• Workers Comp- Claims Specialist (I/II/ Sr.)

    NJM Insurance (Trenton, NJ)
    …and/or DE claims. + Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final settlements + Customer service oriented with ... Preferred: + Associate or bachelor's degree + AIC/CPCU or other applicable insurance designations + Experience using Guidewire Claim Center, OnBase and additional… more
    NJM Insurance (07/31/25)
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  • Senior Account Executive

    World Insurance Associates, LLC. (Philadelphia, PA)
    Company Overview World Insurance Associates ("World") is a unique financial services organization with a global network of brokers and specialists who empower people ... 2011, World is one of the fastest-growing, Top 25 insurance brokers in the US with nearly 3,000 employees...notes to client (includes compliance needs including 5500 filing, Medicare Part D Disclosures, Reporting, HIPAA, ERISA, COBRA) +… more
    World Insurance Associates, LLC. (07/22/25)
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  • Director, Internal Audit - Insurance

    Humana (Springfield, IL)
    …off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** Humana Inc. (NYSE: HUM) is ... - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (09/10/25)
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  • Insurance Denials Supervisor

    Catholic Health Initiatives (Chattanooga, TN)
    …in medical billing or other business-related field is preferred. **Experience:** + Insurance Follow Up experience required + 1 year experience in Supervision or ... of and compliance with state and federal laws and regulations for Medicare , Medicaid, Commercial, and other third-party payers **Overview** **CHI Memorial Mountain… more
    Catholic Health Initiatives (08/10/25)
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  • Patient Account Representative

    TEKsystems (Las Vegas, NV)
    …+ Must sit in either the CST time zones + In-depth knowledge of Medicare , Medicaid, Commercial, and Managed Care insurance + Familiarity with medical billing, ... resources + Follow up on claim submissions and remittance reviews for insurance collections + Initiate and pursue resolution of disputed balances with government… more
    TEKsystems (09/12/25)
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  • Cash Applications Operator

    Brockton Hospital (West Bridgewater, MA)
    …Accounts Receivable system. + Inputs cash payments, ie, responsible party commercial insurance , co-payments, Medicaid, Medicare , Blue Shield, Out of State Blue ... information, ie, encounter form charges, cash payments-both patient and insurance payments- as well as insurance rejections...Shield, Medex, and lock box payments. + Researches all insurance payments not accompanied by an EOB, to ensure… more
    Brockton Hospital (07/16/25)
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  • Registered Nurse Consultant (Nationwide)

    Vatica Health (Atlanta, GA)
    …Practice and Billing Manager, both verbally and written + Understanding of health insurance benefit structure; especially Medicare and Medicaid + Must be ... want to develop within Good Health + Comprehensive Medical, Dental, and Vision insurance plans + Tax-free Dependent Care Account and Flexible Spending Account + Life… more
    Vatica Health (09/08/25)
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  • Patient Access Associate

    BronxCare Health System (Bronx, NY)
    …healthcare experience One to two (1-2) years experience with verification/eligibility of insurance Familiar with Medicaid, Medicare and Managed Care guidelines ... representative at point of service; or at bedside, to verify demographic, Insurance and primary care physician information. Process to include insurance more
    BronxCare Health System (09/06/25)
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  • Central Scheduler

    Lawrence General Hospital (Lawrence, MA)
    …necessity guidelines, alerts ordering physician's offices as needed and generates a Medicare ABN as appropriate. + Verifies patient insurance coverage via ... guidelines and criteria. + Accurately obtains and enters appointment, demographic and insurance information into the electronic EMR during the scheduling process. +… more
    Lawrence General Hospital (08/08/25)
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  • Senior Healthcare Program Specialist - Program…

    Staffing Solutions Organization (Albany, NY)
    …Characteristics:** Desired candidates will have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health ... ensure consumer eligibility and enrollment practices for New York State's health insurance programs are performed in accordance with applicable State and federal… more
    Staffing Solutions Organization (07/18/25)
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