- TEKsystems (Fresno, CA)
- …and volume within acceptable levels Skills: Claim, Customer service, medical billing, administration, Claims processing , dental claims , Insurance, Health ... insurance, Health care Top Skills Details: Claim,Customer service,medical billing,administration, Claims processing , dental claims Additional Skills &… more
- CVS Health (Scottsdale, AZ)
- …-Working within turnaround times to meet client performance guarantees for claims processing . -Meeting productivity and accuracy standards **Required ... include: -Outbound calls to Members and/or Providers for verification of information - Processing and adjudicating paper claims . -Maintaining integrity of … more
- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- CVS Health (Albany, NY)
- … claims operations, or analytics development. + Strong understanding of medical, dental , and pharmacy claims processing , coding practices, and ... compliance. This Independent contributor requires deep expertise in medical, dental and pharmacy claims operations, as well as a thorough understanding of coding… more
- AssistRx (Orlando, FL)
- …to support all operational and financial processes related to claim processing activities ensuring effective day-to-day operations and provide ongoing Copay program ... customer business review meetings. Responsible for utilizing forecasts and analyzing claims data to determine Copay utilization, escrow account replenishment needs,… more
- Elevance Health (Houston, TX)
- …FL, Houston, TX or Mason, OH.** The ** Claims Representative II (Health & Dental )** is responsible for keying, processing and/or adjusting health claims ... ** Claims Representative II (Health & Dental )** **Must be located within 50 miles of Norfolk, VA, Tampa,… more
- Veterans Affairs, Veterans Health Administration (Denver, CO)
- Summary This position is in the Beneficiary Claims Processing Unit, CHAMPVA program, 3.1 Network Development and Operations, Integrated External Networks, ... Examiner reports to the Supervisor of the Beneficiary Claims Processing Unit. The primary function of...or discrepant data, medical audits such as for ambulance, dental , travel and durable medical equipment as they pertain… more
- Elevance Health (Columbus, GA)
- **Title: Claims Representative I (Health & Dental )** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate will live ... during the first 6 weeks of training. Start date: 1/6/2025.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Robert Half Accountemps (Plantation, FL)
- … as per the guidelines of the CMS Platform * Utilize Cl Programming for efficient claims processing * Manage benefit functions related to medical claims * ... as needed Requirements * Proficiency in using Allscripts software for medical claims processing * Familiarity with Cerner Technologies for managing healthcare… more
- AON (Chicago, IL)
- …Hotels, Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local, ... Hotels, Vendors on any disputes/issues, updates, escalations, or discrepancies. + Ensure all claims processing adheres to internal policies, as well as local,… more
- Highmark Health (Pittsburgh, PA)
- …**systems and technology** **will be essential.** **This includes k** nowledge of claims processing platforms, data management systems, and relevant technologies ... grievances along with familiarity with various claim types (medical, dental , pharmacy, etc.). **Demonstrated success with leading** ** claims...like AI/ML to optimize claims processing . **ESSENTIAL RESPONSIBILITIES** + Understand the… more
- Elevance Health (Houston, TX)
- ** Claims Representative I (Health & Dental )** **Location:** Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, ... TX, Indianapolis, IN, Atlanta, GA, Miami, FL, or Tampa, FL PulsePoints. The ** Claims Representative I (Health & Dental )** is responsible for successfully… more
- Medical Mutual of Ohio (Toledo, OH)
- …of data entry and standard office procedures + Knowledge of health insurance claims processing and provider coding + Alpha-numeric keyboarding skills at a ... minimum of 6,000 ksph + Proficiency with claims processing systems and basic Microsoft Office...Account with a company matching contribution. + Excellent medical, dental , vision, life and disability insurance - insurance is… more
- Sedgwick (Columbus, OH)
- …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting...+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. \# claims … more
- Sedgwick (Columbus, OH)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to join… more
- Sedgwick (Phoenix, AZ)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Handling Positions | CO, UT, AZ Are you looking for an… more
- Kohler Co. (Kohler, WI)
- …(bachelor's degree) - or equivalent experience + Knowledge of general claims processing procedures + Knowledge of medical and dental terminology preferred + ... and eligibility in accordance with the Pay Protection Plan and standard claims processing procedures. + Contact attending personal care provider (PCP)… more
- Sedgwick (Cincinnati, OH)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. \#claimsexaminer # claims #hybrid… more
- Kelly Services (Chicago, IL)
- …negotiation skills. **What's a typical day as a Human Resources Workers' Compensation Claims Handler? You'll be:** * Analyzing and processing complex workers' ... That's where Kelly(R) comes in. We're seeking a **Human Resources Workers' Compensation Claims Handler** to work at a premier facility in **Chicago, IL.** Sound… more
- Sedgwick (Denver, CO)
- …only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal ... processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more