- BrightSpring Health Services (Louisville, KY)
- …stakeholders regarding application status, required next steps, and potential impacts on claims processing . . Coordinates and maintains a tracking database for ... Our Company BrightSpring Health Services Overview The Licensure and Provider Enrollment...the Company. . Collaborates with the revenue cycle and claims teams to troubleshoot payment issues related to enrollment.… more
- TEKsystems (Woods Cross, UT)
- …improvements to maximize efficiency and accuracy. Key Responsibilities + Submit approved claims for processing and ensure proper acceptance through billing and ... EMR systems. + Research, resolve, and resubmit denied claims ; interpret explanations of benefits (EOBs) from insurance carriers. + Take timely and routine action to… more
- TEKsystems (Delavan, WI)
- About the Role We are seeking a detail-oriented and customer-focused Claims Resolution Specialist to join our team. This role is responsible for managing and ... resolving claims submitted by customers, transportation, and credit departments. Using...+ Build strong cross-functional relationships with credit, transportation, order processing , and shipping teams. + Perform other duties as… more
- Molina Healthcare (NE)
- …is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing . + Reevaluates medical claims and associated records ... Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made,… more
- City of Tacoma WA (Tacoma, WA)
- …of TPU in litigation filed against the Utilities. + Document all claims processing information, including setting reserve amounts for pending settlements, ... exposure and recommend the purchase of additional coverages as needed. Claims Administration & Litigation Support + Administer, process, and investigate third-party… more
- AIG (Jeffersonville, IN)
- …extended service programs, customer service support, service network management, claims processing services, and service contract underwriting. With ... Assessments could include evaluating execution of standard operating procedures, claims policies and contractual agreements, customer experience, and/or identify… more
- NJM Insurance (Trenton, NJ)
- Our West Trenton MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has ... appropriate + Demonstrate working knowledge of the available computer systems (imaging, bill processing , claims ) to insure prompt and accurate bill processing… more
- CVS Health (Monroeville, PA)
- …offices as well as insurance companies as needed in order to expedite claims processing . **Required Qualifications** + 1+ years of Healthcare Insurance related ... At CVS Health , we're building a world of health...writing. + Follow-up on unpaid, recouped payments, and underpaid claims + Resolve issues with nonpayment of invoices due… more
- CVS Health (Springfield, IL)
- …identifies opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement. + Assesses impacts of new ... At CVS Health , we're building a world of health...estimate future healthcare costs, revenue, and profitability. + Analyzes claims data to assess patterns, trends, and cost drivers… more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working… more