- AIG (Atlanta, GA)
- …customers on claims and account issues. * Maintain and manage a diary system to efficiently manage and resolve assigned claim inventory. * Effectively manage ... investigate, evaluate and resolve Commercial General Liability and Auto Liability claims . Provides exceptional customer service and commitment to bring assigned… more
- Sedgwick (Dubuque, IA)
- …resolution. + Communicates clearly with claimant and client on all aspects of the claims process including: claim approval, decision authority level to move the ... of business including but not limited to FMLA, Accommodations, and disability claims ; and to execute technical and jurisdictional requirements for accurate claims… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- … system requirements. . Support gap analysis for existing payer systems ( claims , clinical data, provider, member, authorization) to determine interoperability ... **Senior Business System Analyst - Healthcare** **Category:** Business Analysis (functional...FHIR standards. . Ensure solutions integrate effectively with enterprise systems such as claims adjudication, enrollment, provider… more
- Towne Park (La Crosse, WI)
- …. **Job Details** **Hospital Valet Driver - Emplify Health System ** **Starting pay $13.75 per hour PLUS $3 - $5 ... rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects...check receipt from all vehicles taken into the valet system . Consistently completes location on all key tags after… more
- Beth Israel Lahey Health (Charlestown, MA)
- …highest level of complexity within claim edit work queue(s) daily and resubmit claims through the Epic billing system * Works assigned accounts with the ... any Claims Edit work queue and resubmits claims through the Epic Billing System . *...External claim edits from Clearinghouse and resubmits claims through the Epic billing system *… more
- Access Dubuque (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
- Sedgwick (West Hills, CA)
- … claim status through phone calls, written correspondence, and system updates.** **Engages with healthcare providers to establish expectations for return-to-work ... consistent and transparent communication with claimants and clients throughout the claims process via phone, written updates, and system documentation.**… more
- St. Luke's University Health Network (Allentown, PA)
- …and coordination of the activities related to third party claim form formats, claim "scrubbing," claim submission and claims editing to ensure optimal ... and refresher courses for assigned staff once initially trained. + Identifies system or procedural problems creating third party claim rejections. Formulates… more
- TEKsystems (Los Angeles, CA)
- …experience with HMO/Medicare claims , audits, and denials + Familiarity with claims processing systems (EZCap or similar) + Strong analytical, documentation, ... Job Title: Retro Claims Reviewer Location: West Hills/Canoga Park 91305 Compensation:...guidelines and regulatory standards + Analyze benefit structures and system configurations (EZCap or similar) + Collaborate with cross-functional… more
- Community Health Systems (Franklin, TN)
- …medical billing practices, and appeal processes. + Proficiency in relevant software and claim management systems , such as Artiva, HMS, Hyland, and BARRT. + ... timely reimbursement. This role requires in-depth knowledge of payer guidelines, systems , and requirements to navigate complex denial cases effectively, assist in… more