- WestCare Foundation (Fresno, CA)
- …trends. + Communicate with Managed Care Plan representatives as needed to resolve claim or authorization issues. + Support internal and external audits, ensuring ... DMC-ODS, Enhanced Care Management (ECM), and Community Supports. This position ensures claims are submitted accurately and timely directly to insurance carriers and… more
- NJM Insurance (Trenton, NJ)
- …to department best practices in addition to state and federal regulations in support of quality claim outcomes, process improvements, data integrity, compliance, ... and best practices. + Collaborate with claims management in the development of meaningful action plans...training team to develop resources and training material to support regulatory and Quality Assurance compliance + Attend internal… more
- Hartford HealthCare (Farmington, CT)
- …of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees ... Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor, assure timely and accurate submission of claims on UB04… more
- Robert Half Accountemps (Rochester, NY)
- …analysis of billing reports to identify trends and areas for improvement. * Support claim administration tasks, ensuring timely submissions and adherence to ... accounts receivable processes and collection strategies. * Expertise in appeals and claim administration to address denied claims effectively. * Advanced skills… more
- Trinity Health (Farmington Hills, MI)
- …decisions Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents ... claims billed, paid, settled, and follow-up in appropriate system(s)....or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer… more
- Trinity Health (Davenport, IA)
- …decisions. Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents ... claims billed, paid, settled, and follow-up in appropriate system(s)....or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer… more
- Sedgwick (Marlton, NJ)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... & supervisory knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...and provides feedback to hiring manager. + Provides limited assistance/ support to team lead with monthly review of adjuster… more
- AIG (Jersey City, NJ)
- …loss, or other issues + Support departmental initiatives focusing on improved claim processes, claims results and financial results + Lead training and ... that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging...our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage… more
- Amentum (Washington, DC)
- …skills, and excellent management skills. + Must be able to anticipate litigation support and claims processing needs, and develop and execute detailed plans ... performing the following duties: + Oversee all aspects of Claim Review and Intake team management. + Lead efforts...Oversee the coordination of Project Supervisors to direct the Claims Review and Intake teams. + Create, format, and… more
- Commonwealth of Pennsylvania (PA)
- …Programs Technician 2 in Perry County. In this role, you will support budgeting, planning, and data analysis concerning maintenance activities, programs, and ... Additionally, you will function as the County Tort Coordinator, managing accident claims by gathering information and providing local data to evaluate incidents that… more