- City of New York (New York, NY)
- …personnel for all contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates. - Maximize agency ... reimbursement by ensuring all expenditures are captured and reported accurately in claims . - Reconcile DOHMH submitted claims after state approval. - Handle the… more
- Sedgwick (Irving, TX)
- …quality program(s). + Travel as required. **SUPERVISORY RESPONSIBILITIES** + Provides support , guidance, leadership and motivation to promote maximum performance. + ... two (2) years account manager experience or five (5) years Workforce Absence claim experience including two (2) years in a supervisory capacity. **Skills &… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more
- Amergis (Columbia, MD)
- …follows up on unpaid accounts after expected payment timeframe + Corrects, resubmits claims and/or appeals claim determinations as necessary to ensure payment + ... Specialist I reviews branch sales for appropriate documentation, generate and bill claims and/or invoices, follows up on unpaid accounts, and provides support… more
- Family and Children's Association (Mineola, NY)
- …is responsible for timely preparation, submission and payment reconciliation for claims submitted to various funding sources (local, state and federal government, ... billing data for accuracy and integrity, monitor contract budgets, and support compliance with funding and accounting guidelines. Responsibilities + Prepare and… more
- Robert Half Accountemps (Los Angeles, CA)
- …in medical billing, collections, and insurance processes. Responsibilities: * Review submitted claims to confirm accuracy and ensure they are sent to the appropriate ... resolve discrepancies, including reversing balances when necessary. * Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring… more
- MTA (Brooklyn, NY)
- …presentations needed to evaluate, optimize, and hold the TPA accountable for claims outcomes and service delivery. Responsibilities + Develop KPIs and produce ... performance as well as compliance with performance guarantees. Example metrics include claim volume, duration, and denial rate, return to work (RTW) compliance,… more
- Sedgwick (Atlanta, GA)
- …Services & Insurance Housing Coordinator **PRIMARY PURPOSE:** To provide carrier support by assisting payments department and management with identifying carrier ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more
- Zelis (NJ)
- …quality assurance program to ensure accurate results to our clients + Manage assigned claims and claim report, adhering to client turnaround time, and department ... the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines,… more
- WestRock Company (Atlanta, GA)
- …work from our North Atlanta headquarters and be responsible for providing voluminous claim management and strategic litigation advice. In person 4 days per week with ... representation of the company, both in defending and prosecuting commercial claims , personal injury, property damage, and collection disputes. Bankruptcy experience… more