- TEKsystems (Silver Spring, MD)
- …remote. Description Overview: This role focuses on post-billing follow-up for hospital claims that remain unpaid after 180 days. The specialist will investigate ... outstanding claims , determine the necessary next steps, and coordinate resolution...race, sex, age, color, religion, national origin, veteran status, disability , sexual orientation, gender identity, genetic information or any… more
- Marriott (New York, NY)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... a regular basis through orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to ensure claims … more
- Amentum (Washington, DC)
- …and other staff management concerns. + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily oversight and management of ... Claims Review support processes. + Coordinate tasks and responsibilities...insurance, 401(k) retirement plan, life insurance, long-term and short-term disability insurance, 15 days of paid time off and… more
- Integra Partners (Troy, MI)
- …Medicaid, and NCQA regulations relevant to Utilization Management (UM), Credentialing and Claims , with the ability to translated them into operational requirements + ... operational compliance resource while collaborating effectively with UM, Credentialing, Claims , Business Intelligence and other teams + Proficiency in Microsoft… more
- Marriott (Boston, MA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Assists with ... basis through orientation, property meetings, bulletin boards, etc. * Assists with periodic claims reviews with Regional Claims office to ensure claims … more
- Trinity Health (Albany, NY)
- …required but a plus. **Responsibilities:** + Responsible to monitor and resolve Claims Work queues, Specifically Front End, Referrals & Authorizations, and Clinical ... all billed services are submitted to insurances as "Clean Claims " + Works within the working queue to review...color, religion, sex, sexual orientation, gender identity, national origin, disability , veteran status, or any other status protected by… more
- Cardinal Health (Charleston, WV)
- …Rep is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software… more
- Robert Half Legal (Boston, MA)
- …personal injury practice. This role focuses on representing clients in small claims court, handling cases involving monetary damages up to $7,000, including ... and supporting legal documents in accordance with Massachusetts Uniform Small Claims Rules. + Court Representation: Represent clients in informal hearings before… more
- HUB International (Chicago, IL)
- …of Pharmacy Benefit Managers (PBMs) to ensure contractual compliance, accurate claims processing, and proper financial management. This role involves in-depth data ... Audits: Plan, execute, and manage all aspects of PBM audits, including claims data analysis, financial reviews, and compliance checks against contract terms.… more
- Cardinal Health (Columbia, SC)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more