- HUB International (Scottsdale, AZ)
- …judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues + Responsible for overall retention of ... provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make… more
- Centene Corporation (Honolulu, HI)
- …analysis, and customer service experience preferably with healthcare operations (ie claims processing, billing , provider relations or contracting) experience in ... provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display + Investigate and resolve complex… more
- Guardian Life (Holmdel, NJ)
- …cleanse, and structure financial and actuarial datasets from multiple sources (eg, Claims systems, Billing and Commissions system) + Implement robust data ... models and actuarial tools used for reserving, pricing, and FP&A (eg, claims projection model, LTD Reserving model) + Automate manual actuarial/finance processes by… more
- Prime Healthcare (Kansas City, MO)
- …answering questions, and explaining medication instructions + P rocessing insurance claims , handle billing , insurance verification, and resolving payment issues ... by preparing and dispensing medications, assisting patients, processing insurance claims , managing inventory, and maintaining accurate prescription records. They… more
- HUB International (Monterey, CA)
- …judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Produce binders, certificates, endorsements, ... for solicitation of those lines of business. + Assist clients with claims when necessary. + Maintains accurate and organized account files by appropriately… more
- Select Medical (Canonsburg, PA)
- …+ Ability to work independently with minimal supervision. + Familiarity with medical billing , insurance claims processing, or indemnity insurance practices is a ... + At least one year of experience in high-volume computer work, medical billing , or insurance claims processing is preferred. **Additional Data** **A Workplace… more
- System One (Plainsboro, NJ)
- …+ 3+ years' real-world evidence and epidemiology analytics experience. + Experience with claims , EHR, hospital billing , SEER, and linked datasets. + Strong ... in the pharmaceutical industry analyzing RWE studies + Must have experience analyzing claims , EHR, registry and linked data sources + PhD or Master's in… more
- Caris Life Sciences (Irving, TX)
- …Submit Retros authorization + Work closely with insurance companies to resolve claims disputes. + Identifying andresolving billing errors and implementing ... The Account Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, Medicaid and Commercial insurance companies. This role… more
- Firefly Health (Watertown, MA)
- …to the right internal team and answers, and also investigating and resolving billing and claims inquiries all within established service level agreements (SLAs). ... plan designs to a member and digging into technical claims adjudication issues with providers. You will: Member &...members understand and maximize their Firefly health plan benefits. Claims Inquiry Management: + Capture, document, and triage … more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …this job: SUPERVISOR, CUSTOMER SERVICE + Necessary Contacts: Enrollment & Billing , Claims , Provider Relations, Benefit Operations, Network Administration, ... and access to grow your career **POSITION PURPOSE** Resolves benefit and claims inquiries received via the telephone, in person, or other acceptable receipt… more