- SSM Health (MO)
- …patient accounts. Duties may include one or more of the following: processing insurance payments, following up on denied claims , and resolving credit balances. ... denied claims by performing appeals and denial recovery procedures. Works denied claim lines and no response claims to resolve outstanding accounts. +… more
- Snapsheet (Chicago, IL)
- …reading for more detail. Responsibilities : + Oversee the full lifecycle of claims , including claim creation, assignment, and SOP adherence. + Drive adjuster ... Remote Job Type: Full-time About Snapsheet : Snapsheet is claims technology the way it should be: purposeful, precise,...currently in leadership of total loss settlements with an insurance carrier + Must have a working understanding or… more
- Snapsheet (Chicago, IL)
- …reading for more detail. Responsibilities : + Oversee the full lifecycle of claims , including claim creation, assignment, and SOP adherence. + Drive adjuster ... Remote Job Type: Full-time About Snapsheet : Snapsheet is claims technology the way it should be: purposeful, precise,...currently in leadership of total loss settlements with an insurance carrier + Must have a working understanding or… more
- CVS Health (OR)
- …review a clinical determination and understand rationale for decision. * Able to research claim processing logic and various systems to verify accuracy of claim ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- CVS Health (AZ)
- …of billing representatives responsible for accurate and timely submission of claims and ensuring clean billing practices that support optimal reimbursement. ... ensure timely and accurate completion of all PFS activities + Ensure clean claim submission by monitoring accuracy, compliance and completeness of billing process to… more
- CVS Health (PA)
- …review a clinical determination and understand rationale for decision. + Able to research claim processing logic and various systems to verify accuracy of claim ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- Unum Group (Portland, ME)
- …upon department needs. **Principal Duties and Responsibilities** + Analyze content of claim file and obtain the necessary financial and benefit information (that may ... communicates, handles overpayment calculations and manages a caseload of claims with limited complexity, demonstrating a solid technical ability necessary… more
- Centene Corporation (Harrisburg, PA)
- …Purpose:** Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited ... authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and… more
- WellLife Network (NY)
- …outstanding balances. **Essential Functions:** 1. Prepare and submit timely, and accurate claims to private and public insurance payers, including Medicare, ... of billing codes (CPT, ICD-10, and HCPCS) prior to claim submission. 3. Analyze denied or underpaid claims... claim submission. 3. Analyze denied or underpaid claims , identify root causes, and coordinate resolution with payers… more
- The Hartford (Hartford, CT)
- …- KR08NE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... for providing consultation and coordination of laboratory services for forensic claim investigations in The Hartford's brand-new state of the art Forensic… more
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