- Whitsons Culinary Group (Islandia, NY)
- …claims from initial injury report to closure. + Assess and monitor medical treatment plans, reserves, settlements, and claim progression through carrier/TPA ... PA, IL, MA). + Collaborate with TPAs and carriers to ensure timely claim investigation, medical management, and settlement negotiation. + Conduct and/or oversee… more
- Heritage Environmental Services, LLC (Indianapolis, IN)
- …stakeholders (Operations, Safety, Legal, HR) and external vendors (TPAs, insurers, and medical providers) to drive timely and cost-effective claim outcomes + ... and vendor relationships, and provides responsive support for employees and leaders navigating claims . As a key leader within Human Resources, this position plays a… more
- PruittHealth (Norcross, GA)
- …variances, make corrections, and take appropriate corrective actions to ensure timely claim resolutions. 8. Evaluates accounts, resubmits claims , and performs ... reimbursement based upon services delivered and ensuring that the claim is paid/settled in the timeliest manner possible. 2....Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate… more
- Rush University Medical Center (Chicago, IL)
- …assisting in the oversight and management of professional and general liability suits and claims for Rush University Medical Center (RUMC) and Rush Oak Park ... + 5 years' experience as a litigation paralegal working with general liability and/or medical malpractice claims is strongly desired. + Knowledge of medical … more
- Amentum (Washington, DC)
- …+ Experience with claim review lifecycles and the ability to triage claims based on established guidelines. + Highly skilled in coordinating across teams and ... concerns. + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily...of priorities to team members. This involves monitoring various claim statuses or queues. + Determine individual team member… more
- Robert Half Accountemps (Barton, VT)
- …experience working with insurance claims . Responsibilities: * Process and submit medical claims to insurance providers, ensuring accuracy and compliance with ... healthcare providers to address billing concerns. Requirements * Proven experience in medical billing and insurance claim administration. * Proficiency in using… more
- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We provide an amazing...claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include… more
- Johns Hopkins University (Middle River, MD)
- …as needed and submits to third-party payers. + Appeals reflected claims and claims with low reimbursement. + Performs claim edits as needed. + Confirm credit ... Specialist_** who will be responsible for the basic collection of unpaid third-party claims and standard appeals, using various JHM applications and JHU/ PBS billing… more
- Ventura County (Ventura, CA)
- …the use of multiple electronic health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist IV ($ ... Medical Billing Specialist III/IV - Behavioral Health Print...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Sedgwick (Chicago, IL)
- …exposure claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes independent claim determinations, based on the information received, to approve complex ... with claimant and client on all aspects of the claims process including claim approval, decision authority...coded correctly and that adequate documentation is in the claim . + Reviews and analyzes complex medical … more