- 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
- Mass Markets (Savannah, GA)
- …others? Join our team as a Bilingual Customer Service & Sales Representative , where you'll support customers across the country with technical support, account ... + Utilize internal systems and tools to manage customer accounts and process claims + Accurately document customer interactions and resolutions in CRM systems +… more
- Mass Markets (IA)
- …globally expanding, industry-leading organization. As an Early MorningCall Center Dispatch Representative , you will play an essential role in interacting with ... departments to resolve complex inquiries + Accurately document customer interactions and claims + Follow scripts, policies, and procedures while using your training… more
- University of Southern California (Arcadia, CA)
- …Under the direction of the Admitting Manager, the Patient Access Representative is responsible for interviewing incoming patients (inpatient and outpatient) to ... admission and produce a complete and accurate admission record. This includes medical record information, as well as demographic and financial related information.… 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
- Ochsner Health (Kenner, LA)
- …or in person and effectively communicates with patients throughout their medical experience. Explains insurance benefits and collects co-pays, deductibles and ... self -pay portions due while informing the patient of their...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- CVS Health (Trenton, NJ)
- …as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of these roles to ... any benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees and the… more
- Clark Construction Group, LLC (Mclean, VA)
- …contracts. Will also assist in managing task trackers. + Provide support for claims management. + Oversee and manage all elements of the Company's eDiscovery ... documents, merger and acquisition agreements and other contracts for litigation, claims , and investigations. + Identify, implement, and ensure best practices and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization, claims , denials, and appeals. Their work goes beyond extraction; it ... as Network and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed… more