- Sedgwick (Roseville, CA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) **PRIMARY PURPOSE** : To… more
- Armed Forces Benefit Association (Alexandria, VA)
- …ensuring clear communication of requirements and next steps. + Claims Adjudication and Documentation Review and adjudicate voluntary health and wellness ... client experience and comprehensive portfolio of life and supplemental health products striving to deliver total health ...with internal teams, brokers, and employer groups to support claims processing and provide group claims… more
- NTT DATA North America (MO)
- …computer systems, and learn new software tools + 1+ years of working with Claims Adjudication Systems + High School diploma or equivalent **Preference** + ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...this Role the candidate will be responsible for:** + Processing of Professional and Hospital claim forms files by… more
- BrightSpring Health Services (Union City, CA)
- …Work Experience: + Required: Experience in pharmacy data entry and/or adjudication ; experience in LTC setting. + Desired: Prior supervisory experience. ... Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication terminology, and metric system;… more
- BrightSpring Health Services (Horsham, PA)
- …calculations (eg, converting milligrams) + May resolve issues of denials identified through adjudication , and follow-up claims in Point of Sale (POS) + Maintains ... for career progression! Schedule: Monday-Friday 8:00pm-5:00pm We offer: + Health , dental, vision and life insurance benefits + Company...May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides… more
- BrightSpring Health Services (Grand Prairie, TX)
- …calculations (eg, converting milligrams) + May resolve issues of denials identified through adjudication , and follow-up claims in Point of Sale (POS) + Maintains ... 8am - 5pm We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and LTD… more
- AdventHealth (Apopka, FL)
- …needed + Trains new hires to the department on prescription data entry, claims adjudication and patient record management processes, offering ongoing support ... Day One - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... Description** Mount Sinai is one of the largest US health systems with a strong reputation for quality of...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- NTT DATA North America (Little Rock, AR)
- …projects * Minimum of 6years of experience in Medicaid Claims Adjudication , including understanding of claims processing workflows, adjudication ... will possess in-depth expertise in Medicaid systems, particularly in claims adjudication -and demonstrate a strong ability to...Minimum 6 years of experience in supporting or developing Health Care systems * Minimum 6 years of experience… more
- The Institute for Family Health (New Paltz, NY)
- …insurance companies, medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider ... CYCLE COORDINATOR Job Details Job Location New Paltz Family Health Center - New Paltz, NY Position Type Full...vendor and facilitates payer requirements as needed for electronic claims processing and retrieval of electronic remittance… more