- Blue Cross and Blue Shield of Louisiana (Metairie, LA)
- …through brokers and group leaders or other group contacts to ensure timeliness of resolution . + Provides on-site training to brokers and group leaders on the various ... the retention goals of the company. + Documents and forwards employee request for claims related issues, benefit questions or supply requests to be handled by the… more
- ManpowerGroup (Salem, OR)
- …and professional manner + Process orders, returns, exchanges, and warranty claims accurately using internal systems + Resolve customer complaints by identifying ... systems + Track and follow up on open issues to ensure timely resolution and customer satisfaction + Collaborate with internal teams including Sales, Shipping, IT,… more
- Caris Life Sciences (Irving, TX)
- …whistleblower and anonymous reporting mechanisms, ensuring timely response and resolution . * Prepare executive-level summaries and dashboards for leadership and ... Working knowledge of federal healthcare regulations, including HIPAA, Anti-Kickback Statute, False Claims Act, and Stark Law. * Strong writing skills, especially in… more
- MTC (Rosharon, TX)
- …of available insurance benefits, procedures, etc. Coordinate with insurance company regarding claims , resolution of problem cases, etc. 6. Provide follow-up ... correspondence to applicants and agencies regarding employment status. 7. Complete and maintain accurate weekly and monthly reports. 8. Type reports, maintain records and files. Maintain calendar of events, schedule appointments and take minutes of meetings.… more
- Hannaford (South Burlington, VT)
- …policies and standards. 8. Assist in maintenance of third-party prescription information and resolution of rejected claims . 9. Exhibit excellent written and oral ... communication skills with the retail pharmacy teams, store leadership, and pharmacy operations group. 10. Thorough understanding of pharmacy inventory management and physical inventory procedures. Assist as needed in the physical inventory process, including… more
- NBC Universal (Miami, FL)
- …laws and regulations. As necessary, assist Human Resources with Workers Compensation claims by individuals. . Assist operations with preparation and coordination of ... on any action items/MAPs resulting from audit and provide documentation supporting resolution . . Assists in interfacing with outside regulatory agencies as required,… more
- Methodist Health System (Dallas, TX)
- …as a proactive point of contact for benefit vendors, ensuring timely resolution of inquiries related to eligibility file reconciliation. + Provide exceptional ... maintaining organized employee files. + Proactively manage and process FMLA/LOA claims across the organization, ensuring compliance with Methodist policies and… more
- University of Virginia (Charlottesville, VA)
- …edits and follow-up work queues, identifies areas of opportunity based on findings/ resolution of errors. + Manages assigned charge review and coding-related claim ... for Business Services and physician office requests regarding non-billed or non-reimbursed claims . + Completes special projects as directed by coding leadership. +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist with prior ... due to insurance policy changes. + Escalates issues to supervisor for resolution , as deemed necessary. + Reviews and complies with all applicable Department… more
- NHS Management, LLC (Northport, AL)
- …of all routine and tasks, including but not limited to: + + Resolution of rejections, denials and PA's associated with all adjudicated Medicaid, Medicare D ... or Private Insurance claims . + Serves as the Communication liaison regarding medication or resident coverage issues with; Administrators, DON's, Admissions, Social… more