- CareFirst (Baltimore, MD)
- …and procedures, including experience with providers, training, customer service, and claims processing . **Preferred Qualifications:** + Bachelor's Degree in ... business, healthcare administration or related industry. **Knowledge, Skills and Abilities (KSAs)** + Working knowledge of provider billing and coding mechanisms, including special pricing, medical terminology, CPT coding and CMS-1500 or CMS UB -04 claim… more
- Access Dubuque (Dubuque, IA)
- …claims ; and to execute technical and jurisdictional requirements for accurate claims processing , benefit review and interpretation of regulations, financial ... payment processing , and error correction of complex or high exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and authorizes claims … more
- Access Dubuque (Dubuque, IA)
- … claims and executes technical and jurisdictional requirements for accurate claims processing , benefit review and interpretation of regulations, financial ... state, military, and company-specific leaves, accommodations, disability and statutory claims . Provides excellent customer service displaying care and empathy...payment processing , and… more
- Rush University Medical Center (Chicago, IL)
- …the Senior Associate General Counsel and members of the Office of Risk and Claims Management (ORCM), this position is responsible for assisting in the oversight and ... management of professional and general liability suits and claims for Rush University Medical Center (RUMC) and Rush...CMS by RUMC/ROPH. + Reports required information in MMSEA processing software within the assigned 7-day reporting time period… more
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working ... and taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ...calls, payer website, and written communication to ensure accurate processing of claims . 15% + Follows established… more
- Kansas Surgery & Recovery Center (Wichita, KS)
- … Representative + Assist the Patient Financial Services Manager in setting up claims processing and follow-up processes. + Become the Subject Matter Expert ... Recovery Center is searching for a patient account billing representative to work full time M-F 8am to 4:30pm....2-year technical degree or 4-year college degree + Experience processing hospital claims ; prefer experience with Oracle… more
- Ryder System (Providence, RI)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Transdev (Hillburn, NY)
- …Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims ... tracking of safety reports. + Assist the Safety Manager in working with corporate claims staff to ensure that all liability and Workers' Compensation claims are… more
- Avera (Sioux Falls, SD)
- …denied claims . + Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance payers. + Communicates with internal and ... the claims resolution process to ensure timely claims processing .) Identifies the need to rebill...other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to… more
- State of Colorado (Denver, CO)
- …personnel rules and statute interpretation, employee counseling, leave administration, processing workers' compensation, short-term disability claims and ... prioritizing the work in accordance with preset deadlines for processing of payroll and benefits set by the State's...discussions or meetings related to the project as a representative of the department. Time and Leave System: +… more