- City of Lakeland (Lakeland, FL)
- …the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements ... needs. + Performs liaison functions with insurance companies, insurance consultants, insurance agents, claims administrators, state and federal agencies… more
- The County of Los Angeles (Los Angeles, CA)
- …compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of Achievement, obtained by passing the California State Self ... Insurance Plans exam. License A valid California Class C...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Humana (Pierre, SD)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are ... Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests… more
- Sedgwick (Tallahassee, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Patient Care Coordinator **PRIMARY PURPOSE** **:** To provide world class customer ... said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on...referral is deemed medically necessary and approved by the claim 's adjuster. + Confirms all required and relevant billing… more
- Commonwealth of Pennsylvania (PA)
- …Pay Group ST08 Bureau / Division Code 00121640 Bureau / Division SWIF Claims Services Division Worksite Address Scranton State Office Building Worksite Address 100 ... necessity and appropriateness of care and services provided to State Workers' Insurance Fund (SWIF) covered individuals. Work also includes assessing care or… more
- Rush University Medical Center (Chicago, IL)
- …per our contracts or patients' benefit levels. + Interacts with patients and insurance carriers to resolve outstanding claims issues. + Maintain a specified ... benefit plans. The role ensures accurate, timely, and compliant claim submission, follow-up, and collections, while managing high-dollar, high-complexity accounts… more
- TEKsystems (Baltimore, MD)
- …calls from providers, health plans, and members regarding eligibility, benefits, claims , coverage, and authorization of services. Key Responsibilities: + Answer ... calls via ACD phone system. + Provide accurate information on eligibility, benefits, claims , and referral status. + Assist providers with resolving issues related to… more
- Sedgwick (Dubuque, IA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workforce Absence Payroll Coordinator **Our teams connect! We collaborate onsite and ... data integrity by accurately interpreting the leave and disability claims data coding hierarchy and applying the correct leave...and time and attendance system. + Review reports for claim accuracy; processes and balances colleague time card file… more
- Sedgwick (San Antonio, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for ... demands, wages and benefits, and availability. + Thoroughly reviews contested claims . + Assists as needed with submission of accommodation recommendations to… more
- Zelis (NJ)
- …quality assurance program to ensure accurate results to our clients + Manage assigned claims and claim report, adhering to client turnaround time, and department ... the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines,… more