- Zurich NA (Annapolis, MD)
- …Resolve technical issues for company. + Provide expertise on coverage issues with claims . + Develop u/w manuals, programs and guidelines. + Handle & review ... and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of… more
- Zurich NA (Chicago, IL)
- …challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing ... needs in mind, the ZNA hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating… more
- Novant Health (NC)
- …but will not be limited to coding audits, charge edit and denial audits, commercial payers, and CMS payers. Responses will be coordinated through the Audit Response ... charging (including communications and escalation pathways), problems preventing payment of claims , issues in coding including barriers and successes, accurate and… more
- Otsuka America Pharmaceutical Inc. (Columbia, SC)
- …industry. + Strong cross-functional experience working with field support or commercial operations teams. + Knowledge of compliance requirements related to ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Beth Israel Lahey Health (Burlington, MA)
- …and resolving various Professional and Hospital billing issues for all commercial and government payors. The Revenue Cycle Operations Specialist's duties primarily ... Edits queues are used to resolve errors prior to claims submission and prevent denials. * Professional & Hospital...associated with the same patient even if additional charges, claims , or denials are not currently captured on their… more
- Houston Methodist (Houston, TX)
- …for resolving all outstanding third party primary and secondary insurance claims for professional services. This position performs collections activities on simple ... + Demonstrates expertise of all payors, including Medicare, Medicaid and commercial payors, and applicable department's revenue cycle operations. + Ensures… more
- BrightSpring Health Services (Littleton, CO)
- …in a timely manner; establish appropriate follow up. + Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837. + ... Utilize the mose efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions. + Negotiate payment plans with… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …developers in the delivery of products, both in an R&D and Commercial setting + Estimate engineering effort, plan implementation and roll out applications ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Zurich NA (Overland Park, KS)
- …High School Diploma or Equivalent and 2 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of the insurance industry and the legal ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of… more
- AdventHealth (Altamonte Springs, FL)
- …Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient ... denial management by reviewing and making recommendations on appealed provider claims and makes determinations for appeals and grievances from patients; assists… more