- CareFirst (Baltimore, MD)
- …responsible for collecting, organizing and tracking information to facilitate and expedite processing of appeals and grievances received from a variety of sources. ... healthcare payor organization. + Knowledge of CareFirst system, Member/Provider Service, Claims or Care Management experience a plus. **Knowledge, Skills and… more
- Amazon (Seattle, WA)
- …finding, analyzing data, understanding the details of case issues and claims , identifying relevant custodians, interviewing internal witnesses, drafting legal hold ... management skills, specifically to manage alternative legal service providers for processing high volume prelitigation legal disputes such as subpoenas, demands,… more
- Robert Half Management Resources (Baltimore, MD)
- …benefits administration, including enrollments, life changes, beneficiary updates, disability claims , and compliance testing. * Ensure compliance with federal and ... * Monitor and audit vendor performance and billing accuracy, ensuring proper payment processing for benefit plans. * Analyze and report on benefits and leave data… more
- Fluor (Reston, VA)
- …productivity, schedule adherence, subcontract change management, invoicing and claims avoidance * Perform closeout of subcontracts, finalize outstanding ... * Intermediate computer and software skills to include the use of word processing and email as well as the intermediate use of spreadsheets and electronic… more
- Gulfstream (Westfield, MA)
- …injuries; assists the Safety Department in administering Workers Compensation claims and observing Occupational Safety and Health Act (OSHA) Regulations. ... that all required. licenses are up to date. . + Administer the collection and processing of Corporate and FAA alcohol and drug program. . + Explore with management… more
- GE Vernova (Findlay, PA)
- …any change. + Ensure all invoices are received promptly to support accurate processing and cash-flow management. + Facilitate the resolution of AP, logistics and ... budget, year-over-year deflation, payment terms, cost of failure and liquidated damage claims related to suppliers' delays. + Develop reports, analyze spend and… more
- Centene Corporation (Jefferson City, MO)
- …+ Interprets and analyzes complex data from multiple sources including claims , provider, member, and encounters data. Proactively identifies and assesses the ... more of the following skills are desired. + Experience with Big Data; Data Processing + Experience with Data Manipulation; Data Mining + Experience with one or more… more
- Insight Global (Elmwood Park, NJ)
- …handling payment reconciliations as well as variance analysis against customer claims . Backfilling contract management as needed and working closely with A/R, ... programs in revenue management system. Communicating technical aspect of the processing any assisting in resolution of system imperfections and setting preventive… more
- Caris Life Sciences (Irving, TX)
- …needed to complete coverage verification. + Verifies insurance eligibility to ensure claims are billed accurately and in accordance to payer guidelines. + Ensures ... manage frequent changes effectively and efficiently + Basic knowledge of insurance processing , guidelines and general laws related to all payers. + Basic knowledge… more
- CareFirst (Baltimore, MD)
- …physician review by compiling clinical, contractual, medical policy and claims information along with corporate and appellant correspondence. Formulates ... of appeals process and utilization management, and systems software used in processing appeals. + Excellent verbal and written communication skills, strong listening… more