- Molina Healthcare (Omaha, NE)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- CVS Health (Franklin, TN)
- …heart, each and every day. Position Summary This role will have a focus on training Claims processing and Claims Call Center staff for all products including ... experience Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing One to three (1-3)… more
- Regions Bank (Memphis, TN)
- …careers section of the system. Job Description: At Regions, the Default Solutions Processing Specialist is responsible for resolving the delinquency status of ... Excel and Word Strong customer service skills Strong organization skills Bankruptcy Specialist Pull daily default filing reports from LexisNexis for Chapters 7, 11,… more
- Baylor Scott & White Health (Dallas, TX)
- …Manager the Claims Adjuster is responsible for the review, analysis and processing of assigned claims within their authority limits and consistent with ... of quality service while protecting the assets of the organization. The Claims Adjuster's primary duty includes the exercise of discretion and independent judgment… more
- Stony Brook University (Commack, NY)
- …experience working in a medical and/or office setting. Previous medical claims processing experience. Preferred Qualifications: Medical coding certification. ... Claims Processor Required Qualifications (as evidenced by an...posting. Job Number: 2504206 Official Job Title: : Clerical Specialist II Job Field : Clerical/Secretarial Primary Location :… more
- Sedgwick (Harrisburg, PA)
- …techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Communicates claim action/ processing with appropriate ... to Work Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist PRIMARY PURPOSE : To analyze complex or technically difficult unemployment … more
- Molina Healthcare (Bellevue, NE)
- …communicate written and verbal Knowledge of verifying documentation related to updates/changes within claims processing system . Experience using claims ... incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( Use for claims specific positions only )… more
- Molina Healthcare (Sterling Heights, MI)
- …information concisely, accurately and in accordance with regulatory requirements. Researches claims processing guidelines, provider contracts, fee schedules and ... environment, or equivalent combination of relevant education and experience. Health claims processing experience, including coordination of benefits (COB),… more
- Sedgwick (Knoxville, TN)
- …college or university preferred. Experience Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... Workplaces in Financial Services & Insurance Remote Customer Service Specialist - Remote SCHEDULE: Sun/Mon/Tues/Wed/Fri 9:30am-6:30pm EST PRIMARY PURPOSE: To provide… more
- Oracle (Hartford, CT)
- …guidelines. Regulatory Compliance : Stay current with regulatory requirements related to claims processing across payers and government entities such as ... this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the… more
