- Polaris Pharmacy Services, LLC (Covina, CA)
- …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
- Iowa Department of Administrative Services (Des Moines, IA)
- …public contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit ... public contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …system and follow-up for receipt of policies, endorsements, inspections, correspondence, claims , etc. from outside sources. 4. Maintain account files in accordance ... requested. **QUALIFICATIONS** **Required Qualifications:** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …and retirement plan assets $1.6B) + Lead plan design, funding strategy, and claims analysis across self-insured medical, life, LTD, IDI, leave, ADA, wellness, and ... improvement **QUALIFICATIONS** **Required Qualifications:** The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable… more
- Hartford Steam Boiler Inspection and Insurance Company (Brooklyn, NY)
- …Borough of Brooklyn , United States The Hartford Steam Boiler Inspection and Insurance Company is looking for an Inspector to join our Engineering Team! In ... of jurisdictional certification, loss prevention, risk assessment, OnSights and claims investigations. May be utilized for fee service engineering inspections.… more
- Avera (Sioux Falls, SD)
- …denied claims . + Reviews, analyzes, and appeals denials received relative to claims processing issues with insurance payers. + Communicates with internal and ... for complete follow-up of patient accounts, working closely with insurance companies and internal team members to resolve account...external customers involved in the claims resolution process to ensure timely claims … more
- Grant PUD (Ephrata, WA)
- …Enterprise Risk Management (ERM) program, including responsibilities in enterprise risk, claims management, and insurance program support. It also contributes ... role may include senior-level responsibilities such as leading enterprise risk or insurance program functions, managing complex claims , providing strategic risk… more
- Beth Israel Lahey Health (Burlington, MA)
- …provider documentation in order to determine appropriate coding and initiate corrected claims and appeals. Duties include hands on coding, documentation review and ... annually or as introduced or required. 3. Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding… more
- LogixHealth (Dania Beach, FL)
- …appeals on claims that require an appeal + Submit required documentation to insurance companies as requested + Research claims for information in order to ... on a regular basis + Correct errors and resubmit all unprocessed or returned claims to insurance companies + Create UB92 and HCFA bills Qualifications: To… more
- Hartford Steam Boiler Inspection and Insurance Company (New York, NY)
- …enhancements and product strategies in collaboration with HSB's underwriting, claims and engineering units. Qualifications Education and Experience: + Bachelor's ... actuarial exams. + Four (4) or more years of (re) insurance /actuarial work experience. Knowledge and Skills: + Working knowledge...and any physical and mental requirements described here are representative of those that must be met by an… more