- Port Authority of New York and New Jersey (New York, NY)
- …and or other data management tools. + Familiarity with Certificates of Insurance and claims processing + Experience with data analysis and reporting tools + ... and change-management initiatives, Certificates of Insurance review, data analysis, claims support, and risk-transfer activities. This role provides meaningful… more
- Insight Global (Irvine, CA)
- …management - Proficiency with Paragon and related billing tools - Familiarity with claims processing software and clearinghouse platforms - Ability to process ... and state regulations * Accurately prepare, review, and submit claims to maximize reimbursement and minimize denials * Utilize...and submit claims quickly and accurately - Strong knowledge of Medicare… more
- Health Care Service Corporation (Chicago, IL)
- …*Extensive knowledge of provider and facility contracting, products, and claims / processing systems. *Negotiation skills. *Relationship building skills. ... department regarding the delegated entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to… more
- City of Bellingham (Bellingham, WA)
- …and manages self-insured liability coverage and funds; and provides for efficient claims processing and management. Works with City departments to review ... and to manage and reduce City exposure to adverse claims . Develops accident review and claims risk...to adverse claims . Develops accident review and claims risk assessment response programs. + Other Core Responsibilities:… more
- Community Health Systems (Antioch, TN)
- …related field preferred + 1-3 years of experience in denials management, insurance claims processing , or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Select Medical (Camp Hill, PA)
- …**Preferred Qualifications** + Proficiency in Windows-based computer systems + Experience with claims processing + Previous phone or call center experience + ... quarterly bonus after 90-day probation. **Patient Account Representative / Claims Resolution Specialist** Research-focused role requiring independence and persistence… more
- University of Southern California (Newport Beach, CA)
- …medical terminology. + Pref Knowledge of the health insurance industry and claims processing . Required Licenses/Certifications: + Req Fire Life Safety Training ... needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment +...area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting. + Pref… more
- Colgate-Palmolive (New York, NY)
- …Review benefit payments across sources to prevent overpayments and ensure accurate claims processing . Required Qualifications: + Bachelor's degree in Human ... return-to-work dates with HRBPs. Coordination of Workers' Compensation: + Coordinate Claims and Benefits: Integrate Workers' Compensation claims with concurrent… more
- Sedgwick (Greensboro, NC)
- …college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Henry Ford Health System (Troy, MI)
- …professional publications as it pertains to Benefit Administration Manual policies, claims processing decisions, and coding credentials. This posting represents ... HAP code-related committee meetings to resolve coding questions related to claims , configuration, benefits, new technology, fraud, compliance, and any other issue.… more
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