- BlueCross BlueShield of North Carolina (NC)
- …use of site visits to inform provider service strategy and resolve escalated claims and service issues + Oversee support of non-platinum providers through virtual ... ensuring that provider service agreements are met + Report operational updates to the Claims AVP and Operations VP; serve as a subject matter expert for provider… more
- Avera (Sioux Falls, SD)
- …validating accounts to resolve denials, inappropriate payment and non payment of claims . The Specialist will identify, review and interpret third party payments, ... you will do** + Responsible for account review and follow up on unpaid claims for resolution. + Research for appropriate information and process claims with… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …By playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) ... Salesforce FSC. * Build automated testing solutions to validate large volumes of policy, claims , billing, and customer data in real time. * Leverage tools such as… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …as needed for accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing ... system and from electronic claim vendor processing , They are to correct all errors or warning...is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to… more
- Sedgwick (Orlando, FL)
- …customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL ... + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or… more
- Guthrie (Sayre, PA)
- …of complex insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes suggestions for ... more streamlined processing . Prepares reports as required and requested. Works with...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
- Idaho Division of Human Resources (ID)
- …writing reports. + Good knowledge of computer operations and word processing software. Typically gained through college, vocational, technical or business school ... three credits or a one semester course in computer operations and word processing which required performing word processing functions to include saving,… more
- Adecco US, Inc. (Fountain Valley, CA)
- …**Responsibilities:** . Processing Incoming Communications, assist with scanning and processing incoming mail regarding legal claims for consumer warranty ... new matters and handle appropriately . Case Management & Document Processing , assist with processing and opening new cases for consumer warranty and product… more
- Goodwill Industries of Southern New Jersey and Phi (Bellmawr, NJ)
- …+ Assist in maintaining all aspects of E-Commerce including listing, shipping, and processing as needed. + Sets up and fills daily flash and production reports ... labels as needed, issue refunds as needed. Files FedEx claims in managers absence. + Must coordinate the flow...Warehouse Manager to ensure that product is available for processing and listing. + Must continually monitor the department… more
- Air National Guard Units (Scott AFB, IL)
- …cyber system with primary knowledge requirements of information processing methodology, information technology, telecommunications systems, computer capabilities, ... analyze hardware and software malfunctions to resolve physical and logical processing problems; and recommend acquisition of programs, process or equipment which… more