- 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 ... staff that has certified coders to correct and resolve claim and denial issues. In addition, the department includes...billing expertise with some clinical knowledge that are delaying claims from processing in the Patient Accounting system; This… more
- Elevance Health (Carroll, IA)
- …+ Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions and other practices. + May participation in ... policy, reimbursement and provider utilization patterns. + Conducts seminars to support the understanding of managed care policies and procedures. + Identifies… more
- BrightSpring Health Services (Centennial, CO)
- …requests and updates until final resolution is obtained. Responsible for correcting PBM claim audit deficiencies and resubmitting claims back to the payer as ... needed + Responsible for cross training and providing support to handle incoming payer medical audits + Communicates...scanning, and attaching documents + Oversees the PBM Test Claim report and works to resolve rejected submissions to… more
- Boehringer Ingelheim (Ridgefield, CT)
- …by managing the Medicaid rebate operations for BIPI which includes claim processing, dispute resolution, quarterly CMS pricing compliance and systems development. ... strength and competitive advantage lie with our people. We support our employees in a number of ways to...the changing regulatory environment and are applied properly to claim payments. + Aggressively strive to settle all disputed… more
- CVS Health (Sacramento, CA)
- …review a clinical determination and understand rationale for decision. Able to research claim processing logic and various systems to verify accuracy of claim ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- City of Norfolk, Virginia (Norfolk, VA)
- …+ Organizes trial schedule for appeals of City criminal (misdemeanor) cases. Maintains claim and litigation records concerning all claims and suits filed against ... various subject matters. The currently available position will provide legal secretarial support to two attorneys and will involve civil litigation, personal injury… more
- MAPFRE Insurance (Webster, MA)
- …operations of Total Loss and Salvage teams, ensuring timely and accurate claim resolution and salvage recovery. + Manage relationships with salvage vendors, auction ... to reduce cycle time and improve accuracy. + Collaborate with IT and Claims Innovation teams to implement digital tools and integrations with salvage platforms and… more
- Boehringer Ingelheim (Ridgefield, CT)
- …by managing the Medicaid rebate operations team for BIPI which includes claim processing, dispute resolution, quarterly CMS pricing compliance, reviewing of business ... strength and competitive advantage lie with our people. We support our employees in a number of ways to...the changing regulatory environment and are applied properly to claim payments. + Aggressively strive to settle all disputed… more
- Philadelphia Insurance Companies (Chicago, IL)
- …technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring ... underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim...to customer requests and needs and supporting underwriting and claims at renewal and during the policy period. Essential… more
- Alaant (Latham, NY)
- … + Process outgoing mail, adhering to office polices regarding distribution + Enter claims into claim system and ensure it is within compliance with state ... administrative tasks within specified timeframes, including letters, forms, notices and claim records **Requirements for theOffice Assistant:** + HS Diploma with 1-2… more