- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. Answer ... all information requests from those payers, and trace all claims to those payers making sure they have been...paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus, and insurance… more
- AAA Mid Atlantic (Cincinnati, OH)
- …8 Paid Company Holidays We are looking for someone who will + Manage the claims reporting process for agency clients. + Report claims to the appropriate carrier ... carrier, providing accurate and timely claim information. + Continuously monitor claims until claims are closed by the insurance carrier. Report any potential… more
- MetLife (Holly Springs, NC)
- …A MONTH after training. Key Responsibilities: * Manages overall STD block of claims and possible companion claims to include Statutory plans, Federal, Company, ... * Accountable for accurate financial decisions on block of claims with financial base benefit amount up to $8000...Associate Degree or higher * 2 plus years of claims management experience preferably in Healthcare field * Proficient… more
- Modernizing Medicine (Phoenix, AZ)
- …Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient ... all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound calls… more
- MetLife (Cary, NC)
- …meeting all key performance indicators * Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and ... if additional information is needed to make a reasonable and logical claims determination based off the information available * Collaborates with both external… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- CVS Health (Franklin, TN)
- …funeral homes, beneficiaries and family members, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of final ... expense claims for reimbursement through knowledge of life claims processes and effective communication skills. **What you will do** + Handles and processes… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims ...Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Mass Markets (Killeen, TX)
- …industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more