- SMBC (White Plains, NY)
- …+ Pre-settlement payment affirmation and post-settlement investigations inclusive of compensation claims processing . + Investigations of failed settlements from ... detection to resolution. + Mitigation of operational risk and timely escalation. + Understand and ensure compliance with relevant regulatory requirements. + Proficiency using various industry-standard settlement platforms as well as the firm's proprietary… more
- Marshfield Clinic (Marshfield, WI)
- …working as a pharmacy technician with knowledge of electronic pharmacy claims processing . Demonstrated proficiency with customer service skills. ... **Preferred/Optional:** One year experience in a Health Maintenance Organization (HMO) or insurance industry. **CERTIFICATIONS/LICENSES** _The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with… more
- HCA Healthcare (Nashville, TN)
- …regulatory compliance in areas such as patient care, inventory management, billing, and claims processing . Based on this analysis, the architect will make ... recommendations for infrastructure and software solutions and platforms that support efficient operations and optimal revenue capture. The candidate will provide leadership and technical mentorship to foster a collaborative and effective working relationship… more
- Delta Dental of Iowa (Johnston, IA)
- …and CI/CD pipelines. + Familiarity with healthcare or insurance systems, including claims processing , enrollment, or regulatory compliance. Delta Dental of Iowa ... is an Equal Opportunity Employer that does not discriminate on the basis of race, sex, national origin, religion, age, disability and any other characteristic protected by applicable law. It is also the policy of Delta Dental of Iowa to take affirmative action… more
- KMG Prestige (Ann Arbor, MI)
- …audit response support, EIV oversight, MOR pre- inspections and prep, Special claims processing , internal file and compliance auditing, onsite compliance ... training and more. The ideal candidate is an organized problem solver with strong time management skills and a positive attitude. This position requires in-person work at assigned properties. You Have: + Proficiency in Microsoft Word, Excel, and Outlook +… more
- Guardian Life (New York, NY)
- …team to deliver AI-centered solutions directed at our largest processes (eg, claims processing , customer service bots, operations automation) to grow our ... business and drive operational efficiency. AI Transformation Leads set strategy, define the product roadmap, and drive execution. They work closely with the data science team who build models, with the technology teams who integrate those models into our… more
- Beth Israel Lahey Health (Burlington, MA)
- …patient enrollment in available programs, handles customized communications, ensures ongoing claims processing accuracy and efficient delivery throughout the ... treatment period with a high-touch, member centric process and manages plan reporting. 5. Manages enrollment and services under the Employee Variable Co-Pay Program by reducing employee and plan sponsor costs and minimizing compliance risks. Assists patients… more
- Rush University Medical Center (Oak Park, IL)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting, or ... customer service. * Must have a basic understanding of the core Microsoft suite offerings (Word, PowerPoint, Excel). * Excellent communication and outstanding customer service and listing skills. * Basic keyboarding skills * Ability to analyze and interpret… more
- Carle Health (Champaign, IL)
- …to coding of individual patient health information for data retrieval, analysis, and claims processing . Assures revenue integrity and quality of coding through ... supervision of either the professional, hospital inpatient and/or hospital outpatient coding processes. Position is responsible for ensuring these areas meet all the facility required standards for productivity and accuracy. Responsible for monitoring work… more
- HUB International (Erie, PA)
- …+ Collaborate with team members to manage policies, endorsements, renewals, and claims processing . **Qualifications** + High School Diploma or GED + ... A positive attitude and enthusiasm to learn the insurance industry + Excellent verbal & written communication skills + Strong organizational skills, adept at prioritizing and handling multiple tasks + A collaborative team player with a desire to help others +… more
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