- Sedgwick (West Hills, CA)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make a Meaningful… more
- University of Southern California (Newport Beach, CA)
- …+ Pref Knowledge of medical terminology. + Pref Knowledge of the health insurance industry and claims processing . Required Licenses/Certifications: + Req ... Staff + Submit pre-certification/pre determination documentation to third party payers/payers insurance carrier for authorization with correct CPT and ICD coding +… more
- The Caton Companies (Staunton, VA)
- …and performs other special projects as assigned. Leads the company efforts on processing and managing borrower insurance claims . PLF provides loans ... written standard operating procedures for the handling of borrower insurance claims to protect company assets and... claim situations as they arise. + Ensure insurance claim documentation is attached to borrower… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …accurate reporting of the service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from ... new patients in the system, including patient demographics, verifying insurance , eligibility and claim information is accurate....electronic claim vendor processing , They are to correct… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and resubmits claims through the Epic billing system * Handles Paper claims processing including proper documentation of accounts with the highest level of ... Billing System. * Works assigned accounts with the highest level of complexity within claim edit work queue(s) daily and resubmit claims through the Epic billing… more
- PeaceHealth (Vancouver, WA)
- …multi-facility, multi-specialty organization. **Essential Functions** + Resolves insurance claim rejections/denials, and non-payment of claims by payors. + ... for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors,...billing and follow-up, in order to expedite resolution of insurance accounts and identify delays in processing .… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in ... working with insurance plans and understanding of claim adjudication...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- Polk County Public Schools (Bartow, FL)
- …in administering the various insurance plans. Develops and supervises loss and claim processing procedures for all types of losses, accidents, and injuries. ... and audits all policies and invoices for payment of premiums/ claims . Investigates and reviews accidents involving School Board personnel,... insurance plans. Develops and supervises loss and claim processing procedures for all types of… more
- WellSense (NH)
- …accordance with the plan's policies and procedures . Identify system changes impacting claims processing and work internally on resolution . Identify systematic ... join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health...for potential configuration related work . Analyze trends in claims processing and assist in identifying and… more
- AIG (Atlanta, GA)
- …established guidelines and authority, indemnity, and legal payments through the appropriate Claims Processing Systems. + Assist with ad-hoc duties, projects, ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...auto losses, you will be primarily supporting our commercial insurance lines of business. In the area of Salvage,… more
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