- Magellan Health Services (Maryland Heights, MO)
- …reading comprehension and ability to follow provided directions. General Job Information Title Lead Claims Processor Grade 21 Work Experience - Required ... Partner with management in the design, implementation and maintenance of claims processing programs and procedures. Verify that claims are being adjudicated or… more
- Kelly Services (Columbia, SC)
- …be responsible for responding to customer inquiries, reviewing and adjudicating claims and appeals, and ensuring effective customer relations. This position requires ... as needed to resolve non-routine inquiries - Review and adjudicate claims and non-medical appeals following organizational policies and procedures - Determine… more
- TEKsystems (Fresno, CA)
- Description: 1. Maintain multiple groups 2. Process CMS-1500 claims 3. Process UB-04 claims 4. Process high dollar claims 5. Process JAA / BlueCard claims ... Blue Cross website for inquiries and JAA / BlueCard claims processing 11. Batch/Scan correspondence 12. Access WIKI for...or related medical field preferred. Previous experience in a lead or lead type position. Minimum of… more
- Antech Diagnostics (Oak Brook, IL)
- …Friday from 11pm -7:30am with alternating Saturdays. **PURPOSE OF JOB:** The Lead Specimen Processor assist the department Supervisor/Assistant Supervisor with ... gathering performance metrics, leading shift work, backing up Supervisor/Assistant Supervisors. Lead Specimen Processors will also be responsible for receiving and… more
- Nelnet (Lincoln, NE)
- …servicer, professional services company, consumer loan originator and servicer, payments processor , renewable energy solutions, and K-12 and higher education expert. ... live, learn, and work. Nelnet is seeking an experienced professional to lead actuarial disciplines related to its reinsurance activities. Nelnet reinsures 70… more
- Christensen Farms (Sleepy Eye, MN)
- …Triumph Food members own 50 percent of Daily's Premium Meats, a specialty pork processor bacon and other premium pork products. Triumph Foods also holds a 50 percent ... Serve as the primary point of contact for all workers' compensation claims , ensuring prompt reporting and accurate documentation. + Coordinate with insurance… more
- AristaCare (Cranford, NJ)
- …of the changes + Submit Billing Assistance form to Provider Relations for Medicaid claims + Submit cases to attorney if potential problem. + Work with attorney on ... + Works closely with County Social Security Office supervisor to ensure all claims are processed correctly and rapidly. + Work with pension companies to obtain… more
- PruittHealth (Fitzgerald, GA)
- …prior to hire and per renewal regulations. 30. Monitors workers compensation claims and coordinate work between employee and insurance carrier. 31. Operates copier, ... office machines, computer/word processor , etc. As directed. 32. Prints, prepares and distributes...orientation, assembles orientation packets and personnel file. Be the lead person for the 4-day orientation process, order uniforms,… more
- AbbVie (Mettawa, IL)
- …in Gross to Net Rebate processing. The Market Access Contracting & Rebating Lead is responsible for the operational support associated with select regional accounts. ... analytics, invoicing validation, corresponding dispute resolution, and payment of rebate claims within contracted timelines. Provide routine and ad hoc financial… more
- UPMC (Cumberland, MD)
- …the following actions; submission of prescription information to correct insurance processor , troubleshoot and resolve rejected claims , reliably coordinate ... process. + QUALITY IMPROVEMENT: participation in an active role as a lead contributor/developer in department and collaborative quality improvement, assist in data… more
- Hormel Foods (Bedminster, NJ)
- …new raw customers and product launches. The role will be the lead project manager for strategic poultry initiatives. **RESPONSIBILITIES:** 1. Analyzes current ... Better Chicken Commitment, including managing new supplier and raw further processor onboarding. (20%) 3. Assists Business Manager with supplier relationships… more
- UPMC (Cumberland, MD)
- …the following actions; submission of prescription information to correct insurance processor , troubleshoot and resolve rejected claims , reliably coordinate ... process. + QUALITY IMPROVEMENT: participation in an active role as a lead contributor/developer in department and collaborative quality improvement, assist in data… more
- UPMC (Pittsburgh, PA)
- …the following actions; submission of prescription information to correct insurance processor , troubleshoot and resolve rejected claims , reliably coordinate ... skills: + QUALITY IMPROVEMENT: participation in an active role as a lead contributor/developer in department and collaborative quality improvement, assist in data… more