- St. Bernard's Medical Center (Jonesboro, AR)
- …billing or one year processing claims at the carrier level or processing claims in a similar medical facility or physician's office is preferred. Keyboard, ... Education + High School diploma or equivalent required. Previous hospital or medical billing experience preferred. Business training will be considered. + Experience… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …workers' compensation insurance fund. The Fund's portfolio primarily consists of reimbursement claims to insurance carriers for a worker who had more than one ... employer at the time of injury and claims by insured workers whose employer was not insured....to negotiate with the injured party or their legal representative or the insurance carrier. The Special Fund Administrator… more
- USAA (MD)
- …to field provider method of inspection. + May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members ... responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more
- NDCP (Duluth, GA)
- …exposure. The ideal candidate has experience adjusting workers' compensation lost time and medical only claims in an insurance company, third party administrator ... is timely and accurate. + Communicate, as needed, with injured employees, third-party claims representatives, medical clinics, etc. to ensure the timely delivery… more
- Rush University Medical Center (Chicago, IL)
- …& credit, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits. The Financial Services Representative 1 is also ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Enterprise… more
- Pfizer (Olympia, WA)
- **ROLE SUMMARY** The Field Oncology Medical Outcomes Director is a field-based medical colleague responsible for providing therapeutic area/product expertise for ... through real-world data analyses, pharmacoeconomic analyses, outcomes evaluations, and medical presentations. The responsibilities of the role are to contribute… more
- University of Rochester (Rochester, NY)
- …Payer Website link (EPIC Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not paid. + Determines steps ... independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain… more
- New Jersey Housing and Mortgage Finance Agency (Trenton, NJ)
- …Under supervision, perform duties related to Litigation Management/Bankruptcy Pre-REO insurance Claims and Loss Mitigation; assist with preparation of 108 claims ... audits as needed; market and sell HMFA REO's; pay claims for losses and receive sale proceeds on REO...as necessary. Serve as primary Single Family Servicer Audit Representative ; represent Single Family at servicing audits; and establish… more
- Hart Medical Equipment (Findlay, OH)
- Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation ... the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies. Status: Full Time 1st shift Location: Based out of… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize ... customer trust and enhance our services. DUTIES/RESPONSIBILITIES: + Manage and Identify Claims Portfolio: + Review and evaluate insurance claims to determine… more