- Pacific Medical Centers (Renton, WA)
- **Description** Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex ... claims for advanced processing needs. Responds to Customer Service...needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued -… more
- IKO (Kankakee, IL)
- …to our customers by listening, analyzing problems, and resolving issues + Enter warranty claims into internal claim system + Evaluate and make ... People like you! Job Description Reporting to the Warranty Claims Manager (US) , the Warranty Claims Representative is a key position within our team. You… more
- Henry Ford Health System (Troy, MI)
- …reimbursement not provided). This position will support a cross- functional claims , coordination of benefits, and payment integrity operations team. GENERAL SUMMARY: ... knowledge-sharing initiatives. Department Duties/Responsibilities: + Analyze enrollment trends and claims processes, identify coordination of benefits opportunities, and ensure… more
- Aston Carter (St. Paul, MN)
- …around bank access, bank form management, and bank fees. + Participate in claim system replacement and enhancement projects, providing guidance on federal and ... Job Title: Treasury Claims Principal Job Description The Treasury Claims...and provides support in bank account management and the claim payment process. Responsibilities + Perform all aspects of… more
- TEKsystems (Deerfield Beach, FL)
- …and repair facilities, all while maintaining the integrity of the payment systems . This is a high-volume, detail-oriented role ideal for someone who thrives ... environment and enjoys working independently Review and validate authorized automotive claims submitted by dealerships and repair facilities. * Compare repair orders… more
- Geisinger (Danville, PA)
- …supports, and resolves vendor needs both prospectively and retrospectively. + Problem solves system / claim edit issues that may come up. + Tests and verifies ... and HCPCS coding skills toward the maintenance and development of prospective claim edits and partnerships. + Determines payment compliance with clinical and… more
- Wells Fargo (Charlotte, NC)
- **About this role:** Wells Fargo is seeking a **Fraud & Claims Operation Representative** in **New Account Fraud Originations** as part of **Deposit Specialty ... **In this role, you will:** + Support fraud and claims functional area by proactively identifying opportunities to improve...as sensitive information as a part of resolving a claim + Oversee multiple claim types, take… more
- Reynolds & Reynolds (Warrenville, IL)
- …coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS\u2019 system Training On ... an affiliate of Reynolds and Reynolds, is seeking a Claims Adjuster - Automotive for our growing team at...but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12722 ... net required to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager...regulations. This position will manage new program implementations and/or system implementations. This position must maintain an up-to date… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …serve as a leader of positive change. The **Manager of Specialty Services, Claims & Accounts Receivable** is responsible for overseeing the full spectrum of billing ... and billing team members and providing strategic oversight of claims submission, electronic data interchange (EDI) transactions, and clearinghouse applications.… more
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