- Philips (Malvern, PA)
- …trends for leaderships consideration along with possible solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a ... authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers. **You're the...of benefits, to determine claim processing by insurance carriers. **You're the right fit if:** + You've… more
- US Physical Therapy (Rome, GA)
- …and thoroughly document pertinent collection activity performed. + Verify claims adjudication utilizing appropriate resources and applications. + Initiate telephone ... with parties responsible for reimbursement for services provided. + Edit/Update claim information to meet and satisfy billing compliance guidelines for electronic… more
- Covenant Health (Lubbock, TX)
- …of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 ... Plan with employer matching, health care benefits (medical, dental, vision), life insurance , disability insurance , time off benefits (paid parental leave,… more
- USAA (Colorado Springs, CO)
- …Opportunity** As a dedicated Complex Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the ... Within defined guidelines and framework, responsible to adjust highly complex auto insurance claims presented by or against our members to include the end-to-end… more
- Sedgwick (Pasadena, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Office Assistant | Pasadena, CA (In-Office) Are you looking for an impactful ... MAY INCLUDE** + Types form letters. + Sets up, maintains and locates claim files. + Processes packets. + Conducts computer data entry and processing; documents… more
- Elevance Health (Columbus, OH)
- …paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use ... of proprietary data and claim systems for review of... systems for review of facility, professional and pharmacy claims . + Responsible for identifying and developing enterprise-wide specific… more
- TEKsystems (Dallas, TX)
- …1-3 years of medical patient account representative experience, or medical insurance /authorizations experience, AND must sit in EST/CST time zone areas! Description ... providers, health plan and members as they relate to eligibility, benefits, claims , coverage and authorization of services. This position will also problem-solve and… more
- Southeast Health (Dothan, AL)
- …Performs daily activities involved in the reimbursement process, ie, claims filing/follow-up, entry of payments/adjustments, follow-up on non-payment or payments ... working knowledge of regulatory guidelines for billing; + Provides claim submission for services provided at SEH; + Provides...services provided at SEH; + Provides follow up on claims which did not process correctly; + Provides follow… more
- CVS Health (Monroeville, PA)
- …Responsibilities of the Pharmacy Benefit Billing Coordinator** **:** + Third party insurance claim billing associated with the dispensing medication and using ... the bill method required by the payer. + Transmit or submit claims (paper/electronic) to insurance payors for reimbursement. + Resolve insurance problems and… more
- American Medical Association (Chicago, IL)
- …and customer service + Knowledge of customer service and call center processes; insurance administration and claims systems + Directly manage relationships with ... a Director of Administrative Operations (Hybrid) on our AMA Insurance team. This is a hybrid position reporting into...Operations management team and their customer service (call center), claims , and operations teams + Facilitate and oversee the… more