- Robert Half Technology (Clearwater, FL)
- …will collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering ... Responsibilities: * Gather and document detailed business requirements to support claims administration systems . * Create and maintain comprehensive… more
- LogixHealth (Dania Beach, FL)
- …and route the request to the proper person + Provide patient with their claim balance as requested + Update patient's insurance information in the system ... insurance carrier. If requested update patient's address in the system . + Perform daily mailings of letters to patients...Perform daily mailings of letters to patients and HCFA claim forms Qualifications To perform this job successfully, an… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 23 health ... Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- New York State Civil Service (Albany, NY)
- …from over 700 school districts and 37 BOCES via the State Aid Management System (SAMS), a custom web-based software system . Data from other State agencies ... perform the annual review of school district State Aid claim submissions to ensure reasonability of data for use...projects;* Process revisions to school districts' prior year aid claims to ensure correct aid is paid and overpayments… more
- State of Michigan (Saginaw, MI)
- …locations, and/or administration offices in the provision of the unemployment claims services to claimants, employers, and the general public in accordance ... 9 Two years of experience equivalent to an Unemployment Claims Interviewer 8 or one year equivalent to an...other state agencies through our fiscal, IT, and HR systems . Insurance Benefits:The State of Michigan offers health, mental… more
- CareFirst (Baltimore, MD)
- …of audits of financial business records, provider and subscriber medical data, claims , systems reports, medical records, analysis of contract documents, ... detailed offsite audits/investigations with interviews when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems , medical… more
- University of Utah Health (Salt Lake City, UT)
- …**Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims . + Performs contract compliance on outstanding claims , ensuring ... dollar spreadsheets and/or payer escalations spreadsheets, as assigned. + Escalates claim issues internally to other key departments including Coding, Billing,… more
- Robert Half Accountemps (Van Nuys, CA)
- …to hear from you! Key Responsibilities: + Research, appeal, and resolve insurance claim denials to maximize reimbursement. + Review patient accounts to identify and ... address billing discrepancies. + Communicate with insurance companies to expedite claims resolution and payment collections. + Ensure compliance with relevant laws,… more
- Guardian Life (Holmdel, NJ)
- …Contracting, Underwriting, Claims and Operations. + Ensure that procedures and systems are updated as necessary and that changes are communicated to all ... partnership with provider contracting, legal, compliance, underwriting, network, and claims . Additionally, this individual will help identify, prioritize, and...interested parties. + Troubleshoot service, systems and claim issues and work with… more
- Sedgwick (Atlanta, GA)
- …preferred. **Skills & Knowledge** + Working knowledge of billing and reconciliation systems , claim systems , financial services, and insurance products ... or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education… more