- CVS Health (Charleston, WV)
- …of a member's illness or injury - Identify claim cost management opportunities and refer claims for follow up - Make claim payment decisions - Process ... retention by providing accurate and timely resolution in processing medical claims . You will be a key...computer applications at one time. **Preferred qualifications** - Prior medical claim processing experience is a plus.… more
- CRC Insurance Services, Inc. (TX)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... affecting primary and excess policies in a fast-paced E&S Claim environment. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a...and adjudication of all claims . 8. Maintain claims and suspense system ensuring follow -up for… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...all customer needs (both internal and external). 10. Maintain claims and suspense system ensuring follow -up for… more
- BCA Financial Services, Inc. (Orlando, FL)
- …detail-oriented full-time Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we ... needed to resolve the denial or non-payment of a claim . + Follow up to the point...billing, medical insurance claims , insurance claims resolution, insurance collector, claims follow… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: Performs follow -up activities designed to bring all open account receivables ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
- Ellis Medicine (Niskayuna, NY)
- …healthcare practitioners, practice management and staff; establishing relationships with medical /dental staff, follow -up with providers to ensure documentation ... and the Soarian Financial Management Systems. + Establish relationships with medical /dental staff, follow -up with providers to ensure documentation supports… more
- Ellis Medicine (Schenectady, NY)
- …healthcare practitioners, practice management and staff; + Establish relationships with medical /dental staff, follow -up with providers to ensure documentation ... and the Soarian Financial Management Systems. + Establish relationships with medical /dental staff, follow -up with providers to ensure documentation supports… more
- University of Washington (Seattle, WA)
- … Specialist (Patient Account Representative 2).** This position is responsible for claims review, clearing claim edits, and timely and accurate submission ... updating patient registration information, posting rejections, or forwarding the claim to a medical coding specialist for...websites and/or confer with payers by phone. + Process claim attachments and secondary claims . + Review… more
- TEKsystems (New Haven, CT)
- …auto personal injury protection / medical injury general liability or as a claim technical assistant for lost time claims . - Requires knowledge of workers ... life of the claim . - Sets reserves within authority limits for medical indemnity and expenses and recommends reserve changes to Team Leader throughout the life… more
- Swedish Health Services (Seattle, WA)
- **Description** Follow up on insurance denials and aged claims , submit claims to secondary payers, and ensure accurate billing information is submitted. ... paid or denied appropriately in a timely manner. Re-submit claims to government agencies, medical service bureaus,...we must empower them. **Required Qualifications:** + 2 years medical (or healthcare) insurance follow up experience.… more