- Mount Sinai Health System (New York, NY)
- …credit balance report to ensure adherence to government regulations/guidelines. + Analyzes claims system reports to ensure underpayments are correctly identified ... + 5 years experience in medical billing or health claims , with experience in IDX billing systems ...System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... **Job Description** Responsible for ensuring unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and… more
- Michaels (Carpenter, IA)
- …than quarterly) claim reviews with third-party administrator (TPA) and broker claims control consultant. + Has oversight responsibility for working with TPA in ... accruals and overall performance assessment. + Coordinate and complete property loss claims as necessary. + Manage claim -related discovery requests. + Manage… more
- AIG (Atlanta, GA)
- …guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems . + Forecasts potential recoveries and updates ... Provides customer service assistance to outside organizations and AIG Claim Operation management. + Complete focused claims ...AIG Claim Operation management. + Complete focused claims reviews for all lines of business within AIG… more
- USAA (St. Louis, MO)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... Special Investigations Unit for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process for complex … more
- Ventura County (Ventura, CA)
- …reports for agency directors and managers. + Monitors TPA and insurance carrier claim systems for accuracy. + Reviews, revises, designs, coordinates, implements, ... resources management) AND two (2) years' experience handling workers' compensation claims , including experience with claim evaluation, management, or adjustment,… more
- University of Southern California (Los Angeles, CA)
- … rejections and denials which might prevent or delay payment of a particular claim or group of claims . Prepares appeals and rebuttals letters/packages in ... Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM,… more
- System One (Pensacola, FL)
- …mortgage loans. Serve as subject matter expert regarding section functions, systems , policies and/or procedures. Responsibilities * Analyze accounts included in the ... disposition Process charged-off bankruptcy impaired equity loans; facilitate Proof of Claims and review motions * Monitor bankruptcy progression for adherence of… more
- Sedgwick (Columbus, OH)
- …requirements accurately into the claims management system . + Assigns new claims to the appropriate claim 's handler. + Directs customer calls to the ... for multiple lines of business; to expedite the claims application process and provide detailed claim ...support multiple clients across communication channels and utilize multiple systems simultaneously + Ability to work in a team… more
- Sedgwick (Dubuque, IA)
- …payment information and claims status by phone, written correspondence and/or claims system . + Communicates with the claimants' providers to set expectations ... aspects of claims process by phone, written correspondence and/or claims system . + Coordinates investigative efforts ensuring appropriateness; provides… more