- Travelers Insurance Company (Hunt Valley, MD)
- …Knowledge of commercial lines products, the regulatory environment, and the local insurance market. + Strong critical thinking skills with the ability to proactively ... is a Must Have?** + Two years of underwriting, claim , operations, risk assessment, actuarial, sales, product, or finance...experience. **What Is in It for You?** + **Health Insurance ** : Employees and their eligible family members -… 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, ... documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands-on coding, documentation review, and other… 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
- Highmark Health (Nashville, TN)
- …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
- 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
- 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
- Zelis (St. Petersburg, FL)
- …on supervising a team of Clinician's performing clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to verify billing accuracy ... performance to ensure savings are maximized and captured timely through proper claim handling. Effective and proven leadership experience is a must as… more
- Commonwealth of Pennsylvania (PA)
- …within a public pension or retirement system or related area, such as medical insurance or other insurance or pension benefits;or + An associate's degree and ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Select the Level of Performance that best describes your claim . + A. I have clerical or technical experience… more