- Brighton Health Plan Solutions, LLC (New York, NY)
- …Essential Qualifications + Strong knowledge of contracts, medical terminology, and claim dispute processing and procedures. + Previous experience handling ... change, or new ones may be assigned at any time with or without notice. Primary Responsibilities + Thorough... claim disputes. + Claim knowledge including professional, facility and ancillary claims… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY + Department: Oncology + Schedule: Full- time Days: Monday - Friday + Location: Remote Prepares and issues bills for reimbursement to individual and ... in an out-patient or medical office environment. Responsibilities: . Prepares insurance claims for submission to third party payers and/or responsible parties. .… more
- Sedgwick (Dallas, TX)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...maximize settlement. + Performs coverage analysis and opinion as part of the claim process including all… more
- Sedgwick (Indianapolis, IN)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- EquipmentShare (St. Louis, MO)
- …(On call during the weekend only in special circumstances) Primary Responsibilities + Claims Processing : Efficiently process insurance claims from initiation ... customers filing claims . Guide them through the claims process, keeping them informed of their claim...in a customer service role, with prior experience in claims processing or the car rental industry… more
- Amrize (Nashville, TN)
- …by reviewing data from all available resources to efficiently respond to warranty claim issues. The Warranty Claims Investigator will be responsible for ... necessary repairs, communicating to all relevant parties, and negotiating claim resolution. In reaching resolution, the Claims ...guidance to Junior Warranty Claims Investigator regarding claims analysis and processing . **WHAT WE ARE… more
- Sedgwick (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Plano, TX)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Sedgwick (Hartford, CT)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Independent Health (Buffalo, NY)
- …certificate and/or college degree preferred. + Six (6) months of medical claims processing /medical billing experience, customer service experience preferably in ... + Identify and communicate process opportunities or improvements. + Prioritize and manage claim processing workload in an efficient manner. + Effective written,… more