- Hartford HealthCare (Farmington, CT)
- …become part 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 ... and our departments now work on behalf of the system as a whole, rather than a single member...for internal or external audits related to billing and claims . Research payer policies from in and out of… more
- Maersk (Norfolk, VA)
- …for senior positions of Master and Chief Engineer per Safety Management System . Promote succession planning among junior officers. * Supervise in the evaluation ... Support in handling and closing out Casualty and /or claims pertaining to P&I or Hull Machinery insurance matters....and their close out until the point of a claim case being prepared for invoicing. * Participate in… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …regarding re-adjudication of claims . + Analyze clinical information from health management systems and claims to provide a clinical summary of a member's ... costs incurred. + Analyze provider utilization trends and audit claims using NASCO, Blue Squared and MHK systems... claims using NASCO, Blue Squared and MHK systems . + Collaborate with operational leaders to develop action… more
- M&T Bank (Getzville, NY)
- …and Collections - facilitate work between the two groups. + Upload new assignments to system of record, insuring all customer data and files are in place. Generate ... system maintenance requests in preparation for file hand-off/assignment. +...requests, demand letters, appraisal orders and bankruptcy proof of claims . + Research, gather, prepare and validate appropriate documentation… more
- Coca-Cola Bottling Company High Country (Billings, MT)
- …and follow up to ensure measures have been implemented. + Monitor management of claims to ensure claim expenses are mitigated. + Organize programs for employee ... trends and develop strategies to reduce or eliminate risk across our system + Assist in development and implement accident prevention, loss-control systems… more
- Hannaford (East Hampstead, NH)
- …and complete manual insurance claim forms. * Maintain organized filing system for invoices, manual insurance claims , daily reports, etc. in accordance ... over the counter items. * Maintain a broad understanding of HBC MPP scheduling system . * Assist in data entry of MPP information. * Maintain attendance and vacation… more
- Redeemer Health Home Care & Hospice (Philadelphia, PA)
- …SUMMARY OF JOB The Sr. A/R Specialist - is responsible for the claim submission and collection of all outstanding accounts. Responsible for performing resolution ... productivity and reasonable quality work expectations. Collaborates with Health System departments to achieve the key performance metric targets established… more
- State of Minnesota (St. Paul, MN)
- …(eg, MS || 176.001 - 176.862) sufficient to.apply best practices in claims management and facilitate early return-to-work strategies; + Experience reviewing and ... Independent Medical Examination (IME) findings, treatment plans) sufficient to assess claim compensability and support effective case management within the context… more
- Robert Half Accountemps (Fayetteville, NC)
- …to a dynamic healthcare environment. Responsibilities: * Process and submit medical claims to insurance providers accurately and efficiently. * Review and verify ... * Resolve billing discrepancies and follow up on unpaid claims to ensure timely reimbursement. * Collaborate with healthcare...of billing codes and insurance policies to ensure proper claim submission. * Generate and analyze billing reports to… more
- Robert Half Accountemps (Los Angeles, CA)
- …Maintain and analyze financial and operational performance metrics related to claims processing, denial management, and payment posting. + Collaborate with ... revenue cycle performance, including key performance indicators (KPIs). + Support system upgrades and technology implementation to enhance revenue cycle efficiency.… more