- Covenant Health Inc. (Sevierville, TN)
- …student-athletes. Schedule management for team practices, games & tournaments. Insurance claims processing for the student athlete medical care program. ... claims , and billing statements. + Incumbent oversees the coordination and processing of medical insurance plans through the claims process. Assists the… more
- DATAMAXIS (Springfield, IL)
- …to make determinations relating to complex processes involving claims processing /adjudication, recipient/provider eligibility, and third-party liability. ... in projects like the following: CMS Federal Reporting, quality measures, claims processing , Medicaid program eligibility, provider enrollment, third-party… more
- Robert Half Legal (Encino, CA)
- …case managers in their daily tasks and responsibilities. * Facilitate claims processing with insurance carriers, including health insurance, Medicare, ... personal injury pre-litigation * Proficiency in handling pre-litigation cases and claims processing . * Strong ability to review and analyze medical records and… more
- Highmark Health (Topeka, KS)
- …**EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Mass Markets (Las Cruces, NM)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... support inbound customer service, help desk, technical support, and back-office processing representatives for commercial and public sector support positions. In… more
- UHS (Binghamton, NY)
- …Administrative Secretary on a monthly basis + Tracks and assists with documentation and claims processing for Medicare and Workers' Compensation claims to ... depending on experience + Completes necessary communication for patient processing , including answering multi-line telephone system, scheduling patient appointments,… more
- City of New York (New York, NY)
- …codes from DCAS, DOE, H+H, and non-City payroll entities into the MBF database. - Claims Processing : Review and process Health and Fitness claims in ... or incorrect enrollment documentation. - Payroll Coordination & Auditing: Coordinate the processing of GUL payroll deductions and conduct monthly audits to ensure… more
- Mass Markets (Savannah, GA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Representatives to support inbound customer service, help desk, and back-office processing representatives for commercial and public sector support positions. In… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Continuously assess alternative validation sources that could potentially enhance our claims processing and dispute resolution processes. + Responsible for ... managing the Medicaid rebate operations for BIPI which includes claim processing , dispute resolution, quarterly CMS pricing compliance and systems development. For… more
- Mass Markets (IA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... customer support, help desk assistance, technical troubleshooting, and back-office processing . You'll also makeoutbound callsto coordinate with vendors and partners,… more