- MAPFRE Insurance (Webster, MA)
- …Major Market:** Worcester **Job Segment:** Business Intelligence, ERP, Recruiting, Front End, Claims , Technology, Human Resources, Insurance Apply now " ... technology, and business strategy? Join us as a Business Intelligence Analyst ( Claims ) and help shape the future of data-driven decision-making!** **Why You'll Love… more
- Rush University Medical Center (Chicago, IL)
- …* Time management skills. **Responsibilities:** 1. Reviews charge information, claim forms and insurance correspondence when reviewing governmental ... outcomes, identify trends and work collaboratively with clinical providers, coders, insurance companies and revenue cycle leadership to prevent future clinical… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Accurately document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in ... access to specialty medications. This role is essential in verifying insurance coverage, identifying payer requirements, and facilitating prior authorizations. The… more
- Omaha Children's Hospital (Omaha, NE)
- …position is responsible for providing direct supervision and daily management for insurance and government collections to include claims , A/R follow-up, denials ... and medical terminology. This includes all aspects of payer relations, claims adjudication, contractual claims process and general reimbursement procedures… more
- Otsuka America Pharmaceutical Inc. (Little Rock, AR)
- …+ Transact and document inventory movements and reconciliations, return and claim approvals, and product destructions. + Manage inventory reporting and communicate ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(financial, claims , risk score, trend, utilization, savings, etc.), unpaid claim liability estimates and identification of areas for savings. + Initiates and ... and aids in the creation of new analysis pertaining to benefit designs, claims experience, Value Based Payment (VBP) programs and valuation of internal and… more
- CareFirst (Baltimore, MD)
- …measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and ... to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated...proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice… more
- Elevance Health (Richmond, VA)
- …drive real savings. This position plays a critical role in uncovering claims overpayments and guiding clients through implementation of data-driven insights. This ... to identify and resolve payment integrity issues. + Analyze complex claim scenarios and business rules to uncover overpayments. + Guide cross-functional… more
- Allied Universal (Oakland, CA)
- …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... of payroll discrepancies, compliance reporting, uniform/equipment management, and unemployment claims . This hands-on position is responsible for branch-level administration.… more
- Aston Carter (Lombard, IL)
- …group rebate claims . + Create AP bill-backs in Blacksmith and review claims for proper disposition. + Investigate unauthorized claim amounts and ensure ... settlements. + Create billbacks in Blacksmith to capture customer claims and validate deductions against entered trade programs. +...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more