- Robert Half Office Team (Sacramento, CA)
- …to the appropriate claim numbers by cross-referencing relevant details in the claims management system. * Input detailed summaries into the claims software, ... you will ensure the accurate handling of scanned documents, manage claim -related documentation, and uphold quality standards. This position requires someone with… more
- Ozarks Medical Center (West Plains, MO)
- …filing claims for one or more third-party payers. Billers process medical claims for reimbursement from insurance companies and patients, ensuring accuracy ... and data entry. Key duties include verifying patient insurance, submitting and/or editing claims using standardized medical codes, following up on denied or… more
- Sedgwick (Dubuque, IA)
- …with healthcare providers to establish realistic return-to-work expectations. + Oversees medical management of claims , ensuring compliance with duration control ... PURPOSE** The Senior Disability Representative is responsible for overseeing complex disability claims with a high level of autonomy and expertise. This role… more
- Access Dubuque (Dubuque, IA)
- …with healthcare providers to establish realistic return-to-work expectations. + Oversees medical management of claims , ensuring compliance with duration control ... PURPOSE** The Senior Disability Representative is responsible for overseeing complex disability claims with a high level of autonomy and expertise. This role… more
- NJM Insurance (Parsippany, NJ)
- …Concisely and accurately document all actions taken throughout the course of the claim . + Manage all requests for medical treatment, durable medical ... as to coverage and course of action. + Evaluate claims for fraud indicators and potential underwriting issues and...medical benefits reserves for the life of the claim and adjust reserves, if needed. + Calculate and… more
- Zelis (FL)
- …based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images...concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client… more
- Access Dubuque (Dubuque, IA)
- …Representative Sr **PRIMARY PURPOSE** : To provide disability case management and claim determinations based on complex medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinating investigative efforts, thoroughly reviewing contested claims… more
- Sedgwick (Dubuque, IA)
- …Representative Sr **PRIMARY PURPOSE** : To provide disability case management and claim determinations based on complex medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinating investigative efforts, thoroughly reviewing contested claims… more
- City of Jacksonville (Jacksonville, FL)
- …presumption files. + Manage complex workers' compensation litigation case files. + Reviews medical bills and other services for which claims are made for ... the monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, permanent total disability, and… more
- FLACRA (Newark, NY)
- Medical Biller FLACRA Newark, NY (Onsite) Full-Time $20.00 - $21.00/Hour Apply Now ... (https://flacra.jobs.net/apply/jr00jr6vc8zngcq0f47?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title: Medical Biller Location: Finger Lakes Region, NY Employment Type:… more