- CDPHP (Clifton Park, NY)
- …They will act as a primary resource for billing support, submission of claims , statement management , reporting and other duties as assigned or requested. ... CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services,… more
- Mount Sinai Health System (New York, NY)
- …in relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management ) strongly preferred. + Minimum 7-10 years ... System's EPIC electronic medical record (EMR) platform for Revenue Cycle Management . This leader will focus on automation, workflow standardization, and adoption… more
- C&S Wholesale Grocers, Inc. (Lumberton, NC)
- …Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation ... regarding Customer shortage requests ensuring that all pending claims are researched and processed within the agreed upon time frames. Research will utilize video… more
- NTT DATA North America (Plano, TX)
- …potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance ... Skills/Experience** + High school Diploma or equivalent. + 3+ years of medical claims or eligibility experience + 5+ years of experience using a computer with… more
- Kemper (Dallas, TX)
- …training needs. Conducts and facilitates training programs and workshops. Works with management and subject matter experts to ensure course materials are current and ... outcomes and training results. **POSTION QUALIFICATIONS:** + 3+ years of auto claims adjusting experience handling coverage, liability, injury, and damage claims… more
- AIG (New York, NY)
- Reinsurance Claims Analyst Responsibilities: + Review and approve Major Loss Reports for domestic and international losses + Review reinsurance treaty contracts to ... Required Qualifications: + 3+ years of reinsurance/insurance experience in claims and/or accounting + Proficient with information technology, including Microsoft… more
- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also highly desired, but ... honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are highly needed. Must have reliable transportation,… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …. Ensure solutions integrate effectively with enterprise systems such as claims adjudication, enrollment, provider management , UM/PA, care management ... teams. . Provide subject matter expertise (SME) on payer workflows such as claims processing, member onboarding, provider data management , care management ,… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Leadership responsibilities include the selection, training, development, performance management and compensation administration of staff. **What Will You ... with payout and service. + Provide guidance and direction to Claim Management Director, Unit Managers and claim professionals through a continuous process of… more
- Gentiva (Mooresville, NC)
- …and ACHC standards + Develop and maintain tracking logs and spreadsheets related to claims processing + Support senior management in the development and analysis ... with billing, collections, and field staff to ensure compliance and smooth claims processing. **As a Clinical Authorization Nurse, You Will:** + Perform reviews… more
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