- Humana (Oklahoma City, OK)
- …determination of the appropriate courses of action. The Provider Relations Representative is responsible for day-to-day front line relationship management for ... issues with appropriate enterprise business teams, including those associated with claims payment, prior authorizations, and referrals, as well as appropriate… more
- Iowa Department of Administrative Services (Denison, IA)
- …public contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit ... public contact work obtaining, analyzing and evaluating data such as job/ claims interviewing, testing, referral and/or placement, sales representative , credit… more
- NJM Insurance (Trenton, NJ)
- The Paralegal for the General Claims Legal department provides paralegal support to in-house staff attorneys for claims -based legal matters, assists attorneys' ... The GC Legal Paralegal develops reports to aid General Claims leadership through the analysis and assembly of data...plan documents to determine whether the plan is a self -funded plan that legally may enforce a lien for… more
- HCA Healthcare (Overland Park, KS)
- …individual is recognized. Submit your application for the opportunity below: Medical Collections Specialist HCA Healthcare **Benefits** HCA Healthcare offers a total ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- ProSmile (Oak Park, IL)
- …Responsibilities The duties include, but are not limited to: + Audit charts + Submit claims + Enter insurance payments + Follow up on outstanding claims and ... and Skills/Expected Competencies + Data entry + Well-organized, detail-oriented, and self -motivated + Dental billing experience + Knowledge of dental codes and/or… more
- Horizon Services, Inc. (Hayward, CA)
- …+ Assist employees with health, dental, life and other related benefit claims . + Coordinate workers' compensation claims with third-party administrator. Follow ... the roles and responsibilities of other team members. Ensures Accountability -Holds self and others accountable to meet commitments. Follows through on commitments… more
- Stantec (Nashville, TN)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... - Proactive interface and communication with designated Client commercial representative , as appropriate - Prepare and issue Contractual written communications,… more
- NJM Insurance (Trenton, NJ)
- …predictive models for General Claims , Personal Lines, Personal Injury Protection (PIP) claims and Medical Providers. + Conduct data mining efforts to explore ... and trends related to fraudulent Personal Lines and Commercial Lines policies and claims . + Conduct background research on available public databases to support the… more
- HCA Healthcare (Austin, TX)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- University of Southern California (Arcadia, CA)
- …within the institution. + It is the responsibility of the Patient Access Representative to uphold the highest service standards regarding patient care. + Making ... Medi-Cal and indigent service programs and requirements for timely processing of claims . + Offering assistance promptly, cordially, and completely + Patient care is… more