- Premier Health (Moraine, OH)
- …collecting and entering timely and accurate claim information. This position will submit claims utilizing insurance carrier guidelines and will also follow up on ... works to ensure timely and accurate reimbursement on medical claims for physician services rendered. This position is part...submitted claims that are unpaid, rejected, or denied. The Medical… more
- Providence (Irvine, CA)
- …torts, and regulatory enforcement. + Coordinate closely with Risk Management and insurance carriers on pre-litigation claims and insured matters. + Oversee ... benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance , disability … more
- Philadelphia Insurance Companies (Honolulu, HI)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... time of need and make a meaningful impact every day. At First Insurance Company of Hawaii, we meet challenges and opportunities creatively and collaboratively. We… more
- Sedgwick (Shreveport, LA)
- …and relatively complex National Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine ... insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant(s) and witnesses… more
- NHS Management, LLC (Northport, AL)
- …denials and PA's associated with all adjudicated Medicaid, Medicare D or Private Insurance claims . + Serves as the Communication liaison regarding medication or ... Prescription Drug Plans (PDP's) and Third Party Insurances to appropriate health care professionals, advising resident and appropriate parties on PDP options… more
- Covenant Health Inc. (Knoxville, TN)
- …and maintain a Tennessee driver's license Class D and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at ... and Hospice program every year. Covenant HomeCare is accredited by theCommunity Health Accreditation Program (http://chapinc.org) . We are a proud member of Covenant… more
- Hackensack Meridian Health (Edison, NJ)
- …change. Come join our Amazing team here at Hackensack Meridian Health ! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement, Employee Discounts ... authorization/denials management in their assigned area/hospital(s) at Hackensack Meridian Health (HMH). Responsible for researching and analyzing denials. Identifies… more
- Sedgwick (Southfield, MI)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Manager | Staff Attorney | Public Entity Pooling Are you looking for… more
- Actalent (West Des Moines, IA)
- …Pay and Benefits The pay range for this position is $75000.00 - $100000.00/yr. Insurance Coverage: Health , dental, vision, disability, and life insurance ... CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with client contracts and plan documentation. This includes determining… more
- Insight Global (Norfolk, VA)
- …and Requirements 5 Years Project Management * 5 Years Leadership * 5 Years Health Insurance * Extensive experience in managing a global third-party vendor ... Insight Global is looking for a Remote Director of Health Plan Business Testing for a large healthcare company....management of related extracts and data. Functional areas include Claims , Encounters, Benefits Configuration, Claims & Pricing… more