- Excelsior Orthopaedics Group (Amherst, NY)
- … policies, billing requirements, rejection or denial codes as they pertain to claim processing and coding. + Liaison with other departments for process ... is documented in the appropriate system. Your knowledge of insurance carriers and specific plan details will make you...in researching and resolving rejected, incorrectly paid and denied claims as requested. + Helps to maintain a professional… more
- Herbalife (Torrance, CA)
- …and MX. The position's accountabilities include reviewing scientific literature for claim substantiation based on the totality of evidence, supporting Herbalife ... reports to support scientific substantiation of product safety and efficacy claims under minimum guidance. * Develops product efficacy and safety documentation… more
- Highmark Health (Harrisburg, PA)
- …staff 4. Identify any potential fraudulent activity relating to adjustment and/or duplicate claim processing and address any and all deficiencies to remain ... ESSENTIAL RESPONSIBILITIES: 1. Ensure the consistent, accurate, efficient, and appropriate processing of adjustments and/or duplicate claims through an audit… more
- AON (Fort Washington, PA)
- …oversight and processing of beneficiary changes, assignment of benefits, and life insurance and disability claims submissions for the Insurance Trust. + ... oversight and processing of beneficiary changes, assignment of benefits, and life insurance and disability claims submissions for the Insurance Trust. +… more
- BrightSpring Health Services (Louisville, KY)
- …in a healthcare billing environment (pharmacy preferred) and be familiar with online claims processing and Medicaid and Medicare billing practices. We offer: ... and resolution + Partner with facility contacts when there are issues with claim processing in order to achieve adjudication/payment + Advocate for clients… more
- MyFlorida (West Palm Beach, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... deferred compensation plan. Health, vision, dental, disability, and other supplemental insurance available at reasonable premium rates. Paid vacation and sick… more
- Omaha Children's Hospital (Omaha, NE)
- …and insurance -related laws. + Familiarity with EDI 835 remittance advice processing and ANSI-standard Claim Adjustment Reason Codes and Remittance Advice ... role ensures optimal revenue cycle performance through accurate payment processing , regulatory compliance, and strong operational oversight. The supervisor serves… more
- Robert Half Accountemps (Houston, TX)
- …following experience, please apply today. + Previous experience in medical billing, claims processing , or healthcare revenue cycle management (required). + Deep ... - 5pm schedule. + Review, analyze, and interpret medical claim denials from insurance companies. + Investigate...prevent future denials. + Maintain detailed records of denied claims and actions taken. + Prepare and submit written… more
- HUB International (Scottsdale, AZ)
- …+ Maintain controls on renewals and binders to ensure timely preparation and processing . + Prepare summaries of insurance , schedules, and proposals as needed ... **About HUB International** HUB International is a leading global insurance broker, offering a comprehensive range of property, casualty, risk management, life and… more
- GuideOne Insurance (Chicago, IL)
- …will play a key role in supporting The Mutual Group (TMG), GuideOne Insurance , and future members by designing, building, and deploying solutions that leverage large ... language models (LLMs), Generative AI, and natural language processing (NLP) to enhance customer and agent experiences. This includes developing intelligent… more
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