- R1 RCM (Detroit, MI)
- …requirements. **Required Skills:** + Demonstrated extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, Medicaid); health claims ... and obtain appropriate information in pursuit of resolving unpaid claims . To thrive in this role, Appeals Specialist incumbents...a timely manner. + Performs duties as given by supervisor to fill in where needed + Maintains and… more
- Sedgwick (Jackson, MS)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the… more
- Human Technologies Corporation (Utica, NY)
- …parties. * Investigate, assess, document, and track incidents, near misses, and potential claims that may present a risk of loss to the organization, injury, or ... a 24/7 on-call protocol for immediately addressing any reported injuries. * Coordinate claims management and follow up activities with other team members related to… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …+ Bilingual preferred but not required. + Previous experience in case management handling insurance claims a plus. + Strong skills in medical record review. + ... About The Role MagnaCare provides Utilization Review/ Case Management/ Medical Management/ Claims Review services to its clients. Care Coordinators facilitate care… more
- Owens & Minor (Downers Grove, IL)
- …teammates. Owens & Minor teammate benefits include: + Medical, dental, and vision insurance , available on first working day + 401(k), eligibility after one year of ... written instructions. + Answers questions from customers, clerical staff, and insurance companies. + Identifies and resolves patient billing complaints. + Handles… more
- Aveanna Healthcare (Atlanta, GA)
- …Collector to ensure claims are refiled and/or billed to the second insurance in a timely manner. Understands payer specific requirements for submitting claims ... any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. Essential Job Functions… more
- Colorado State University (Fort Collins, CO)
- …billing and health insurance information to ensure successful and timely billing of insurance claims + Determines whether an insurance is in- or ... patients according to established policies and procedures, entering and verifying insurance and working collaboratively with all health network staff. The Patient… more
- Keith Titus Corp (Weedsport, NY)
- …and weekend rotation Company Benefits : + Aetna Meritain (2 plan health insurance options) + Company Sponsored HRA (Health Reimbursement Card) + Excellus Dental + ... Excellus Vision + Pet Insurance / Pet Discount Program (3 program options) +...finalize repair orders accurately, direct questions to Foreman and Supervisor where appropriate. + Invoice customers at the time… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Answers inbound inquires related to prior authorizations and assists billing group on insurance claims . Completes outbound calls to payors and clinics to assist ... identifies need for authorization initiation or modification due to insurance policy changes. + Escalates issues to supervisor... insurance policy changes. + Escalates issues to supervisor for resolution, as deemed necessary. + Reviews and… more
- Ardon (Portland, OR)
- …interpret claims adjudication issues with Pharmacy Benefit Management organizations, insurance plans, and Patient Assistance Programs. Must be able to accurately ... you will provide leadership and support to processes related to billing, insurance , and referral management and corresponding teams. This position acts as a… more