- CRC Insurance Services, Inc. (TX)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... America) **Please review the following job description:** Analyzes and processes claims by gathering information and drawing conclusions. Manages and evaluates… more
- St. Luke's Health System (Boise, ID)
- …is truly a great place to work. **Overview:** The Pharmacy Benefits Specialist assists our members in identifying and navigating complex pharmacy benefits management ... and third-party issues such as prior authorization, step therapy, reviewing denied claims , and processing overrides. Works with an interdisciplinary team of pharmacy… more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies -when there is refusal or rejection to honor Keck Medicine… more
- City of College Station (College Station, TX)
- …for city-wide risk management programs. Key responsibilities include contract and claims administration, loss prevention, insurance policy management, and ... Risk Management Specialist Print (https://www.governmentjobs.com/careers/cstx/jobs/newprint/5118669) Apply Risk Management ...years of risk management experience with working knowledge of claims administration and insurance practices; or an… more
- Travelers Insurance Company (Morristown, NJ)
- …comparable litigation claim handling experience. **What Is in It for You?** + ** Health Insurance ** : Employees and their eligible family members - including ... resolving assigned Auto and Homeowner related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Rochester Regional Health (Rochester, NY)
- …procedures. + Claims and Appeals Processing: Submits and follows up on insurance claims ; resolves denials and rejections; prepares appeal letters with proper ... and Denials Specialist is responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims… more
- Kaniksu Community Health (Sandpoint, ID)
- … inquiries related to billing, payment plans, and account status. + Monitors insurance claims for timely reimbursement + Ensure compliance with payer policies, ... Kaniksu Community Health is a non-profit, award winning Community ...for KCH include: + Medical, Dental, Vision, and Life insurance + Education Assistance and Guided Career Pathways +… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing...processing. Prepares reports as required and requested. Works with insurance payers on problem claims and processes.… more
- HCA Healthcare (Austin, TX)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... each individual is recognized. Submit your application for the opportunity below: Insurance Collections Specialist - CBOSurgery Ventures **Benefits** Surgery… more
- University of Virginia (Charlottesville, VA)
- The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all ... facilities within UVA Health System receives correct reimbursements from insurance ...insurance companies. They are responsible of ensuring all claims billed are in compliance with all federal and… more