- US Tech Solutions, Inc. (Cumberland, RI)
- Job Title: Representative - Customer Service Location: Cumberland RI, 02864 Duration: 6 months contract Shift Timing: Monday - Friday 8:30 - 5 Job Description: ... Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Copay assistance programs. Individual must work with Omnicare pharmacy… more
- SCA Health (Pinehurst, NC)
- Insurance Verification Representative - Pinehurst Surgery CenterJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLPinehurst, North ... to the patient account ensuring the appropriate payer is selected for Primary insurance .Utilize the centers selected vendor for claims and eligibility and/or… more
- A-Line Staffing Solutions (Monroeville, PA)
- …Switchboard Office Administration, Healthcare, call center, mail order medications, Insurance Verification, Medicare , Medicaid, Medical billing, EOB, Benefit, ... of experience performing or explaining healthcare reimbursement/collections or medical insurance billing Preferred 1 years experience performing phone work… more
- Guidehouse (Gardena, CA)
- …Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative - Medicare Emphasis** is an ... (Manager, Talent Acquisition) at ###_** **Essential Job Functions** + Medicare Claims + Account Review + Appeals... + Account Review + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service… more
- State of Indiana (Indianapolis, IN)
- Medicare Claims Analyst Date Posted: Jun 6, 2024 Requisition ID: 443202 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity...is fully engaged with this mission. Role Overview: The Medicare Claims Analyst will serve as the… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group has a WC Claims Support Representative position available in their West Trenton, NJ location. The WCC Claims Support Department is ... responsible for a variety of support tasks stemming from the Claims and Legal Departments and State Agencies. The Support staff ensure benefits are accurate and… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | Long Beach, CA (Onsite) **PRIMARY PURPOSE** : ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing… more
- Trinity Health (Farmington Hills, MI)
- …complete tasks/work assignments **ESSENTIAL FUNCTIONS** **Follow up Rep II for Medicare Advantage Claims ** Knows, understands, incorporates, and demonstrates the ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- CVS Health (Hartford, CT)
- …of business - Working rework reports timely - Researching and troubleshooting failed claims - Adding and/or editing overrides in RxClaim - Logging audits and errors ... Coverage Determination & Appeals experience. - 1plus year of Medicare PART B experience - MHK, RxClaim, and People...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
- BrightSpring Health Services (Arlington, TX)
- …obtaining information, completing necessary documentation, and following up on outstanding claims . + Understands Insurance and Medicaid formularies and ... schedules Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount… more
- BrightSpring Health Services (Arlington, TX)
- …in obtaining information completing necessary documentation or following up on outstanding claims + Individual with an understanding of Insurance and Medicaid ... Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance...as assigned + Achieves productivity goals with regard to calls/ claims per hour as determined by the Director and… more
- Highmark Health (Charleston, WV)
- …models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office ... based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value… more
- Access Dubuque (Dubuque, IA)
- …not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to ... Claims Examiner - Liability **Sedgwick** 1 Positions ID:...**Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of Experience Required: 2+ years of claim processing experience with a Medicaid/ Medicare Health Plan. Preferred: Experience in health insurance product ... Claims Auditor 75 Vanderbilt Ave, Staten Island, NY...PHYSICAL REQUIREMENTS : The physical requirements described here are representative of those that must be met by an… more
- Travelers Insurance Company (Irvine, CA)
- …**What Is the Opportunity?** Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best… more
- Travelers Insurance Company (Lake Oswego, OR)
- …**Target Openings** 1 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …or health plan insurance environment. Knowledge of health Care and insurance and the ability to Interpret/Apply Medicare Prescription Drug Benefits, Medical ... to administrative issues related to health plan operations including claims resolution, premium billing, medical benefit interpretation, organization and coverage… more
- Travelers Insurance Company (Phoenix, AZ)
- …under direct supervision. As a trainee, you may also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and ... Claim team is committed to partnering with our business insurance customers to help their injured employees return to...you will handle all aspects of a workers compensation claims . In this role, you will learn how to… more
- Surgery Care Affiliates (Mesa, AZ)
- …for Primary insurance . + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or ... guidelines and the process of collecting over the counter payments/deductibles/copay/co- insurance . Knowledge of payer contracts including Medicare , Medicaid… more
- Surgery Care Affiliates (Mokena, IL)
- …for Primary insurance . * Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or ... guidelines and the process of collecting over the counter payments/deductibles/copay/co- insurance . Knowledge of payer contracts including Medicare , Medicaid… more
