- Beth Israel Lahey Health (Burlington, MA)
- …and maintains open communication with third-party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands-on coding, documentation review, and other… more
- Molina Healthcare (TX)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... agencies to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate… more
- Boehringer Ingelheim (Ridgefield, CT)
- **Description** Lead legal support for patient support and access, including supporting business teams providing reimbursement, education and other support ... Areas. Duties include provision of legal counsel in key areas of patient support and access, and drafting of legal documents. Should have acquired knowledge of… more
- Kemin Industries (Des Moines, IA)
- …national, and international levels. They will monitor and influence regulatory changes, support product safety, substantiate claims , and ensure label compliance. ... Responsible for final review and approval of all product formulas, and product claims ,, quality questions, and claim -language freedom to operate decisions for… more
- Commonwealth of Pennsylvania (PA)
- …for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (ie, ... questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are… more
- The County of Los Angeles (Los Angeles, CA)
- …Services Workers, Patient Resources Workers, Patient Relations Representatives, and clerical support staff. Plans, assigns, supervises, and evaluates the work of the ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...to address the inequalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by… more
- Robert Half Accountemps (Los Angeles, CA)
- …process within the healthcare industry. Your expertise will help ensure claims are processed efficiently and payments are collected accurately. Responsibilities: * ... Review submitted claims to verify accuracy and completeness before forwarding them...* Verify that required authorizations, TARs/SARs, are included in claim submissions, and take steps to secure missing authorizations… more
- CCMS & Associates (Knoxville, TN)
- … from leading insurance carriers. + Competitive fee schedules and flexible workload. + Support from a dedicated claims management team. + Opportunity to work ... costs, and delivering high-quality appraisals for auto and heavy equipment claims . Job Responsibilities: + Conduct field inspections and appraisals of automobiles,… more
- US Tech Solutions (Myrtle Beach, SC)
- …according to business/contract regulations, internal standards and examining guidelines. Enters claims into the claim system after verification of correct ... + **Experience:** 1 year of experience in a claims /appeals processing, customer service, or other related support... claims /appeals processing, customer service, or other related support area OR Bachelor's Degree in lieu of work… more
- Robert Half Accountemps (Houston, TX)
- …and great communication preferred. Responsibilities: * Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring accuracy ... and compliance. * Monitor claim submission activities and generate reports to track progress...to track progress and efficiency. * Assemble and mail claims with all necessary documentation, including attachments, explanations of… more