- State of Minnesota (St. Paul, MN)
- …plays a critical role in the Paid Leave Division of overseeing the claims processing team, ensuring efficiency, accuracy, and compliance with program ... due to a qualifying condition, such as a severe health condition that prevents them from working, or when...responsibilities include: + Oversees the quality and timeliness of claims processing . + Assign and monitor staff… more
- TEKsystems (Brookfield, WI)
- …due. Top Skills Details Claim, claims processing ,medical claims processing ,commercial lines insurance, health insurance,life insurance Additional ... Qualifications MUST: - High school diploma or equivalent preferred. - 2-4 years claims processing experience required (healthcare related) - Knowledge of current… more
- FlexStaff (Bronx, NY)
- …Subrogation conditions - Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor - Attends JOC meetings with providers as ... creating and testing compensation grids used for reimbursement and claims processing - Ensures that refund checks...range for this position is $27-$27/hour It is Northwell Health 's policy to provide equal employment opportunity and treat… more
- Integra Partners (Troy, MI)
- …Medicare/Medicaid requirements, and regulatory changes affecting CRT reimbursement. + Ensure claims processing adheres to HIPAA regulations and payer-specific ... strategies for development Knowledge/Skills/Abilities + 5+ years of experience in medical claims processing , billing, or revenue cycle management. + Knowledge of… more
- New York State Civil Service (New York, NY)
- …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Service Representative 1/Trainee 1/2 Occupational Category Other Professional Careers Salary Grade 18… more
- State of Minnesota (St. Paul, MN)
- …minimum qualifications will be considered for this position.** Two (2) years* experience processing claims and/or appeals with one (1) of those years involving ... due to a qualifying condition, such as a severe health condition that prevents them from working, or when...Training and mentoring of other staff to enhance their claims processing abilities. + Knowledge of techniques… more
- AON (LA)
- …other issues that may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the day will look ... other issues that may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the day will look… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
- Molina Healthcare (IA)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... claims to identify billing issues that will impact claims processing and payment. Monitor new solutions...in the implementation and conversion of new and existing health plans. + Manage projects from requirements to deployment,… more
- Sedgwick (Albany, NY)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY License Required **At least 2 years… more
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