- Travelers Insurance Company (Melville, NY)
- …you will be responsible for handling Personal and Business Insurance First Party Medical claims from the first notice of loss through resolution/settlement and ... Will You Do?** + Provide quality claim handling of First Party Medical claims including customer contacts, coverage, investigation, evaluation, reserving,… more
- Arkansas Children's (Little Rock, AR)
- …to 5:00 pm - Hybrid **Additional Information:** Prepares accurate and complete medical claims /billings for timely submission to third-party payers. Responsible ... Work Experience:** **Required Certifications:** **Recommended Certifications:** **Description** 1. Analyzes medical claims to assure they are complete and… more
- Ascension Health (Jacksonville, FL)
- …bills for reimbursement to individual and third party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third ... **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days +...Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** Paid time… more
- Centene Corporation (Helena, MT)
- …to ensure compliance with coding practices through a comprehensive review and analysis of medical claims , medical records, claims history, state ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- US Tech Solutions (Columbia, SC)
- …protocol sets or clinical guidelines. + Provides support and review of medical claims and utilization practices.. **Responsibilities:** + May provide any ... of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …each opportunity. The role also includes the development and communication of market segment medical claims expense trends with the aim to provide insights that ... analytics to support the Business Segment, Trend Oversight and Medical Cost Council teams as well as BCBSMA Account...improve members health and health care quality and moderate claims trends + Design, implementation, and measurement of account… more
- Robert Half Accountemps (Holyoke, MA)
- …supporting top-quality patient and financial outcomes. Key Responsibilities: Review and process medical claims and billing statements for accuracy and compliance ... Description Are you an experienced medical billing professional seeking your next opportunity? Our...Submit claims to insurance providers, follow up on outstanding payments,… more
- The Kidney Experts, PLLC (Jackson, TN)
- …billing assistant is responsible for aiding the Billing Manager in processing medical claims , working claim denials, assessing insurance discrepancies, and ... payments. Duties and Responsibilities + Preparing and submitting billing data and medical claims to insurance companies + Ensuring each patient's medical … more
- Boston Mutual Life Insurance (Canton, MA)
- …year of business/office experience. Sr. Claim Examiner: Minimum of 2 years life/ medical claims experience required. Knowledge Requirements: + Strong business ... manner and meeting departmental quality/production standards. + Review and process claims , evaluate medical records, and request additional information when… more
- Molina Healthcare (Houston, TX)
- …least 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims ... JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and… more