- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and respond to carrier and/or arbitrator inquires + Submit claims through state arbitration portals Qualifications : To perform… more
- Insight Global (Nashville, TN)
- …and ICD10 codes, UB04s and HCFA Forms . Strong knowledge of Physician and Facility Claims , Audit Codes and Billing, DRGs and ICD-10, Appeals Processes . . Proven ... . Specialist performs pre- and post-payment audits of external claims ; ensures that the company rigorously manages claims... claims ; ensures that the company rigorously manages claims for external services; ensures that claims … more
- AnMed Health (Anderson, SC)
- …to account information. Prepares and files electronically or hard copy claims . Stays current of all Government/State/HIPPA, etc., rules and regulations pertaining ... to compliance in billing. Responsible for analyzing denials and initiating appeals, when necessary. Must be able to interact with patients and the general public respectfully and professionally. Maintains and exhibits a positive, supportive and safety… more
- CRC Insurance Services, Inc. (NC)
- …5. Train claims staff on new policies or procedures. 6. Oversee and audit claims process ensuring proper documentation was created in the system and/or ... Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND… more
- Hendrick Automotive Company (Charlotte, NC)
- …and review repair order, rental car, and sublet invoices. + Maintain documentation of claims for potential audit purposes. + Match claim repair documentation to ... East Independence Blvd, Charlotte, North Carolina 28212 Summary: Responsible for paying claims after matching repair order, rental car receipts, and sublet invoices… more
- Conduent (Los Angeles, CA)
- … Auditor CPhT** **Do you have a CPhT certification?** **Would you like to audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety...and pharmacy practices. + Responding to pharmacy calls regarding audit results and dealing with clients periodically to report… more
- Sedgwick (Bismarck, ND)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Leader - Liability **PRIMARY PURPOSE** : To supervise the operation of… more
- Sedgwick (Richfield, MN)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability - Richfield, MN - Hybrid Are you looking for an… more
- Sedgwick (Fayetteville, NC)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation (REMOTE - MUST...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (West Hills, CA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | West Hills, CA Are you...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more