- The Hartford (Alpharetta, GA)
- …is hiring an AVP leading Generative and Agentic AI solutions for the Claims and Operations organizations. This leader will play a pivotal role in transforming ... the end-to-end Claims and Service customer journey by developing and embedding...and interactive solutions with a toolkit including Natural Language Processing , Computer Vision, Machine Learning, Generative AI and Agentic… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... healthcare experience Preferred: Type of Experience Required: 2+ years of claim processing experience with a Medicaid/Medicare Health Plan. Preferred: Experience… more
- Reynolds & Reynolds (Albuquerque, NM)
- …Guardian Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In this role you will ... but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract coverage and terms… more
- Reynolds & Reynolds (Warrenville, IL)
- …Warranty Services, Inc. (AGWS), an affiliate of Reynolds and Reynolds, is seeking a Claims Adjuster - Automotive for our growing team at our office in Naperville, ... but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract coverage and terms… more
- TEKsystems (Parkersburg, WV)
- …and administrative functions, including answering phones, filing, copying/imaging, faxing, processing and distributing mail and supporting third party vendor ... and litigation. + Assists with various activities including preparing and processing documents, preparing time sensitive and confidential claim file information on… more
- University of Southern California (Newport Beach, CA)
- …+ Pref Knowledge of medical terminology. + Pref Knowledge of the health insurance industry and claims processing . Required Licenses/Certifications: ... for signatures as needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment + Exhibit sensitivity to… more
- Modernizing Medicine (FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... #1 EHR in 11 Specialties + 2024 Spring Digital Health Awards, "Web-based Digital Health " category for...related experience required + Basic understanding of medical billing claims submission process and working with insurance carriers required… more
- NTT DATA North America (TX)
- …for improvement. **Requirements for this role include:** + 3+ years of medical claims processing experience + 5+ years of experience using a computer ... our team. Our Client is one of the leading Health Plans in the US providing services in multiple...coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound… more
- Cedars-Sinai (Los Angeles, CA)
- …Board Company's Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer ... audits within established departmental productivity and accuracy standards. Assists with processing re-bills post coding audit changes and assists with coding… more
- Albany Medical Center (Albany, NY)
- …preferred.Knowledge in billing codes and EDI requirements.Knowledge of electronic claims processing and edits.Excellent decision-making skills, detail oriented, ... revenue for services provided by hospital of Albany Med Health System by competing appeals, phone calls, and account...and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and… more