- US Tech Solutions (Columbia, SC)
- …or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to ... collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines… more
- Lowe's (Suwanee, GA)
- …Delivery processes to solve inquiries/issues and maintain customer satisfaction. Processing orders and fulfilling customer needs to ensure customer satisfaction. ... Maintain continuous dialogue with the third-party logistics partner to address and resolve claims (customer and cargo), updates Lowe's claims portal + Process… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... unified view of stakeholder interactions. + Apply natural language processing (NLP) to extract insights from unstructured medical texts,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Syensqo (Alpharetta, GA)
- …e-Billing systems (mainly Legal Tracker). + The role anchors all our legal claims which are tracked in multiple systems, coordinates closely with internal colleagues ... and not meant to be an exhaustive list. + Claims and matter administration + Create and maintain new...prepare and reconcile monthly and quarterly accruals. + Settlements processing + Initiate settlement check requests in SAP, ensuring… more
- Transdev (North Las Vegas, NV)
- …in accordance with company policy and within the parameters established by the manufacturers. Claims need to be filed in a timely manner. + Performs periodic audits ... of maintenance systems to ensure claims are getting flagged for potential warranty. Reports discrepancies...partnership with the technical team to ensure the timely processing of recalls and campaigns. + Work closely with… more
- The Larson Group (Portage, IN)
- …to join our growing organization. This position is responsible for processing Peterbilt, Paccar, Cummins, Eaton, Caterpillar and other manufacturer warranty ... claims in the assigned region/dealer. What We Offer: +...Analyze technician repair stories in Decisiv and process warranty claims timely for assigned region/dealers with all OE required… more
- Amentum (Washington, DC)
- …review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, administrative ... Review Assessor's responsibilities include: + Pre-screen: Responsible for "pre-screening" claims at the eligibility, compensation, and amendment stages. This… more
- Crossroads Hospice & Palliative Care (Green, OH)
- …completeness and obtain any missing information + Prepare, review, and transmit claims using billing software, including electronic and paper claim processing ... Medicare, and state Medicaid + Follow up on unpaid claims within standard billing cycle timeframe + Check each...insurance or patient follow-up + Research and appeal denied claims + Answer all patient or insurance telephone inquiries… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- Hartford HealthCare (Farmington, CT)
- …collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare ... AR team activities associated with timely resolution of outstanding insurance claims . 2. Contributes to decisions that impact workflows effecting timely resolution… more