- Covenant Health Inc. (Knoxville, TN)
- …communication skills. + Provides accurate explanation to patients with questions related to claims processing , plan benefits, and account balances via verbal and ... and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims . This position is responsible for billing and follow-up functions for… more
- Amentum (Washington, DC)
- …and oral communication skills. + Must be able to anticipate litigation support and claims processing needs, and develop and execute detailed plans for addressing ... concerns. + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily...maintain multiple tracking spreadsheets used to track team members processing of tasks daily, and work with Project Manager… more
- Texas Veterans Commission (Borger, TX)
- …of Veteran Affairs. . Knowledge of laws, rules, and regulations applicable to the processing of veterans' claims ; and of assessment techniques. . Fluent in ... Ability to interpret laws, rules, and regulations applicable to the processing of veterans' claims . . Ability to communicate effectively both orally and in… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system** **Handles Paper claims processing including proper documentation of accounts with higher level of ... Hospital Billing, Follow-Up, and Denial activities necessary to obtain payment/resolution of claims .** **Review the entire account to ensure claims were billed… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system * Handles Paper claims processing including proper documentation of accounts with higher level of ... Follow-Up, and Denial activities necessary to obtain payment/resolution of claims . * Review the entire account to ensure ...claims . * Review the entire account to ensure claims were billed properly, payments were applied correctly, and… more
- CVS Health (Annapolis, MD)
- …quality assurance, and compliance monitoring. This role ensures timely and accurate processing of Medicaid claims in accordance with state and federal ... all with heart, each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory… more
- JB Hunt Transport (Lowell, AR)
- … claims , negotiate settlements, and prepare reports to ensure accurate and timely processing of casualty claims . This role will serve as a team lead ... **Job Title:** Senior Casualty Claims Examiner **Department:** Insurance **Country:** United States of...for the investigation and resolution of significant to catastrophic claims . This incumbent will work closely with internal and… more
- ICW Group (Woodland Hills, CA)
- …with nurse on case management regarding return to work status. + Supports Claims Examiners in the preparation, processing and monitoring of payments. ... is to provide administrative support and overall assistance to Claims Examiners. This position exists to ensure the timely...ensure the timely payment of benefits and administration of claims in compliance with state law. **ESSENTIAL DUTIES AND… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system * Handles Paper claims processing including proper documentation of accounts with the highest level of ... posting. * Gathers all necessary documentation needed to have claims reprocessed/adjudicated * Informs and/or transfers to management of...accounts with the highest level of complexity in any Claims Edit work queue and resubmits claims … more
- Commonwealth of Pennsylvania (PA)
- …records; identifying violations of statutes, regulations, and adjudications; evaluating claims processing procedures; analyzing data; identifying procedural ... financial analysis, insurance underwriting, insurance policy review and analysis, insurance claims administration, or insurance sales, and a bachelor's degree;or +… more