- TEKsystems (Jacksonville, FL)
- …helps streamline administrative and clinical workflows by enabling eligibility checks, claims processing , prior authorizations, and secure data sharing. These ... requires a blend of technical acumen, payment accuracy (payment integrity, claims processing ) knowledge, strong problem-solving skills and excellent relationship… more
- Cardinal Health (Boise, ID)
- …to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, ... and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle… more
- WellSense (NH)
- …accordance with the plan's policies and procedures + Identify system changes impacting claims processing and work internally on resolution + Identify systematic ... join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health...for potential configuration related work + Analyze trends in claims processing and assist in identifying and… more
- APTIM (Santa Fe, NM)
- …the APTIM Benefits Marketplace https://aptim.makeityoursource.com/ . + Medical, vision, and dental insurance : Through the marketplace, our employees can choose ... minimum of five (5) years of combined experience in claims or case processing roles, including customer...that work for them in their location. + Life insurance + Short-term and long-term disability insurance … more
- Trinity Health (Mason City, IA)
- …a timely manner. Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level. ... verifying insurance coverage, complete doctor orders and documentation to ensure clean processing of claims . They perform their duties in a manner consistent… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law ... ICD10, DRG, APC, RBRVS, etc.). + Extensive experience with claims processing systems, claims flow,...rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid… more
- Zelis (St. Petersburg, FL)
- …match, flexible paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical, dental , vision, and prescription ... center setting, this role focuses on identifying and resolving various claim processing and provider billing issues. Additionally, the Medical Bill Navigator also… more
- Essentia Health (Superior, WI)
- …nursing staff, pharmacies, third parties, and software vendors to work through claims adjudication and processing issues to ensure payment from third-party ... pharmacies to help ensure Medicare rules are followed when processing Medicare B billed claims + Provide...growth, and work-life balance. Our comprehensive benefits include medical, dental , vision, life, and disability insurance , along… more
- Robert Half Accountemps (Glen Burnie, MD)
- …role, you will play a critical part in ensuring accurate and timely processing of medical claims while maintaining compliance with industry standards. The ... and a commitment to delivering exceptional service. Responsibilities: * Submit medical claims to insurance companies and ensure timely reimbursement for… more
- TEKsystems (Conway, AR)
- …detail. * Ensure all claims are properly documented and accessible for downstream processing . * Handle and lift mail items up to 25 lbs, including boxes and ... Specialist to support the scanning and classification of medical claims into our internal systems. This role is essential...role is essential to ensuring the timely and accurate processing of incoming documentation. * Receive and scan incoming… more