- System One (Baltimore, MD)
- …and medical record abstraction to determine benefit eligibility and support claims processing/adjudication. It includes pre- and post- claim medical review ... ensuring compliance with corporate and medical policies. Essential Functions + Claims Review & Analysis (35%) Review and analyze professional and institutional… more
- Robert Half Accountemps (Lombard, IL)
- …candidates with a background in medical billing and a commitment to accuracy in claims processing and payment reconciliation. You will play a vital role in ensuring ... on Medicaid-funded services. Responsibilities: * Process and submit clinic patient claims to Medicaid and private insurers twice weekly, ensuring all necessary… more
- Sedgwick (Indianapolis, IN)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative **Entry-level, Care Team Representative** Are you looking… more
- Sedgwick (Chicago, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Representative** **Our teams ... payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices.… more
- Sedgwick (Memphis, TN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance OSS Coordinator Our teams connect. We collaborate in office. All candidates must ... 38125_** **PRIMARY PURPOSE** : To provide administrative support to the claims department. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reviews scanned documents… more
- FLACRA (Newark, NY)
- … claims , including handling clearinghouse rejections and resubmissions. + Resolve claim denials by working with insurance companies and internal teams. ... and follow up on outstanding balances. + Work with insurance companies to address disputed claims and resolve processing issues. + Maintain and update tracking… more
- Fortrex (Atlanta, GA)
- …Analyst to join our team and play a crucial role in supporting insurance renewals, managing auto-liability and general liability claims , and overseeing ... with federal, state, and local regulations related to workers' compensation claims management and safety standards. + ** Insurance Renewals:** Coordinate… more
- Superior Ambulance Service (Elmhurst, IL)
- …in maximum cash collections for our clients. Specific tasks include resolving insurance carrier denials, appealing claims , contacting carriers on open accounts ... The Follow Up Representative performs collection follow-up steps with insurance carriers and/or patients regarding open accounts receivable and/or delinquent… more
- Guardian Life (Boston, MA)
- …and plan design for companies with 1,000 or more lives utilizing prior claim experience and manual rates. Products include Group Dental, Vision, FMLA, STD, LTD, ... and Life insurance . The underwriter will possess top technical competence, the...of local market competition and strategy (eg, impact on claim pricing and product choices) + Excellent analytical and… more
- Learning Care Group (Williamsburg, VA)
- …Food (CACFP) management plans and contracts. Maintain records related to CACFP claims and reimbursements according to state and company requirements. + Apply state ... training and deliver training to Directors/School management teams on paperwork and claim filing requirements relating to records maintenance and billing for the… more