- PruittHealth (Norcross, GA)
- …and ensuring that correct diagnosis, and procedure codes are utilized. 4. Submits Insurance claims , including the maintenance of bill holds and the correction ... and techniques related to compliant healthcare billing/collections * Familiarity with Insurance Claims management functions in non-acute settings * Knowledge… more
- Morehouse School Of Medicine (Atlanta, GA)
- Insurance & Risk, Manager Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. Employment in this role may be ... career at MSM ! Posting Number NONAC3679 Job Title Insurance & Risk, Manager Position Title Insurance ...all incidents involving the Institution's assets or stakeholders. Monitor claims activity for erosion of deductibles or SIR .… more
- AIG (Atlanta, GA)
- …to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of ... A Recovery Specialist will be responsible for the most complex, highest value claim recovery cases covering multiple commercial insurance lines of business… more
- GuideOne Insurance (West Des Moines, IA)
- …you will be responsible for the full adjustment of first party commercial lines claims . In this role, you will be primarily accountable for overseeing large loss ... claims within the non-profit, church, education centers and niche...damages, making coverage recommendations and total value determinations, negotiating claim settlements and analyzing all necessary investigative documentation. +… more
- MyFlorida (Fort Lauderdale, FL)
- …of Medicaid eligibility, programs, policies, and benefit limitations. Knowledge of medical claims processing and/or health insurance claims billing. ... work environment. This position is responsible for reviewing Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as… more
- Unum Group (Portland, ME)
- …the essential skills, knowledge, and behaviors necessary to successfully resolve assigned claims , in accordance with Unum's claims philosophy, policies and ... discretion and independent judgment. The Benefit Specialist Trainee should provide timely claims decisions and strong customer service prior to advancing to the… more
- Guthrie (Sayre, PA)
- Position Summary: Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary ... and tertiary claims reviews and analyzes claims for accuracy,...guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …claims processing operations. This role handles a high volume of claims processing, insurance denials, appeals, contract management, prior authorization ... of the revenue cycle, including preparing, submitting, and following up on claims to insurance companies, government payers, and other third-party entities.… more
- University of Rochester (Albany, NY)
- …(EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims , identify problems, and takes ... pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution. + 5% Collaborates with … more
- U-Haul (Phoenix, AZ)
- …compensability. + Maintain accurate, current records for each claim and ensures claim files are properly documented and claims coding is correct. + Maintain ... be responsible for the handling and oversight of complex claims as a result of on the job injuries....outside counsel (when necessary) in bringing each Workers' Comp claim to its best possible resolution. Essential Duties: +… more