- Houston Methodist (Houston, TX)
- …is responsible for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is required to perform ... denials and prepare complex appeals on outstanding insurance balances in the professional fee environment. This role is also responsible servicing as the subject… more
- LA Care Health Plan (Los Angeles, CA)
- …all relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- Houston Methodist (Houston, TX)
- …for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities ... simple and complex denials and on outstanding insurance balances in the professional fee environment. This role is also responsible for providing information… more
- CCMS & Associates (North Augusta, SC)
- …effectively with adjusters, insurers, and repair facilities to ensure seamless claims processing. + Maintain professional , customer-focused interactions with ... costs, and delivering high-quality appraisals for auto and heavy equipment claims . Job Responsibilities: + Conduct field inspections and appraisals of automobiles,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Retrospective clinicians also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code ... rapport and relationships. * Reviews and identifies issues related to professional and facility provider claims data including determining appropriateness… more
- Sedgwick (Coralville, IA)
- …and professionally with claimants and clients by phone, written correspondence and/or claims system. + Maintains professional client relationships and provides ... you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with… more
- Access Dubuque (Dubuque, IA)
- …claims as determined by client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Sedgwick (Indianapolis, IN)
- …and professionally with claimants and clients by phone, written correspondence and/or claims system. + Maintains professional client relationships and provides ... benefits package** designed to support your mental, physical, financial, and professional well-being **Your next big opportunity starts here-are you ready to… more
- Sedgwick (Orlando, FL)
- …and professionally with claimants and clients by phone, written correspondence and/or claims system. + Maintains professional client relationships and provides ... benefits package** designed to support your mental, physical, financial, and professional well-being **Your next big opportunity starts here-are you ready to… more
- Sedgwick (Chicago, IL)
- …claims as determined by client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
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