- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …duties related to billing, to include but not limited compiling data, generating claims for services rendered, and compiling fees and charges. The Medical Biller is ... financial, insurance and demographic patient information to ensure compliant claims to Third party payers. + Submit claims... claims to Third party payers. + Submit claims to payers assuring claims meet the… more
- University of Rochester (Rochester, NY)
- …open account receivables to successful closure. Responsible for an effective claims follow-up to obtain maximum revenue collection. Researches, corrects, resubmits ... claims , submits appeals and takes timely and routine action to resolve unpaid claims . Resolves moderately complex claims . **ESSENTIAL FUNCTIONS** + Edits and… more
- Fluor (Lewisville, TX)
- …contractors' productivity, schedule adherence, contract change management, invoicing and claims avoidance * Perform closeout of contracts, finalize outstanding ... contract management teams * Manage contract processes to avoid claims and participate in the equitable settlement of ...claims and participate in the equitable settlement of claims * Develop a claims prevention program… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Health Plan Core Systems applications, and databases (eg, QNXT Migration Utility, Claims Workflow, Claims Test Pro, NetworX Pricer, etc.). This position ... Required: At least 5 years of experience in a Systems Configuration, Claims or other Operations department in a healthcare organization. Advanced knowledge of… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims . + Participates in the development and implementation of TPL policies and ... Special Needs Trusts, and/or restitution recoveries. + Performs advanced research of claims to identify claims associated with accident-related diagnoses and… more
- HUB International (Scottsdale, AZ)
- …escalated complex service issues. Negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Responsible for overall retention of accounts ... of those lines of business. + Assist clients with claims when necessary. + Adhere to all Agency systems,...to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management),… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …Assist in billing and cash application of Medicaid/Medicare/DME/Home Infusion claims . Manage open accounts receivable which requires rebilling within timely ... billing and payment application for secondary insurances, Noble Medical Billing Claims , home infusion claims , and DME claims + Oversight of the electronic… more
- MTA (New York, NY)
- …Contracts Department provides legal advice on all construction contracts, litigation and claims , and change orders, as well as third-party real estate agreements ... contract requirements are written to minimize legal risk and contractor claims . Analyze construction design plans, specifications, schedules, and estimates to… more
- NTT America, Inc. (Itasca, IL)
- …Chief Operating Officers (COOs), Chief Underwriting Officers (CUOs), and Chief Claims Officers (CCOs).** **Your expertise will help insurers transform their ... operating models, drive underwriting and claims innovation, and respond strategically to changing market, regulatory, and customer dynamics** **Key… more
- State of Georgia (Fulton County, GA)
- …Oversees the planning and development of systems and data in support of claims and policy management. Participates in the development of financial policies, plans, ... lawyers, judges, auditors, or public officials. Settles negotiations on claims and coordinates litigated claims Associate degree...Settles negotiations on claims and coordinates litigated claims Associate degree in a related area from an… more
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