- LG Energy Solution (Holland, MI)
- …also manages the classification and accounting of tolling, rework, and claim costs, while collaborating with cross-functional teams to analyze cost variances ... schedules and resolve closing issues with external vendors, including claim reconciliation and root cause follow-up. Responsibilities: + Ensured production… more
- New York State Civil Service (Menands, NY)
- …with general or claim -specific information as applicable. Responding to claim -specific questions may require reviewing and processing claims , performing ... searches using information provided by claimants; identifying and linking additional claim properties; determining and requesting in writing required proof and… more
- Aflac (Shelton, CT)
- …on state regulations. + Coordinates correspondence, forms, and other documents via the claim system; documents the claims system in an accurate and comprehensive ... Makes timely, accurate, and customer-focused new and ongoing Absence Management claim decisions; reaches out to obtain relevant healthcare provider, employer,… more
- CommonSpirit Health (Phoenix, AZ)
- …As a HR Leave of Absence Professional, you will provide critical support and expert guidance to employees navigating various leave programs, ensuring compliance ... Manage the leave administration process from the employee's initial claim filing notice for leave to the employee's return...Preferred + One year experience with disability/leave of absence claims **Where You'll Work** Inspired by faith. Driven by… more
- Dave Wright Nissan Subaru (Hiawatha, IA)
- …Responsibilities: * Answer service calls and schedule appointments * Provide administrative support to our service department * Prepare, review, and process warranty ... claims * Ensure the dealership is paid for all...fashion by preparing, flagging, submitting, and following-up on each claim * Coordinate with vendors and manufacturers to ensure… more
- University of Virginia (Charlottesville, VA)
- …based on paper documentation. + Monitors, analyzes, and resolves charge review, claim edit, and coding-related denial trends and shares trends with supervisor, ... improvement. + Reviews and resolves charge sessions that fail charge review edits, claim edits and follow-up work queues, identifies areas of opportunity based on… more
- 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