- NJM Insurance (Trenton, NJ)
- …available public databases to support the need for the escalation of the claim review. + Review NJM databases, retrieve NJM recorded calls, and support the ... + Triaging and analyzing scorecards and outputs from predictive models for General Claims , Personal Lines, Personal Injury Protection (PIP) claims and Medical… more
- Fairview Health Services (Minneapolis, MN)
- …financial reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison ... Administer revenue capture analysis and report by validating reimbursement and investigating claims . + Assist manager in third party payer reimbursement appeals. +… more
- HUB International (Rockville, MD)
- …compliance requirements with client and provide timely legislative updates. + Obtain claim reports for monthly, quarterly and/or semi-annual claims analysis, ... management of assigned client accounts, including but not limited to, claims questions, administrative issues, client requests, and technology needs. Work… more
- BrightSpring Health Services (Horsham, PA)
- …training, competency assessment, and evaluation of Pharmacy Data Entry Technicians, with support from Lead Data Entry Technicians. + Oversees data entry workflow and ... scheduling, with support from Lead Data Entry Technicians. + Provides adequate...May produce reports and keep management informed of unpaid claims and claims pending follow-up. + Processes… more
- Robert Half Accountemps (Sacramento, CA)
- …financial sustainability of healthcare operations by analyzing and optimizing billing, insurance claims , and payment processes. If you have a meticulous attention to ... all aspects of the revenue cycle, including patient access, billing, coding, claims management, and collections processes. + Review and ensure insurance claim… more
- Access Dubuque (Dubuque, IA)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... MAY INCLUDE** + Provide excellent customer service to external customers and internal support to an assigned team. + Act as a liaison between customers and… more
- JE Dunn Construction Company (Kansas City, MO)
- …and managing a team of Safety Managers. All activities will be performed in support of the strategy, vision and values of JE Dunn. **Key Role Responsibilities - ... with the external insurance company contacts in reporting and managing safety-related claims and assists Safety team members in monitoring medical treatment of… more
- Amazon (CA)
- …people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon Health Services, this candidate must possess ... processes in collaboration with Management. Key job responsibilities Responsible for claims management and ensures successful and timely submission of all insurance… more
- CareFirst (Baltimore, MD)
- …policy models are developed and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate ... capture and proper use of CPT, HCPCS, and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting… more
- ICW Group (CA)
- …present large account service proposals. + Performs accident investigations as needed in support of claims and underwriting. Delivers risk management services to ... stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation… more