adjudication and/or ... . Responsibilities + Verifies the accuracy and completeness of claim forms and attachments, such as EOBs, EOPs, SPPs,... systems . Consult with the Team Lead or Supervisor for complex claims or clarification of… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. * Establishing and… more
- Guidehouse (San Marcos, CA)
- …Reconciliation **Duties and Responsibilities** + Performs daily download and reconciliation of claims from patient accounting system to electronic billing ... system . + Transmits or releases claims at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim , or placing on… more
- Woodlands Senior Living LLC (Augusta, ME)
- …denied claims and provides recommendations for process improvements and claim reimbursement resolution. Escalates concerns to Accounting Supervisor . + Acts ... Provider Practice Billing & Claims Specialist Augusta, ME (http://maps.google.com/maps?q=108+Anthony+Avenue+Augusta+ME+USA+04330) * Consulting Office Job Type… more
- US Tech Solutions (Whittier, CA)
- …and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. **SPECIFIC SKILLS NEEDED** Knowledge of HMO/or IPA ... questions in a timely manner 9.Create, maintain and generate system reports 10.Interface with the Claims Director...with anyone other than the person involved or the supervisor . Customer issues and ideas are listened to and… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Claims Analyst is responsible for claims processing, research and adjudication to correctly apply benefit determination and pricing for areas ... of responsibility to include clinic professional claims , hospital and facility inpatient and outpatient claims , and Rx-drug claims (CMS 1500 and UB04), in… more
- Texas Veterans Commission (Borger, TX)
- …job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive ... assisting veterans and eligible persons with the Department of Veterans Affairs claims process. Work involves collaboration with external partners to include the… more
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