- Centene Corporation (New York, NY)
- …IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations. + Apply Coding Guidelines as described in ... including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide regular… more
- Invenergy (Chicago, IL)
- …internal claim management systems. + Oversee regular claim reporting and maintain open claims status by working closely with the insurance team, Asset ... accurate records of insurance placements, including providing certificates of insurance , tracking policy endorsements, and processing invoices. + Engage with… more
- Humana (Santa Fe, NM)
- …Operations encompasses critical functions including care coordination, quality measurement, billing, claims processing , and customer service, each essential to ... claims , and customer service). + Collaborate with each Insurance Operations function to identify, understand, and align Stars-related business strategies,… more
- Omaha Children's Hospital (Omaha, NE)
- …procedures and practices that pertain to the assigned functions. + Knowledge of medical insurance , CPT and ICD codes. + Ability to demonstrate excellent ... and resolving issues through well-written appeals. **Essential Functions** + Follow up on insurance or government claims to research and resolve unpaid claim and… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Responsible for coordinating, processing and managing all in-patient and out-patient claims from a medical standpoint to ensure proper administration of ... case management certification is preferred **ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS** + Reviews medical claims and requests for services and applies medical… more
- City of Lakeland (Lakeland, FL)
- …a forum for discussion and adjustment of the processing of all insurance and self-insured claims in workers' compensation, property and casualty, general and ... the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements… more
- Kemper (Greenwood, MS)
- …prizes, and trips. **Benefits:** Kemper offers competitive benefits including Group Life Insurance , Major Medical & Dental, Short-term & Long-term disability, ... to our stakeholders that delivers on our promises._ **Role: Life Insurance Sales Agent** **Employment Type:** Full-Time with Benefits **Work Arrangement:** Field… more
- Sanford Health (SD)
- …- $23.00 **Department Details** WFH Day 1 **Job Summary** The Associate Insurance Representative processes and monitors unpaid third party insurance , Medicare, ... reimbursement; primarily but not limited to prebilled accounts. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical… more
- The Kidney Experts, PLLC (Jackson, TN)
- …for aiding the Billing Manager in processing medical claims , working claim denials, assessing insurance discrepancies, and posting primary and ... payments. Duties and Responsibilities + Preparing and submitting billing data and medical claims to insurance companies + Ensuring each patient's medical… more
- OhioHealth (Powell, OH)
- …work queues to correct registration errors. 2. Responsible for electronic and manual insurance verification and processing of insurance paperwork. When ... C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 6. Works Industrial claims in the electronic medical record system, to include but not… more