- PedIM Healthcare (Crystal River, FL)
- …training. Supportive and collaborative work environment. Responsibilities: Review and process medical claims for accuracy and completeness. Verify patient ... Florida. We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team. If you're...data and resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or… more
- MCKESSON (Pensacola, FL)
- …Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding ... reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer… more
- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Manager, Claims Operations you will lead and be accountable for auto, and other claims ... employees understand how their work and contributions support the overall claims and Enterprise strategies. Proactively identify opportunities to improve operational… more
- USAA (San Antonio, TX)
- …what truly makes us special and impactful. The Opportunity As a dedicated Claims Litigation Manager- Auto , you will be responsible for managing moderately complex ... liability and questionable coverage issues. Applies intermediate knowledge of claims litigation processes. Proactively manages litigation and acts as liaison… more
- USAA (Phoenix, AZ)
- …operational areas. Sets operational goals and measures to achieve overall claims litigation targets. Designs and implements claim's strategies supporting enterprise ... strategy development, and financial and operational planning. Leads broad functional Litigation, Claims and P&C projects and may serve as an executive sponsor for… more
- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. There's a lot to ... Phoenix office (1 Norterra Drive, Phoenix, AZ 85085) as a Customer Service Claims Representative. You will be part of an outstanding contact service center, where… more
- USAA (Phoenix, AZ)
- …special and impactful. The Opportunity Accountable for auto, property and/or other claims teams to deliver operational business results at scale. Responsible for ... operational areas. Sets operational goals and measures to achieve overall claims targets. Designs and implements claim's strategies supporting enterprise objectives.… more
- LE Cox Medical Centers (Lake Spring, MO)
- …◦ Education Required: High School Diploma or Equivalent ◦ Experience Preferred: medical billing experience and claims processing knowledge; familiar with the ... about billing information and establishing estimates for patients who have a scheduled medical service or procedure. The Financial Advisor works with the patient to… more
- LE Cox Medical Centers (Lake Spring, MO)
- …your application. Required: High School Diploma or Equivalent Experience: Preferred: medical billing experience and claims processing knowledge; familiar with ... about billing information and establishing estimates for patients who have a scheduled medical service or procedure. The Financial Advisor works with the patient to… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …upon request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine ... including UM/CM, Grievance and Appeals, inpatient and outpatient services, medical policy, and clinical claims review In-depth...and outpatient services, medical policy, and clinical claims review In-depth experience of Mass Health and CMS… more
