- Amrize (Chicago, IL)
- …like defense attorneys, nurse case managers, and adjusters to effectively handle claims . + System and Documentation Management: You'll manage and maintain ... Claims Manager Requisition ID: 14597 Location: Chicago, IL,...and trials as needed. This requires close coordination of claim management strategies with defense counsel and the Legal… more
- Elevance Health (St. Louis, MO)
- …is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including ... an impact :** + Performs audits of high dollar claims . + Ensures claim payment accuracy by...maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are… more
- Henry Ford Health System (Troy, MI)
- …in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. . ... Reviews claims for accuracy, including proper diagnosis and procedure codes. . Reviews claim rejections and communicates with payers to resolve billing issues. .… more
- Granville Health System (Oxford, NC)
- Position Summary: Under general supervision, generates and submits, electronic claims utilizing the UB04 and CMS 1500 claim form Performs effective AR collection ... in insurance billing Minimum of year experience in submission of electronic claims and correction of errors Computer experience required Ability to communicate well… more
- TEKsystems (Deerfield Beach, FL)
- …Adhere to all established department processes and utilize company-specific computer systems to maintain detailed and accurate electronic claim -related records. ... the auto warranty using guidelines to approve or deny claims . + Explain claim approvals or denials...Office applications and the ability to navigate multiple software systems . + Self-motivated and efficient in a fast-paced call… more
- Southern California Edison (Rosemead, CA)
- …help us build the future? **Responsibilities** + Manages a complex workers' compensation claim caseload. May handle catastrophic claims as assigned + May conduct ... reserves based on the ultimate probable cost of the claim and in accordance with the state of California...Party Recovery. + Demonstrated proficiency in a variety of Claims Management computer programs and systems . Strong… more
- NTT DATA North America (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role Responsibilities** ... -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... of ACS Child Welfare financial eligibility; and data maintenance for financial systems of record. Financial Services Claiming is responsible for ensuring that all… more
- Conduent (Helena, MT)
- …a Transaction Processing Associate on the claims team, you will enter claim information into our system , ensuring data integrity and timely processing. ... Associate, you will be responsible for: + Accurately input claim data into claims processing systems...identifiable alphanumeric data from source document into an automated system . + Ensures accuracy and completeness of data/assigned work.… more
- TEKsystems (Los Angeles, CA)
- …Resubmissions & Processing + ✅ Medicare Claims & Guidelines + ✅ EZCap System Experience + ✅ Claim Denials Resolution Nice-to-Haves + CPT Coding Knowledge + ... Lead audits and compliance reviews for HMO and Medicare claims + Analyze benefit structures and system ...(EZCap or similar) + Manage special projects related to claim denials and auto-adjudication + Identify risks and implement… more