- CenterWell (Topeka, KS)
- …and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing . + Prepare input data forms to update computer ... agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate… more
- DXC Technology (Plano, TX)
- …solutions across: + Policy administration (new business, underwriting, policy servicing) + Claims processing + Billing & payments + Customer experience platforms ... relationships with senior leaders across L&A customers, including Operations, IT, Claims , Actuarial, Distribution, Policy Admin, and Customer Experience. + Conduct… more
- AnMed Health (Anderson, SC)
- …ensure effective employee communications, timely enrollments, ACA compliance, and efficient claims processing . RESPONSIBILITIES * Manages the Americans with ... recognitions, parties, and gifts. * Respondsto specific benefits questions, and/or claims problems from employees and retirees * Responsible for ensuring plan… more
- AmeriHealth Caritas (Charleston, SC)
- …**required** + **Requires:** + Experience in State-specific Medicaid rules + Claims processing , healthcare billing and Provider data maintenance knowledge ... In addition, this position will work in conjunction with the Enterprise Claims Department to ensure all contractual claim requirements are met with quality… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …systems and policy. + Minimum 2 years professional experience with liability insurance claims processing . + Minimum 1 year professional experience with CPT, ... advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims . + Participates in the development and implementation of TPL policies and… more
- Boston Mutual Life Insurance (Canton, MA)
- …Vice President of Customer Experience. This role will also manage our external claims partners. **Claim Processing ** : + Directs and oversees the handling ... of all insurance claims . + Ensure timely and accurate claim processing . + Implements processes and procedures for all aspects of claims . + Address and… more
- Medical Express Ambulance Service (Skokie, IL)
- …management of billing and collections operations, ensuring timely, accurate, and compliant claims processing . The Director leads a team of 15 employees, ... and professional growth. + Oversee the end-to-end revenue cycle, including claims processing , denial management, account resolution, payment posting, coding,… more
- State of Colorado (CO)
- …while ensuring requirements trace ability for quality results for large scale medical claims processing systems or medical information systems. + Working in a ... large claims processing system, including State Medicaid and/or Pharmacy benefits and services processing data, validating Medicaid data elements and values… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance ... operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors.… more
- CareFirst (Washington, DC)
- …This leader is responsible for developing and delivering system solutions for Claims Processing , Enrollment Operations and Customer and Member Services. Also, ... FUNCTIONS:** + Directs organization in defining application solutions for the claims processing , enrollment operations, and customer and member service… more