- Excellus BlueCross BlueShield (Rochester, NY)
- …guideposts for employee development and promotional opportunities. All Levels + LPN, Medical Assistant, Health Plan customer service or claims processor ... company or medical care setting required. + Working knowledge of medical terminology and the claims systems required. + Must demonstrate proficiency… more
- Invenergy (Chicago, IL)
- … notice intake, evaluation, and reporting, oversee claim handling, support claim investigations, complex claims and coverage determination and disputes, ... claims across all lines of coverage in internal claim management systems. + Oversee regular claim ...process. Invenergy offers a variety of other benefits including medical , dental and vision insurance, 401k, paid time off,… more
- WellSpan Health (Chambersburg, PA)
- …payment information and to resolve claim discrepancies.- Submits itemized bills, medical records, and corrected claims as needed.- Reviews remittance advice ... in the completion of submitting electronic and/or manual insurance claims , resolves claim edits, performs insurance account... and billing terms to help interpret edit resolution, claims remittance advice, medical record documentation and… more
- WellSpan Health (York, PA)
- …payment information and to resolve claim discrepancies.- Submits itemized bills, medical records, and corrected claims as needed.- Reviews remittance advice ... in the completion of submitting electronic and/or manual insurance claims , resolves claim edits, performs insurance account... and billing terms to help interpret edit resolution, claims remittance advice, medical record documentation and… more
- Access Dubuque (Dubuque, IA)
- …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
- Sedgwick (Dubuque, IA)
- …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
- Michaels (Carpenter, IA)
- …than quarterly) claim reviews with third-party administrator (TPA) and broker claims control consultant. + Has oversight responsibility for working with TPA in ... up. + Supervise and drive communication with injured team members to bring about claims closure and appropriate medical treatment and facilitate their return to… more
- Trinity Health (Davenport, IA)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- ICW Group (Pleasanton, CA)
- … claims . + Contacts and/or interviews injured workers, doctors, medical specialists, attorneys, and employers to get additional information. + Communicates ... and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims ...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- American Family Insurance - Corporate (Thornton, CO)
- …between 25% - 75%. You will work in the field and report to the Property Claim Manager and handle homeowner property field claims from Thornton, CO to Johnstown, ... a property field adjuster, you will investigate and maintain property/ claims . Determine liability, secure information, reviews coverages, arranges appraisals, and… more