- CenterWell (Topeka, KS)
- …agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate ... + Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances. + Clear payment variances, resolving differences,… more
- Robert Half Office Team (Hoffman Estates, IL)
- …needs. The ideal candidate is detail-oriented, customer-focused, and experienced in claims processing and member services. Key Details: Role: Member Service ... CSR/Admin within financial services, insurance, banking, risk, or even healthcare billing/ claims -NOT a call center position) Schedule: Mon-Fri, 8AM-4PM, 100% on-site… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code reviews. Your Responsibilities ... * Applies clinical experience, health plan benefit structure and claims payment knowledge to pre- service and retrospective reviews by gathering relevant and… more
- Sedgwick (West Hills, CA)
- …& Insurance LTD Case Specialist (Hourly) **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to ... and collect overpayments. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes assigned claims and determines benefits due. + Informs claimants of documentation… more
- University of Washington (Seattle, WA)
- …risk management, patient safety, clinical quality, patient relations and UW Claims Services to develop and implement compassionate and transparent patient ... clinical quality, patient relations, School of Medicine leadership, and UW claims , to ensure coordination, collaboration and communication to build trust, inform… more
- AnMed Health (Anderson, SC)
- …effective employee communications, timely enrollments, ACA compliance, and efficient claims processing. RESPONSIBILITIES * Manages the Americans with Disability Act ... recognitions, parties, and gifts. * Respondsto specific benefits questions, and/or claims problems from employees and retirees * Responsible for ensuring plan… more
- Travelers Insurance Company (Philadelphia, PA)
- …loving what you do and where you do it. **Job Category** Claim, Legal ** Compensation Overview** The annual base salary range provided for this position is a ... candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash… more
- Huron Consulting Group (Chicago, IL)
- …of Benefits into accurate, system-ready configuration specifications. + Partner with Product, Claims , Enrollment, and IT teams to validate benefit setup and resolve ... testing, regression testing, and root cause analysis for benefit-related claims issues. + Support annual Medicare Advantage bid implementation, configuration… more
- Humana (Oklahoma City, OK)
- …issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate ... townhalls and/or trainings + Work with internal resources and systems (eg, claims , reimbursement, provider enrollment) to provide the Perfect Experience in all… more
- Sedgwick (San Antonio, TX)
- …with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and ... explains claims /repair process + Negotiates advanced fees for tow, tear...required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions… more