- Ankura (Chicago, IL)
- …. + Develop sensitivity analyses related to loss measurements . + Reconciliation of claim amounts to accounting systems and to insurers' calculations . + ... client delivery services across the firm . Ankura's Forensic Accounting and Claims Consulting (FACC) practice focuses on assisting corporations in the quantification… more
- Saint Francis Health System (Tulsa, OK)
- …8:00am - 4:30pm Job Summary: Reports to the Worker's Compensation Attorney, the Claims Adjuster is responsible for all processes related to Workers' Compensation ... claims . Minimum Education: High School Diploma or GED. Licensure,...Responsibilities: Receives, reviews, investigates and establishes incident reports, events, claims and reserves in a timely and accurate manner,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …including basic analysis of identified trends. + Analyzes audit results to recommend system or procedural changes to increase claim accuracy and/or identify ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …claims processing and procedures. + 1+ year computer medical billing or claims adjudication systems experience. + Excellent written and oral communication, ... Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts,… more
- NTT DATA North America (Columbus, OH)
- …of an overall sourcing strategy. NTT DATA is seeking to hire a **Remote Medical Claims Processing Associate** to work for our end client and their team. **Long Term ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT DATA North America (MO)
- …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT DATA North America (MO)
- …the people who work here. NTT DATA is seeking to hire a **Remote Claims Processor** to work **remote (MO).** **Role Responsibilities:** * Processing of Professional ... claim forms files by provider * Reviewing the policies...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
- NTT DATA North America (Plano, TX)
- …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this Role the ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*RCM Representative Senior*to join our Third-Party Claims -HB&PB team. This full-time role will primarily work remotely (Days, M- ... to provide services such as following up on complex claim issues, financial clearance, customer service, or admission. Works...via a work queue in the electronic health record system Current List of non-MN States where Hennepin Healthcare… more
- WellSpan Health (York, PA)
- …Summary** Supports the system in charge capture, coding accuracy, and claim denials management. Conducts reviews of claim denials and submits appeals. ... party payer policies and coding guidelines to optimize reimbursement for the system while ensuring compliance with applicable laws and regulations. **Duties and… more