- US Tech Solutions (Hershey, PA)
- …not limited to, physical therapists, specialists, and/or Nurse Case Managers. + Claims Management **Under the supervision of the physician or registered nurse, the ... as per company policy. + Acting as the Subject Matter Expert on work-related claims and claim statuses, collaboration with TPA claims adjusters and onsite claim… more
- Elevance Health (Louisville, KY)
- …The **Subrogation Examiner** is responsible for researching and examining routine health claims that may be related to Third Party Liability, Workers' Compensation ... insurance companies, attorneys, members and others as necessary to determine if claims have potential for reimbursement from another party. + Responds to inquiries… more
- General Counsel (Washington, DC)
- …practice areas: benefits law; health care law; Court of Appeals for Veterans Claims litigation; revenue law; torts law; and loan guaranty. 2. Provides representation ... law and benefits, including loan guaranty benefits, and adjudication of veterans benefits claims . 3. Represents the Secretary and officials of the DVA in litigation… more
- Robert Half Accountemps (Vista, CA)
- …role is well-suited for someone who enjoys analytical work, problem-solving, and ensuring claims are billed correctly and reimbursed timely. You will play a critical ... role in the financial health of the organization by managing claims , resolving billing issues, and collaborating with internal clinical and administrative teams. The… more
- Robert Half Management Resources (Jacksonville, FL)
- …closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a ... billing operations, ensuring timely and accurate processing. * Handle medical claims by reviewing, validating, and resolving discrepancies. * Collaborate with team… more
- Texas Health Resources (Fort Worth, TX)
- …Continuous Quality/Patient Safety and Risk Management programs. * Participates in THR claims management process by investigating and identifying events that may lead ... to potentially compensable events, claims , or lawsuits. * Provides THR Litigation with information...* Provides THR Litigation with information necessary to make claims determination and assess liability. Assists outside attorneys in… more
- McLaren Health Care (Shelby Township, MI)
- …and human resources. **BILLING:** Responsible for billing hospital and physician claims , for inpatients and outpatients treated in the hospital and clinic, ... Performsnecessary maintenance to patient accounts in the billing and claims editing systems. + Responds timely to all patient...necessary maintenance to patient accounts in the hospital and claims editing systems. + Responds timely to all patient… more
- Robert Half Accountemps (Loveland, CO)
- …be responsible for managing essential billing operations, ensuring accuracy in claims processing, and contributing to the efficiency of healthcare administration. ... in a collaborative and fast-paced environment. Responsibilities: * Submit accurate claims to insurance providers, adhering to regulatory standards and guidelines. *… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in a clear and concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages cases as assigned, ... in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies;… more
- Woodforest National Bank (The Woodlands, TX)
- …I is responsible for investigating and processing debit card and/or ACH dispute claims , and Stop Payments, initiated by customers or on behalf of the bank. ... banks policies and procedures. Key Responsibilities: . Research customer dispute claims by reviewing card transactions, account records and information provided by… more