- CVS Health (Monroeville, PA)
- …Coordinator, you will ensure timely and accurate billing for outstanding claims while demonstrating excellent customer service to patients, healthcare professionals ... of the Pharmacy Benefit Billing Coordinator** **:** + Third party insurance claim billing associated with the dispensing medication and using the bill method… more
- HUB International (Rockville, MD)
- …compliance requirements with client and provide timely legislative updates. + Obtain claim reports for monthly, quarterly and/or semi-annual claims analysis, ... management of assigned client accounts, including but not limited to, claims questions, administrative issues, client requests, and technology needs. Work… more
- Beth Israel Lahey Health (Charlestown, MA)
- …findings to internal systems and workflows such as pre-billing edits and system automation. Performs ongoing analysis to determine the root cause of denials and ... Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This… more
- Highmark Health (Harrisburg, PA)
- …data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse ... consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit sampling review process. 2. Develop management… more
- Snapsheet (Chicago, IL)
- …Where others bolt things on, we engineer them in to our core systems and processes across cloud-based claims management, virtual vehicle appraisals, and ... Remote Job Type: Full Time About Snapsheet: Snapsheet is claims technology the way it should be: purposeful, precise,...training tools and external resources to clearly document every claim with high attention to detail + Maintain documentation… more
- Raphael and Associates (Rutherford, NJ)
- Raphael & Associates, a nationwide third-party claims administrator (TPA) and field adjusting firm, is seeking a results-driven Business Development Manager with 10+ ... candidate will have a proven ability to build relationships with insurance company claims and underwriting leaders, and program managers. This role is based in our… more
- Snapsheet (Chicago, IL)
- …Where others bolt things on, we engineer them in to our core systems and processes across cloud-based claims management, virtual vehicle appraisals, and ... Remote Job Type: Full-time About Snapsheet : Snapsheet is claims technology the way it should be: purposeful, precise,...training tools and external resources to clearly document every claim with high attention to detail + Maintain documentation… more
- Robert Half Finance & Accounting (Minnetonka, MN)
- …regarding balances and insurance coverage by phone. * Collaborate with Claims and Eligibility Specialists to provide patients with accurate information related ... determine collection actions. * File appeals for denied or rejected insurance claims to ensure proper reimbursement. * Conduct follow-ups on outstanding claims… more
- Sedgwick (Southfield, MI)
- …payroll administration services for claimants receiving payments from outside of company systems . + Coordinates recovery activity on assigned cases. + Refers cases ... agencies as applicable. + Notifies employees verbally and in writing of claim overpayments. + Responsible for manual calculations of employee benefit overpayments.… more
- OneMain Financial (New York, NY)
- …and delivering opportunities that increase insurance coverage rates, improve claims experiences, and enhance operational efficiency. This is a high-impact ... and utilize insurance products throughout their journey-from loan origination to claim resolution. **Key Responsibilities** + **Own the end-to-end digital insurance… more