- North Carolina State University (Raleigh, NC)
- …along with effective use of insurance portals. + Filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and ... following up on those investigations, and submitting appeals for those denied claims ; + Verifying essential documentation including insurance cards, insurance… more
- Robert Half Accountemps (Minneapolis, MN)
- …Responsibilities: + Prepare, review, submit, and resubmit professional and facility claims to Medicare, Medicare Advantage (Managed Care), Medicaid, Medicaid Managed ... payers in accordance with payer-specific billing guidelines. + Analyze claim denials, rejections, and underpayments; identify errors; implement corrective actions;… more
- Trinity Health (Fort Wayne, IN)
- …hospital, or retail pharmacy preferred. 2. Experience with adjudicating prescription claims , corresponding with insurance companies and processing payments, ... for performing the appropriate processes to obtain and verify patient insurance eligibility and benefits, prior authorizations as needed, schedule delivery of… more
- HUB International (Napa, CA)
- …Paul Hanson Partners (PHP):** Great opportunity to start a career in the insurance industry! Established in 1993, Paul Hanson Partners has developed a reputation as ... an expert in insurance products & related services to the transportation industry...to department Account Managers + Learn and conduct basic claim procedures such as claim verification, distribution… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …appropriateness of the plan of care, coordination of other insurance policies/providers, documentation and communication with Insured, Insured's family, care ... providers, and monitoring of claim submission and processing. All work is directed under...under the terms and conditions of the various individual insurance contracts. Essential Accountabilities: Level I + Operates as… more
- Robert Half Accountemps (York, ME)
- …contract basis. This role involves working with healthcare billing processes, reviewing insurance claims , and ensuring accurate coding practices. Based in York, ... coding, with a strong understanding of ICD-10 standards. * Familiarity with medical insurance claims processes and collections. * Proficiency in using medical… more
- NTT America, Inc. (Itasca, IL)
- …or working with COOs, CUOs, and CCOs. + Deep knowledge of P&C insurance operations, underwriting, and claims processes. **Preferred Skills** + Understanding of ... **Your day at NTT DATA** **We are seeking a dynamic and experienced P&C Insurance Advisory Lead to join our business consulting practice. In this role, you will… more
- Actalent (Fresno, CA)
- …customer product database set up etc). Review and approve healthcare/nutrition product claims to ensure compliance with FDA, FTC, and other applicable regulations. ... Substantiate claims with scientific evidence and maintain supporting documentation and...documentation and advise Marketing, Sales, and R&D on compliant claim language and guardrails Strategically manage large documentation projects… more
- TEKsystems (Delavan, WI)
- …and RMAs to prevent aging of accounts receivable. + Report daily metrics on claim status, including processed and oldest claims . + Initiate root cause ... the Role We are seeking a detail-oriented and customer-focused Claims Resolution Specialist to join our team. This role...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and… more