- City of New York (New York, NY)
- … claims and address 3rd Party No-Fault Arbitrations; 4) Set up No-fault claim files which includes issuing and processing NF2 application, confirming the ... to gather information relevant to the investigation of the claim ; 11) Investigate, identify, and report fraudulent claims... claim ; 11) Investigate, identify, and report fraudulent claims , utilize statistical data to identify claims … more
- CVS Health (Austin, TX)
- …PST or CST time zone** **Pay $18.00 per hour** Reviews and adjudicates routine claims in accordance with claim processing guidelines. Critical success ... providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing activities comply with… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as ... claims edits from secondary claims . In the event a claim edit...standards and performance measures for this position **Job Title: Claims Processing Specialist** **Location: Pearland Administrative Office**… more
- IQVIA (Cleveland, OH)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- CVS Health (Franklin, TN)
- …and every day. **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ... Serve as a subject matter expert on Med Supp claim guidelines, system functionality, and regulatory requirements. * Respond... claims . * Step in to assist with claims processing during peak volumes or staffing… more
- CVS Health (Raleigh, NC)
- …communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing . Contributes to the efficient and accurate handling ... stakeholders to resolve any discrepancies or issues related to claims . + Determines if claims processing...multiple systems at once to resolve complex issues. + Claim processing experience preferred but not required.… more
- CRC Insurance Services, Inc. (FL)
- …**Please review the following job description:** This role is focused on technical claim handling of complex general liability claims , both litigated and ... legal budgets through resolution. 4. Determine where new loss claims should be reported. 5. Manage all claim...3. Maintain current knowledge of the insurance industry and Claim 's processing ideas through regular attendance of… more
- CenterLight Health System (NY)
- …Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Coordinate with Finance ... JOB PURPOSE: The Claim Appeals and Audit Specialist will play a...in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software.… more
- NTT DATA North America (St. Louis, MO)
- …DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **In this ... Role the candidate will be responsible for:** + Processing of Professional claim forms files by...schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… more
- NTT DATA North America (MO)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role ... Responsibilities** - Processing of Professional claim forms files by...**Required Skills/Experience** + 1+ years hands-on experience in Healthcare Claims Processing + 2+ years using a… more
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