- TEKsystems (Rockford, IL)
- …components are accurate and complete before routing to clinical reviewers. + Support insurance claim decisions by preparing records for clinical insight and ... support medical data workflows and ensure accurate, timely case processing through CMS portals. Key Responsibilities + Navigate CMS...2 year of experience in medical records or medical claims + Strong attention to detail and organizational skills.… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …accurate and eligible payer information, along with financial responsibility, prior to claims processing * Makes appropriate referrals (ie Patient Financial ... compliance forms (State and Federal), determine benefits and eligibility ( insurance , public programs, etc), determine financial responsibility and/or to identify… more
- Manulife (NH)
- …process all aspects of auditing, formal appeal reviews and contestable claim review. + Audit applications underwritten to ensure underwriting decisions, ... correspondence and administrative processing have been followed in accordance with established guidelines...management with book of business reviews. + Review contestable claims for potential misrepresentation during underwriting. + Maintain good… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …are not limited to: + Oversee the intake process including collection and processing of all ICSR information through email, paper, or electronic data capture tools. ... + Four (4) years of experience with ICSR case processing . + Four (4) years of experience working with...to $185,000 per year + benefits package (employer provided insurance , paid time off, 401(k), etc). **Apply to:** [email protected]… more
- Actalent (Romeoville, IL)
- …and prescription data into processing systems with precision. + Resolve claim rejects and insurance billing issues promptly. + Escalate prescription-related ... accurately using pharmacy systems. + Skill in resolving third-party claim rejects and resubmitting for processing . +...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- ManpowerGroup (Chicago, IL)
- …for service by analyzing initial pleadings, as well as analyzing and processing subsequent pleadings such as answers, counterclaims, crossclaims, and third-party ... claims . + Process initial claims , draft deficiency...+ Attention to detail to ensure accuracy in case processing and fee assessments. **What's in it for me?**… more
- Robert Half Technology (Greenville, SC)
- …and maintaining client benefit plans, contracts, and paycodes within a legacy AS400 claims processing system. This is a contract-to-permanent position within the ... insurance industry, offering the opportunity to contribute to specialized...contribute to specialized system setups and ensure accuracy in claims processing . Responsibilities: * Configure and implement… more
- Akumin (FL)
- …as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment. Identifies ... include, but are not limited to:** + Initiate follow-up with insurance companies for payments of pending claims . + Appeals denied claims with insurance … more
- HUB International (Sacramento, CA)
- …on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of ... mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of… more
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