- Evolent (Cheyenne, WY)
- …+ Good knowledge US Healthcare - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A ... assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans,… more
- R1 RCM (Austin, TX)
- …School diploma Demonstrated extensive knowledge in the health insurance industry ( Commercial Insurances, Medicare, Medicaid); health claims billing and/or ... and obtain appropriate information in pursuit of resolving unpaid claims . Responsibilities: Reads and interprets expected reimbursement information from EOB's… more
- Sedgwick (Atlanta, GA)
- …Atlanta **PRIMARY PURPOSE** **:** To investigate and adjust property and casualty claims , both residential and commercial , with little to no supervision. ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Inspects claims and contacts involved parties in a timely manner....+ Negotiates and settles both 1st and 3rd party claims . + Addresses salvage and subrogation as required by… more
- Sedgwick (Olympia, WA)
- …adjuster role will be responsible for investigating and adjusting property and casualty claims , both residential and commercial , with little to no supervision. ... with multiline casualty, general liability, and third-party property damage claims , we are looking for someone with your level...Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in… more
- The Clorox Company (Oakland, CA)
- …with cross-functional collaboration. **In this role, you will:** **Lead breakthrough commercial innovation** : + Oversee brand packaging, claims development, ... shape business direction, drive digital-first communication strategy and execution, lead commercial innovation and GTM execution, and manage business analytics and… more
- The Whole Person (Kansas City, MO)
- …and other types of insurance billing guidelines. ESSENTIAL JOB FUNCTIONS + Submits claims to government and commercial payers according to timely filing ... and other related correspondence. + Identifies and analyzes open claims and corrects billing errors. + Re-submits claims...written and oral communication skills + Working knowledge of commercial and government insurance plans + 1-2 years of… more
- TEKsystems (Jacksonville, FL)
- …cross-functionally to provide technical and product subject matter expertise to commercial and customer services teams. Skills claims processing, solutions ... a blend of technical acumen, payment accuracy (payment integrity, claims processing) knowledge, strong problem-solving skills and excellent relationship development… more
- Sedgwick (Atlanta, GA)
- …adjuster role will be responsible for investigating and adjusting property and casualty claims , both residential and commercial , with little to no supervision. ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Robert Half Accountemps (Barton, VT)
- …claim submissions. * Generate and analyze reports related to billing and insurance claims . * Manage Medicaid and commercial insurance billing processes, adhering ... strong understanding of medical billing processes and experience working with insurance claims . Responsibilities: * Process and submit medical claims to… more
- Robert Half Legal (Federal Way, WA)
- …is seeking a Litigation Paralegal to add to their firm, handling cases of commercial and residential1st party property claims . They represent the plaintiff or ... property owners. The salary range is 60-90k base DOE, plus additional bonus earnings. They reimburse costs of medical, dental and vision insurance, have a 401k with company match, 2-4 weeks PTO DOE, 11 paid holidays, provide equipment to work from home, and… more