- Robert Half Office Team (Trafford, PA)
- …Coordinates job duty modifications and return to work. 5. Responsible for processing Short-Term Disability and Long-Term Disability Claims . Completes any ... employee complaints, or problems relating to these plans. Interacts with insurance companies, employees, dependents and billing offices to resolve any problems.… more
- Catholic Health Services (Melville, NY)
- …and resubmits claims , as required. + Verifies accuracy of patient insurance and demographic information. + Generates bills to patients for services not covered ... for accurate and timely hospital billing, follow up, collections, cash processing and customer service related activities. Responsibilities: + Reviews, corrects and… more
- Kemper (Houston, TX)
- …and Salesforce processes. + Communicate with Home Office regarding policy status, claims , and underwriting. **Payment Processing & Balancing:** + Process ... Enter paper applications into FDE + Batch, scan, and index documents ( claims , underwriting, policy administration, policy delivery receipts) into the imaging system.… more
- Unilever (Trumbull, CT)
- …product technologie s, including working with internal R&D teams, Marketing, CTI/ Claims , Procurement, Supply Chain, external suppliers, and local team counterparts. ... Including formulation development , stability, safety and performance testing, processing , specifications, patents, etc. + Design new products against technical… more
- J&J Family of Companies (Santa Clara, CA)
- …policy, utilization review, health outcomes, risk management, provider contracting, and claims processing . + Develop relationships with Advisory Committee ... track review periods, and analyze data on medical review, prior authorization, and claims payment trends to inform payer strategy, tactics, and team priorities. +… more
- University of Southern California (Los Angeles, CA)
- …in managed health care. General understanding including but not limited to: claims processing functionality, benefit coverage, provider network, standard billing ... and innovation. Manages and resolves human resource and member claims and plan related issues. . Plans and conducts...of directly related professional and supervisory experience in health insurance programs The ideal candidate for the position of… more
- Health Care Service Corporation (Downers Grove, IL)
- …health insurance account executive OR 6 years experience in group health claims processing , customer service, claims -related, and/or sales and thorough ... savings plan, pension plan, paid time off, paid parental leave, disability insurance , supplemental life insurance , employee assistance program, paid holidays,… more
- Covenant Health Inc. (Knoxville, TN)
- …to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs ... to ensure compliance with Medicare, Medicaid guidelines and other insurance payors and to maximize reimbursement. Quality + Explains...parties the complete/ partial payment or repayment of the claims , as described in the Audit Policy, as findings… more
- Metropolitan Council (St. Paul, MN)
- …Negotiating or assisting in the negotiation of change orders, contract conflicts, or claims . Reviewing and processing requests for payment. + Maintaining files ... from which to choose, with employer contribution towards premiums over 80% + Dental insurance , life insurance and vision insurance The following benefits are… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …PBM environments; additionally, you will have a strong understanding of PBM claims processing and related technologies. Your Responsibilities * Primary ... IT development initiatives within the Pharmacy Benefits Manager (PBM) claims space. As a Senior Consultant, you will serve...package which may include: * Medical, dental, and vision insurance * Life insurance * 401k *… more