- Sanford Health (Sioux Falls, SD)
- …Identify and implement process improvements across various functions, such as claims processing , member services, and care management, to enhance ... **Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many… more
- City and County of San Francisco (San Francisco, CA)
- …who passed probation;* AND + EXPERIENCE: Five (5) years of experience billing, claims processing , and/or collecting healthcare service reimbursements or medical ... lower-level classification, 1663 Patient Accounts Supervisor. The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …members' specific contract benefits, consistent with products, policies and procedures and related health plan functions such as member services, claims , and the ... for employee development and promotional opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or claims processor experience with a… more
- Trinity Health (Boise, ID)
- …ensure accuracy. + Accesses information and translates data into information acceptable to the claims processing system. + Prepares claims for return to ... **Employment Type:** Part time **Shift:** Rotating Shift **Description:** At Saint Alphonsus Health System, we are looking for people who are living out their… more
- LA Care Health Plan (Los Angeles, CA)
- …incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member ... stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other… more
- Sedgwick (Southfield, MI)
- …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make… more
- Ryder System (Augusta, ME)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Access Dubuque (Dubuque, IA)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... Drive Eden Prairie, MN 55344 **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
- PruittHealth (Norcross, GA)
- …all Insurance billing services by final/higher level auditing, correcting, and submitting claims . Ensures that billing services are timely, accurate, and allow for ... appropriate reimbursement. Conducts all claims -related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring … more
- Sedgwick (Dublin, OH)
- …**_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now, ... the go-to guide for individuals navigating the challenges of disability claims . Your role blends technical expertise with human connection-you'll interpret medical… more