- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...supervision. PRIMARY RESPONSIBILITIES: + Conducts monthly audits of CPHL claims utilizing CPHL guidelines, policies and procedures or any… more
- Mass Markets (Killeen, TX)
- …globally expanding, industry-leading organization. We are looking forCall Center Claims Representativesto support inbound customer service, help desk, and ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- UNC Health Care (Chapel Hill, NC)
- …clinical department. Duties include reversing denials from carriers, recoding denied claims , and identifying coding trends. Substantial knowledge of all carrier ... specialized and complex medical service such as transplant. Researches and resolves denied claims with carrier and patients. 3. Identifies coding trends that do not… more
- CenterWell (Atlanta, GA)
- …organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and ... organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and… more
- Kelmar Associates (Minneapolis, MN)
- …database, creating a claim in the database, assisting callers with filing claims online, and providing answers to other general questions. -Other Administrative ... N/A Minimum Experience Required -1-3 years of relevant work experience processing claims or answering calls preferred -Relative computer experience relating to data… more
- TEKsystems (Addison, TX)
- Description The Claims Reconciliation Specialist is responsible for comprehensive billing procedures and verification prior to coding for anesthesia services. This ... business hours. Skills Customer service, medical, medical billing, medical records, intake, claims , Tricare, Medicare, Medicaid Job Type & Location This is a… more
- Insight Global (Eagan, MN)
- Job Description Insight Global is seeking a Principal level Treasury Claims Analyst. The Treasury Claims Principal is responsible for managing the claim payment ... process, working with numerous internal business partners and senior leadership to establish companywide system processes and controls to ensure the appropriate application of regulatory guidance and contractual terms, while optimizing cashflow impacts. This… more
- Guidehouse (Lewisville, TX)
- …**:** None **What You Will Do:** The **Credit Balance Specialist** **(Physician Claims )** will manage credit balance workloads and respond and follow-up on external ... service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities.… more
- New York State Civil Service (Liverpool, NY)
- …Insurance Fund, State Title Information Technology Specialist 2 (Programming) ( Claims Medpay DBL-PHS) (NYHELPS) Occupational Category IT Engineering, Sciences Salary ... City Liverpool State NY Zip Code 13088 Duties Description As a member of NYSIF's Claims MedPay DBL-PHS team, incumbents of these positions will play a key role in… more
- Trane Technologies (Minneapolis, MN)
- …communication on warranty and service policy to** **channel and customers to ensure claims are filed within** **guidelines** + **Support team efforts to manage and ... **What you will bring:** + 3+ years of experience in customer service, claims analysis, warranty support, service or related field + Customer focus and continuous… more