- Ardon (Portland, OR)
- …be able to accurately utilize applicable computer software and equipment for pharmacy claims processing . Working conditions Work is performed primarily at a ... Responsible for application tasks, including but not limited to: Processing incoming documents Maintaining patient records Loading insurance information Performing… more
- JBS USA (Souderton, PA)
- …weights and tares on all export loads. + Participate in daily fabrication supervisor meetings to inform them of various export information. + Assist in training ... Manager on all export audits, drive analysis of export claims , assisting in minimizing customer claims through...procedures. + Co-manages the Food Safety and Quality Assurance Supervisor and Fabrication Supervisor on the responsible… more
- Alabama Oncology (Birmingham, AL)
- …of claims and reports any problems, issues, or payor trends to supervisor . + Resubmits insurance claims within 72 hours of receipt. + Participates ... for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take the appropriate action, including completion of submissions,… more
- Humana (Jackson, MS)
- …to correct multifaceted problems relating to eligibility, enrollment, billing, claims , referrals/authorizations, network operations, access to care, Defense Health ... hard copy or in person) regarding eligibility, enrollment, billing, claims , referrals/authorizations, appointment assistance, network operations, access to care,… more
- General Dynamics Information Technology (Las Cruces, NM)
- …customer service? Is helping callers resolve their questions regarding insurance claims and how their Medicare benefits coordinate with other insurance coverage ... questions from customers regarding Coordination of Benefits, Medicare Secondary Payer claims , and billing questions within a fast-paced call center environment. This… more
- Trinity Health (Boise, ID)
- …ensure accuracy. + Accesses information and translates data into information acceptable to the claims processing system. + Prepares claims for return to ... kiosks or online systems. + Identifies routine issues and escalates to Supervisor , Patient Access. + Processes insurance claim forms. + Reviews claims… more
- Catholic Health Initiatives (Chattanooga, TN)
- …with the other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and works with practice ... to facilitate the accurate reporting of HCC diagnoses via claims . + Works to resolve claims denials... correction opportunities and submits to appropriate personnel for processing . + Acts as documentation and coding liaison to… more
- RK Mechanical (Fort Collins, CO)
- …administration functions necessary for successful completion of projects. Processing submittals, expediting deliveries, generating and tracking all administrative ... field workforce, and estimating, purchasing and accounting departments, and processing accounts payable. Role Responsibilities + Assist with and/or...but un-billed, encountered busts in the bid, and pending claims . + Assist in legal claims as… more
- OLV Human Services (Lackawanna, NY)
- …standards. A critical part of the role involves evaluating insurance coverage, managing claims processing , and ensuring all aspects of patient care are ... with Finance to ensure patient charts are updated appropriately, if claims are denied/rejected. * Implement and maintain systems for insurance verification,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …a must) + Knowledge of the health insurance industry, products and services + Familiarity with claims and claims processing . + NYS WC claim processing a ... resolving provider issues. The Support Specialist reports to the Supervisor of Casualty Support. The successful candidate will be...received by the provider or the client, and perform claims analysis + Maintain database for provider issues and… more