- Robert Half Accountemps (Indianapolis, IN)
- …8am - 4:30pm EST Key Responsibilities: + Examine denied and unpaid medical claims to determine and document reasons for discrepancies. + Communicate directly with ... payers to follow up on outstanding claims , submit technical and clinical appeals, resolve payment variances,...for underpayments, denials, and payment delays and collaborate with management to address trends in accounts receivable. + Maintain… more
- Perdue Farms, Inc. (Salisbury, MD)
- …payments/charge backs have proper approval prior to processing. Monitors promotion and claims approvals in the Forge/CRM system. Provides management support ... within 15 days of month end. 3. Receives, analyzes and creates weekly claims payments. Obtains appropriate approval. Ensures that claims are processed against… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …to support quality assurance efforts across Brighton Health Plan Solutions' core portfolios- Claims , Provider, and Enrollment. In this role, you will contribute to ... Contribute to building a consistent QA approach across multiple portfolios ( Claims , Provider, Enrollment), to improve test efficiency, traceability, and quality… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …picture + Strong verbal and written communication skills, as demonstrated in management presentations, succinct PowerPoint stories and layout, as well as structured ... and analyzing various data types (eg, patient longitudinal data, claims data, distribution, sales, demand, units, promotion, formulary) **Educational… more
- Otsuka America Pharmaceutical Inc. (Jefferson City, MO)
- …empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. ... and key opinion leaders (KOLs). **Job Expectations/Responsibilities:** **Data Integration & Management ** + Explore and analyze common pharmaceuticals data (eg, … more
- Zurich NA (Edmond, OK)
- …with some of the best talent in the business + Use your risk management , accounting, and/or finance experience to support the needs of our customers + Have ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...insurance. Zurich North America is a leader in risk management , with over 150 years of expertise and coverage… more
- AON (Alpharetta, GA)
- …questions, and handling complaints for Debt Cancellation programs + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation ... inbound calls, top-notch experience based on client parameters. + Initiate benefits ( claims ) and process benefit related transactions as well as work cancellation… more
- DriveTime (Fort Worth, TX)
- …all inbound calls in a timely manner + Handle customer complaint claims resulting from repossession activity through customer calls, research, and appropriate vendor ... communicate accurate information to customers, vendors, and third parties to resolve claims and invoice disparities + Work independently with customers and vendors… more
- HCA Healthcare (Nashville, TN)
- …day-to-day legal activities related to existing and potential traditional labor law related claims and issues in the corporate office and the various facilities and ... affiliates. + Respond to questions from operators and claims raised before state and federal agencies (including and...outside counsel, Counsel will be responsible for the overall management of the case Qualifications: + JD from an… more
- FLACRA (Newark, NY)
- …and payment collection processes. This position is responsible for processing claims , managing accounts receivable, and ensuring timely and accurate payment ... school diploma / GED. Job Requirements: Key Responsibilities: + Process claims , including handling clearinghouse rejections and resubmissions. + Resolve claim… more