- Sedgwick (Southfield, MI)
- …under ADA, state, and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Coordinator **Our teams connect! We collaborate onsite and have… more
- Sedgwick (Southfield, MI)
- …under ADA, state, and/or client requirements for a qualifying condition. * Makes claim determinations to approve non-complex ADA claims or makes a recommendation ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Coordinator **Our teams connect! We collaborate onsite and have… more
- Waystar (Atlanta, GA)
- …The goal of the position is to ensure implementation clients exceed clean claim targets and report high satisfaction with Waystar edit processes and content. This ... product, client support and technical teams to deliver accurate, timely claim edit/authorization rule configurations. * Studying healthcare industry standards and… more
- Highmark Health (Dover, DE)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES** +… more
- Beth Israel Lahey Health (Burlington, MA)
- …and maintains open communication with third party payor representatives in order to resolve claims issues. 4. Reviews claim forms for the accuracy of procedures, ... provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and… more
- Robert Half Accountemps (Los Angeles, CA)
- …and appeals within the healthcare industry. * Strong understanding of medical insurance processes, including denials and claims submissions. * Ability to ... process within the healthcare industry. Your expertise will help ensure claims are processed efficiently and payments are collected accurately. Responsibilities: *… more
- Sedgwick (Lansing, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Adjuster | Property | Remote Grand Rapids, MI | Travel Required As ... PURPOSE OF THE ROLE** + To investigate and adjust property and casualty claims , both residential and commercial, with little to no supervision. **ARE YOU AN… more
- Robert Half Accountemps (Houston, TX)
- …have and great communication preferred. Responsibilities: * Prepare and submit medical claims to insurance payers, both electronically and via paper, ensuring ... accuracy and compliance. * Monitor claim submission activities and generate reports to track progress...to track progress and efficiency. * Assemble and mail claims with all necessary documentation, including attachments, explanations of… more
- Community Health Systems (Franklin, TN)
- …or a related field preferred + 1-3 years of experience in denials management, insurance claims processing, or revenue cycle operations required + Experience in ... The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims , ensuring that appropriate appeals are submitted, and working closely with… more
- Avera (Sioux Falls, SD)
- … claims for resolution. + Research for appropriate information and process claims with corrected claim information or appeal. + Reconciles patient accounts ... validating accounts to resolve denials, inappropriate payment and non payment of claims . The Specialist will identify, review and interpret third party payments,… more