- Locations: California, Texas, Florida, Massachusetts, New York
- EMR/PM Sales Executive
- The McHenry Group (Cincinnati, OH)
- ...well funded, serves 15,000 physicians in practices nationwide, with a Portal Solution that automates accounts receivable processes, primary/secondary claims , patient eligibility verification, denial management and patient statement processing. Our client has been ranked as Best...
- Medical Claims Specialist
- NES Staffing (Lakeland, FL)
- Job Purpose: Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims ; documenting actions; maintaining quality customer services; ensuring legal compliance. Requirements: * Determines covered medical insurance losses by studying...
- Analyst - Denial Management - Team Evergreen ( Tacoma , WA )
- DaVita (Tacoma, WA)
- ... Denial Management - Team Evergreen ( Tacoma , WA ) Location: Washington-Tacoma This position collects, analyzes, and interprets denial claims data, and reports metrics and key findings to various internal audiences. This position also coordinates with Revenue Operations, the...
- Medical Claims Denial Specialist
- Jefferson Regional Medical Center (Pittsburgh, PA)
- Works with denial information for outpatient services and certain inpatient stays from the Billing department....and coding requirements to resolve outpatient denials. Submits appeals on denied claims as appropriate. Manages referred cases to insure timeliness of billing. Graduate...
- Claims Program Supervisor-Workers' Compensation
- Riverside County Human Resource Department (Riverside County, CA)
- ...staff, and affected department heads and/or the Board of supervisors, as appropriate; prepares recommendation on acceptance, settlement, or denial of claims above level of delegated authority; prepares and presents appropriate background and technical information in the absence of the...
- Claims Operations Manager
- Perot Systems (Plano, TX)
- ...between the TPA, regions, and external provider groups in the areas of claims submission, claims adjudication, claims payment, claims accumulations, denial communications, and claims reports management. Additional Responsibilities: Resolve production issues on claims...
- WC Claims Lost Time Adjuster Indianapolis - handle IL
- Selective Insurance Group, Inc. (Carmel, IN)
- ...about this job: Overview: The purpose of this position is to investigate, negotiate and conclude by settlement or denial assigned claims through telephone, personal contact, and/or written correspondence. These duties are performed consistent with company claim's policies and...
- Manager, Claims , Quality and Audit
- Bravo Health (Baltimore, MD)
- ...oversight to the teams. The duties include responsibility for the internal Claims quality function relating to the payment and/or denial of claims . This manager is also be responsible for coordination and development of Claims training tools done in conjunction with the...
- Workers' Comp Claims Examiner
- Werner Enterprises (Omaha, NE)
- ...advancement. If you are looking for an employee oriented organization that offers great benefits, apply today! Examine Workers' Compensation claims and determine approval or denial of claims . Receive phone calls from employees reporting of an injury, filing a claim, or inquiring...
- Med Claims Examiner - Lakewood- Competitive Pay
- All's Well (Lakewood, CA)
- ...related claims inquiries. The Claims Lead 2 will also follow HMO and IPA requirements and procedures for the denial of claims . Documentation of the work and confidentiality of the data are essential. Requirements: 2+ years experience in claims payment and adjudication...
- Claims Technical Specialist-Workers Compensation
- Selective Insurance Group, Inc. (Charlotte, NC)
- ...about this job: Overview: It is the responsibility of this position to investigate, negotiate and conclude by settlement or denial complex and challenging claims . The individual in this position will also ensure claims are processed within company policies, procedures, and...
- Senior Claims Representative
- Century Insurance Group (Westerville, OH)
- ยท To provide prompt, cost effective and efficient examination, investigation and settlement or denial of insurance claims up to the highest and most severe exposure with minimal supervision, by exercising independent decision making skills and judgment. ESSENTIAL FUNCTIONS: 1. Adjust a...
- Certified Coder
- Healthcare (Raleigh, NC)
- ...order to promote appropriate reimbursement. Identify and assist the director in resolving problems related to payment system and interaction with PRO and Insurance Department for timely processing of claims . Responsible for appealing any PRO or insurance denial based on coding issues.
- Claim Representative
- Travelers (Tampa, FL)
- ...Handle 1st and 3rd party Personal Insurance and Business Insurance claims . Manage claims for automobiles, a variety of...documenting claim file activities in accordance with established procedures. Write denial letters, Reservation of Rights and other routine and complex...