- University of Rochester (Brighton, NY)
- …May research information to assist legal counsel + Produces reports, audits claim , evaluates eligibility and entitlements and considers multiple leave options to ... payments. + Exercises discretion and independent judgement when identifying claim discrepancies and recommends resolution processes. Directs vendors related to… more
- Woodforest National Bank (The Woodlands, TX)
- …based on the outcome of the dispute claims . . Provide excellent support for calls regarding dispute questions and claim information from customers, branches, ... I is responsible for investigating and processing debit card and/or ACH dispute claims , and Stop Payments, initiated by customers or on behalf of the bank.… more
- Providence (Anaheim, CA)
- …ensures compliance with PSA obligations by providing the administrative and operational support necessary to manage medical malpractice risk, claims , and patient ... + Develop policies, procedures, and workflows to manage malpractice claims , patient complaints, and early-resolution strategies. + Partner with malpractice… more
- Cardinal Health (Sacramento, CA)
- …understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as… more
- Molina Healthcare (Atlanta, GA)
- … claims . + Analyzes, interprets, and maintains configurable tables and files that support claim adjudication rules, benefit plan support , and provider ... Reimbursement will be primarily responsible for implementation, maintenance, and support of provider reimbursement for all provider types, including hospitals… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …WNCVAHCS. CCIC will work collaboratively with the Risk Manager and/or OGC on tort claims depending on the complexity of the claim . Program Oversight and ... Employment Opportunity Office (EEO), Harassment Prevention Program (HPP), Tort Claims , and internal staff issues not resolved at the...will provide AIB members and other fact finders with support needed to complete the investigation. The CCIC will… more
- State of Minnesota (St. Paul, MN)
- …to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. This position is eligible for ... to investigate and file interventions in workers' compensation (WC) claims and independent claims in all other...DHS' position, and by and through an intervention or claim to recover funds paid by MHCP or DHS,… more
- Avera (Sioux Falls, SD)
- …process to ensure timely claims processing.) Identifies the need to rebill claims through account review and completes claim refiling as well as submits ... and follow up of unpaid, overpaid/over adjusted and denied claims . + Reviews, analyzes, and appeals denials received relative...for being available to answer direct patient inquiries. + Support any on site facility needs as determined by… more
- Cardinal Health (Boise, ID)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- CVS Health (Woonsocket, RI)
- …main point of contact with other stakeholders such as architects, tech-ops, security, claim leadership and claims processors, etc. to ensure overall cohesion for ... the Claims Handing Intelligence Platform and support its development and launch across multiple claims platforms. This role is initially an individual… more