- Zurich NA (Schaumburg, IL)
- …bill litigation, research, and resolve issues by working with corporate law, Technical Claims and other, as necessary. + Prepare, attend and participate in any ... sharing technical knowledge. + Protect Zurich's reputation by keeping claims information confidential. + Maintain professional certifications and technical knowledge… more
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …reimbursement for clinical services rendered to beneficiaries of health plans, including Commercial and Government Clients. The OP Coding Auditor is charged with ... in the identification of improper payments (overpayments and underpayments) on paid claims on behalf of the client from various providers of clinical services,… more
- AdventHealth (Altamonte Springs, FL)
- …is essential. Additionally, working knowledge and understanding of major medical claims , insurance contracts, and the traditional actuarial functions, eg, claims ... shared risk financial models, ie, MSSP, ACO REACH, and commercial ACOs, is also desired but not essential. Experience...completely defined Beginner to intermediate experience with health care claims and related data and analysis (at least 1-2… more
- US Tech Solutions (San Bruno, CA)
- …collateral including personas, pitch decks, one-pagers, case studies, and claims documentation. **Drive Customer-Centric Insights:** + Conduct primary research, ... to align customer needs with product vision and features. + Work with Commercial Marketing to execute integrated paid, earned, shared, and owned media strategies.… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …Include but not limited to: Solves complex issues regarding travel claims , mileage reimbursement claims , transportation contracts, emergent and non-emergent ... Education: Major study -- accounting, business administration, business or commercial law, commerce, economics, engineering, finance, industrial management, statistics,… more
- Butterfly Effects (Deerfield Beach, FL)
- …to support our national billing needs. In this role, you'll ensure clean claims and accurate submissions, allowing our field teams to focus on what matters ... CPT codes, and claim details before submission. + Process claims using the First-In / First-Out method to prevent...+ 1-2 years of medical billing experience (Medicaid and commercial insurance preferred). + Basic Excel knowledge for data… more
- WestCare Foundation (Dandridge, TN)
- …Claim Preparation & Submission: Prepare and submit accurate and timely medical claims to insurance companies, government programs, and other payers. + Charge Entry: ... the reasons for denial, and take appropriate action to correct and resubmit claims . + Billing Audits: Perform regular audits of patient accounts to ensure accuracy… more
- AECOM (Tampa, FL)
- …+ Work with management and staff to resolve pre-litigation disputes and potential claims + Manage various types of litigation matters and claims utilizing ... experience at an engineering, architecture or construction company + Claims /litigation handling, including management of outside counsel, relating to architecture,… more
- Molina Healthcare (KY)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- CVS Health (Hartford, CT)
- … Claims /Calls, PSS, Aetna Medicare Account Management Team, Aetna Commercial Account Management Teams and back-office departments regarding benefit plans, ... manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The PSL...eligibility, claims , billing, and general benefit plan administration. What you… more