- The Hartford (Hartford, CT)
- Claims Representative - CH09CNWe're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... at the center of everything we do.Key Responsibilities:Handle a high volume of claims , with a focus on financial accuracy, appropriate file disposition, and an… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …claims , which is dependent on either the facts of the case or the claim type; determines compensability of claims , manages the medical treatment program, and ... About the Role:Job SummaryPrimarily responsible for the investigation and management of workers' compensation claims . Conducts a 1 to 3-point contact on the managed … more
- MultiPlan (Atlanta, GA)
- …healthcare claims thoroughly to maximize savings opportunities on each claim within the established department production standards and individual goals by ... healthcare providers to discuss negotiations for a specific dollar range of eligible claims /bills prior to payment, in order to achieve maximum discounts and savings… more
- CMJobPoster (Ontario, CA)
- Job Title: Claims Team Lead Location (On-site, Remote, or Hybrid?): Ontario, CA (hybrid) Contract Duration: Contract until 11/16/2024 Description: County of Los ... payments process according to procedure Review and approve new claim determinations and provide initial directions as to whether...inquiries and phone calls to assist our customers Review claims for supervisor direction every 90 days or sooner… more
- US Tech Solutions, Inc. (Hamilton Township, NJ)
- …on Medicaid rules and regulation established for final processing. * Resolves claims resolution and/or adjustments/voids. * Processes claim adjustments through ... Job Title: Claims Resolution Representative Location: Onsite at Hamilton Township,...of extension) Job Description: . Looking for candidates as Claims Resolution Representative who can resolve customer issues in… more
- Integrated Resources, Inc (Atlanta, GA)
- …variety of Third-Party Administrator (TPA) payments. . Willingness to learn different claim platforms within eviCore and client claims platforms when necessary. ... Job Title: Claims Associate Representative Location: 100% Remote Job Duration:...concentration in revenue cycle management. . The Accounts Receivable claim examiner must have a thorough knowledge of government,… more
- Staffing Now (Tampa, FL)
- …Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and adjustments (when ... Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and...to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims… more
- MultiPlan (Atlanta, GA)
- …and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND RESPONSIBILITIES: 1. ... to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical...mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding… more
- Percepta (Melbourne, FL)
- Automotive Claims RepresentativeAt Percepta, we bring first-class service across each market we support. As a Automotive Claims Representative in Melbourne ... a unique culture.What You'll Be Doing * Ability to analyze repair shop claim information to determine contract coverage * Ability to speak confidently about extended… more
- Cambia Health Solutions, Inc (Portland, OR)
- Claims Supervisor Remote within WA, OR, UT, IDOnsite/Hybrid can be an option if an office is available in the local area.Primary Job Purpose:This role supports ... workflow, maintaining performance measures and ensuring timely and quality claims processing while adhering to State, Federal and company… more
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