- NJM Insurance (Trenton, NJ)
- Our West Trenton MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has ... appropriate + Demonstrate working knowledge of the available computer systems (imaging, bill processing , claims ) to insure prompt and accurate bill processing… more
- City of College Station (College Station, TX)
- …for city-wide risk management programs. Key responsibilities include contract and claims administration, loss prevention, insurance policy management, and ... each claim. Manage claim status notifications and coordinate the processing of related invoices to ensure timely and efficient...years of risk management experience with working knowledge of claims administration and insurance practices; or an… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …. Ensures accurate payment by independently utilizing DRG grouper, encoder, and claims processing platform. . Manages case volumes and review/audit schedules, ... . Intermediate knowledge of PC, software, auditing tools and claims processing systems. Level II (in addition...package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from… 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 ... potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance ...to ensure proper interpretation and application of terms during claims processing . * Ensure that all contract… more
- Access: Supports For Living (Middletown, NY)
- …identified revenue cycle billing issues + Handling billing cycle review procedures for pre- processing (scrubbing) of weekly claims processing + Analyze, ... and timely claim batch creation, submission, and uploading of claims with providers and insurance companies, including...billing and processing program claims for accuracy and completeness; submit claims … more
- Sedgwick (Bartlesville, OK)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Team Lead Workers Compensation **PRIMARY PURPOSE:** To analyze complex or… more
- Guthrie (Sayre, PA)
- …of complex insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes suggestions ... for more streamlined processing . Prepares reports as required and requested. Works with insurance payers on problem claims and processes. Resolves… more
- Ventura County (Ventura, CA)
- …DESIRED: + Four (4) or more years' experience as a workers' compensation claims examiner or adjustor for an insurance carrier, third-party administrator, or ... allowance of up to $25,558 annually for purchasing medical, dental, and/or vision insurance from a group of authorized plans. + Flexible Spending Accounts: Pre-tax… more
- ONEOK, Inc (Tulsa, OK)
- …the entire process including investigation, evaluation, negotiation and settlement of claims while working with insurance adjusters, internal and external ... the entire process including investigation, evaluation, negotiation and settlement of claims while working with insurance adjusters, internal and external… more
- Covenant Health Inc. (Knoxville, TN)
- …correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims . This position is responsible for billing and ... communication skills. + Provides accurate explanation to patients with questions related to claims processing , plan benefits, and account balances via verbal and… more