- USAA (San Antonio, TX)
- …Company Fraud Program, engaging in the planning, execution, and delivery of First Line Fraud projects intended to accomplish business goals and objectives within ... to include risk assessments, policies, frameworks, standards, processes and tools as a first line of defense function. Serves as a fraud risk management subject… more
- Tractor Supply Company (Brentwood, TN)
- …mitigate claims expense including, but not limited to consistent medical care, minimizes overutilization, litigation costs and all other vendors are effectively ... responsible for developing, administering, and supervising partnerships among third party administrators, internal business partners, and external service providers.… more
- Travelers Insurance Company (Tampa, FL)
- …issue accurate and timely indemnity, medical and expense payments for lifetime/long-term claims . + Determine Value of Claim . + Complete required letters and ... 1 **What Is the Opportunity?** Under moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the… more
- WellSpan Health (York, PA)
- …payment information and to resolve claim discrepancies.- Submits itemized bills, medical records, and corrected claims as needed.- Reviews remittance advice ... in the completion of submitting electronic and/or manual insurance claims , resolves claim edits, performs insurance account... and billing terms to help interpret edit resolution, claims remittance advice, medical record documentation and… more
- First Student (Cincinnati, OH)
- First for a reason: **At First ...investigate, coordinate and evaluate the legal liability of any party involved in claims we receive. This ... position requires the candidate to work closely with our claims personnel, clients, and all related parties to obtain the necessary information to create subrogation… more
- St. Luke's University Health Network (Allentown, PA)
- …of the activities related to third party claim form formats, claim "scrubbing," claim submission and claims editing to ensure optimal reimbursement ... + Provides guidance and/or assists AR specialists in third party claims submission process. + Assists in...trained. + Identifies system or procedural problems creating third party claim rejections. Formulates and implements plans… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. + Submit claims to ... 923 Patient Accounts Scheduled Weekly Hours 40 Work Shift First Shift (United States of America) Shift & Status...payers assuring claims meet the clean claim definition to assure timely and accurate payment. +… more
- St. Luke's University Health Network (Allentown, PA)
- …Receivable Specialist I is responsible for accurate and timely submission of claims to third- party payers, intermediaries and guarantors in accordance with ... verbal and written communication skills. TRAINING AND EXPERIENCE: Experience with third party billing in a hospital similar medical facility or physician's… more
- GN Hearing (Vancouver, WA)
- …Operates computer and uses various billing systems and software to transmit clean claims to third- party payers nationwide. + Inputs data and transmits insurance ... 2025 Top Workplaces_ - a recognition that reflects our people- first culture and our shared drive to do meaningful,...hour, dependent on experience. + **Health & wellness:** Robust medical , dental, and vision coverage, plus a free membership… more
- Butterfly Effects (Deerfield Beach, FL)
- …demographics, authorizations, CPT codes, and claim details before submission. + Process claims using the First -In / First -Out method to prevent backlogs ... makes a difference! Butterfly Effects is looking for a Medical Billing Specialist to support our national billing needs....deadlines. + Identify and resolve billing errors to reduce claim denials. + Correct and resubmit denied claims… more