- Alabama Oncology (Birmingham, AL)
- …for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions, ... manner. + Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends...issues, or payor trends to supervisor. + Resubmits insurance claims within 72 hours of receipt. + Participates in… more
- Centene Corporation (New York, NY)
- …to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review ... requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide regular reports on project status… more
- Sysco (Ankeny, IA)
- …product complaints with potential for food safety issues and to support the Claims Process with Sysco's 3rd party claims administrator. Frequently interacts with ... (Sales, Merchandising, Operations to collect data for Sysco's legal team during claims issues to ensure relevant purchase and sales records are provided. Maintains… more
- Zurich NA (Irvine, CA)
- …+ Work to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate + Ensure ... state and federal laws and regulations + Protect Zurich's reputation by keeping claims information confidential Basic Qualifications: + Juris Doctor and 5 or more… more
- American Academy of Family Physicians (Washington, DC)
- …This role requires expertise in analyzing electronic health record (EHR) and claims data (across Medicare, Medicaid, and commercial payers) for primary care health ... + Design and execute research projects using EHR and claims data to answer primary care-relevant questions. + Develop...or related field. + Experience working with EHR and claims data (Medicare, Medicaid, commercial). + Proven track record… more
- HUB International (Irvine, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... to find the best solutions to meet client's needs. + Examines benefits and claims data for inclusion in RFPs, organizes carrier & vendor bids received and follows… more
- U-Haul (Phoenix, AZ)
- …be responsible for providing reporting and trend analysis for customer claims , worker's compensation injuries, safety concerns, natural disasters, and other topics ... extra mile. Responsibilities: + Conduct data analysis regarding customer claims and potential claims to help reduce customer and company risk. Gather, research,… more
- Affordable Care (New Pt Richey, FL)
- …arrangements, and managing insurance billing to ensure timely, accurate claims and maximum reimbursement.** **ESSENTIAL FUNCTIONS:** + Manage phones, scheduling, ... coordination. + Collect and process payments; handle insurance verification, claims , and financial arrangements. + Maintain patient confidentiality and ensure… more
- JE Dunn Construction Company (Kansas City, MO)
- …with the external insurance company contacts in reporting and managing safety-related claims and assists Safety team members in monitoring medical treatment of ... Zone' program and in the management of Workers' Compensation claims . + Acts as a liaison between the employees,...status on all safety and workers' compensation and related claims to senior management. + Attends various operational meetings… more
- Zurich NA (Atlanta, GA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 8 or more years of experience in the Claims or Underwriting Support areAND + Knowledge of Microsoft… more