- Unum Group (Chattanooga, TN)
- …the essential skills, knowledge, and behaviors necessary to successfully resolve assigned claims , in accordance with Unum's claims philosophy, policies and ... discretion and independent judgment. The Benefit Specialist Trainee should provide timely claims decisions and strong customer service prior to advancing to the… more
- Intermountain Health (Salem, OR)
- …Essential Functions* Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. ... incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves… more
- EFI Global (St. Paul, MN)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported...and concise manner in depositions and trials.** **Maintains assigned claims files in a confidential manner; documents all relevant… more
- Rochester Regional Health (Rochester, NY)
- …Prepares and submits pharmacy reports, monitors and expedites payments, initiates claims research and maintains ongoing communications regarding collections and open ... claims . Is accountable for preparation of bank deposit information...to vendors + Monitors the status of open pharmacy claims and takes appropriate action to expedite payments. +… more
- Shuvel Digital (Lawrenceville, NJ)
- …High school diploma or GED. Experience: ESSENTIAL FUNCTIONS + Ensures responsibility to download claims from HBOC and upload claims to Gaffey on a daily basis. ... + Analyzes claims for errors and correct claims prior to submission. + Works closely with other departments to make corrections and ensures accuracy for the days… more
- MD Anderson Cancer Center (Houston, TX)
- …Collections Department*, your role ensures accurate and timely follow-up on medical claims , directly supporting the financial health of the organization and patient ... and collaborate effectively across teams. *Key Attributes of the Ideal Candidate:* * * Claims Management Expertise*: Skilled in managing work queues, following up on … more
- Humana (Nashville, TN)
- …encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data ... acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards,… more
- Robert Half Accountemps (Taunton, MA)
- …part in managing medical billing processes, ensuring accuracy in claims reconciliation, and maintaining strong communication with insurance representatives. The ... preferably with experience in behavioral health. Responsibilities: * Perform claims reconciliation for Mass Medicaid, including addressing approvals or denials… more
- Cognizant (Jersey City, NJ)
- …architecture direction for core insurance operations-underwriting, policy administration, billing, and claims -so our clients can modernize safely and at speed. You ... **Architect domain solutions** across underwriting, policy lifecycle, billing, and claims -aligning technology capabilities to measurable business outcomes. + **Lead… more
- USAA (Phoenix, AZ)
- …coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable ... activities. + Adjusts non-attorney involved soft tissue bodily injury claims , as well as all auto physical damage associated...well as all auto physical damage associated with those claims . + Identifies, confirms, and makes coverage decisions on… more
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