- Intermountain Health (Topeka, KS)
- …documentation requirements, and reimbursement policies, as well as ensures claims meet medical necessity for procedures performed. **Essential Functions** + ... providers for clarification or additional information when needed. + Submits coded claims to billing department or third-party payers in a timely manner. +… more
- Cognizant (Salem, OR)
- …accounts. + Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. + Effectively document and log claims /appeals information on relevant tracking systems + Utilize critical thinking… more
- Sedgwick (Pittsburgh, PA)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Elevance Health (Norfolk, VA)
- …and effectiveness of drugs and other biologic interventions. + Uses a large claims database to conduct studies which focus on improving health outcomes. + Leads ... and Experiences:** + Experience conducting data management and analyses in claims databases highly preferred. + Experience using Panalgo's Instant Health Data… more
- Columbia Bank (Irvine, CA)
- …and disability leaves. Oversee and provide support for workers compensation plans and/or claims . + Serve as the primary point of contact for leave requests, advising ... and other service providers to ensure the efficient and accurate handing of claims . + Provide reporting and analytics related to employee leave of absence, including… more
- UIC Government Services and the Bowhead Family of Companies (Lansing, MI)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please… more
- Family of Kidz (Garden City, NY)
- …children + Saving documentation to correct files as needed + Cleanup projects in CLAIMS + Ensure receipt and distribution of all necessary Parent Packet paperwork + ... Diploma with some college preferred + 3-5 years office experience + CLAIMS experience + Comfortable with Microsoft Outlook/Word/Excel. Then we are looking forward… more
- Elevance Health (Norfolk, VA)
- …activities related to past due health insurance premiums and/or past due health insurance claims . **How You Will Make an Impact** Primary duties may include, but are ... purpose of collecting past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed debt. + Generates demand… more
- Stantec (Houston, TX)
- …Managing complex litigation matters, including those involving professional liability claims , general civil litigation, and professional disciplinary proceedings. - ... as required, such as responding to subpoenas, public records requests, potential claims , and emerging issues. - Providing support in commercial collections and… more
- USAA (Tampa, FL)
- …to collect and analyze data. **What sets you apart:** + P&C Property Claims Operations and/or Optimization experience + 2+ years MCO experience + Deep operational ... knowledge of end-to-end Property Claims processes + Demonstrated knowledge or experience with vendor management + Demonstrated knowledge of new and emerging industry… more
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