- University of Rochester (Rochester, NY)
- …reimbursement + Billing primary and secondary claims to insurance + Review paper claims prior to billing. Review include potential of high cost, and late ... for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- Insight Global (Phoenix, AZ)
- Job Description A leading insurance company has an exciting opening for a Supervisor in our Commercial Property and Casualty Claims Department. The Supervisor ... inland marine claims in Alaska and the Southwest Region. The Supervisor will also collaborate with internal stakeholders, external partners, and policyholders to… more
- CommuniCare Health Services Corporate (Akron, OH)
- …for proper documentation and will ensure that all necessary data was verified prior to billing. Additional responsibilities: + Check claim to verify correct ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...others for all aspects of the UB04 and 1500 claim forms. WHAT WE OFFER As a CommuniCare employee… more
- Pilgrim's (Greeley, CO)
- **Description** Programs Claim Processor Purpose and Scope/General Summary: We are looking for a Programs Claim Processor to join us onsite at our Corporate ... required + Ability to communicate and work closely with supervisor relative to critical/urgent sales programs issues + High...background checks for all new team members post-offer and prior to the start of employment. The Immigration Reform… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187) Apply Property Claims Manager… more
- Kohler Co. (Kohler, WI)
- …If a Claim or Leave is approved, the Sr. Disability Claims Examiner then updates internal documentation and systems, coordinates appropriate payments with ... **Sr. Disability Claims Examiner** _Work Mode: Hybrid_ **Location: ** Hybrid...also responsible for communication with associates and coordinating the Claim or Leave application process in compliance with both… more
- NJ Transit (Maplewood, NJ)
- …concerns in relation to the medical diagnosis, and duration of absence for TDB claims . + Sets, maintains and updates TDB claim reserves. + Applies knowledge ... in maintaining manpower as it relates to TDB claims . + Attempts to resolve contractual disagreements prior...day-to-day situations and communicate the company position on each claim . + Familiarity with automated claims management… more
- Veterans Affairs, Veterans Health Administration (Denver, CO)
- …Integrated External Networks, Integrated Veterans Care, Department of Veterans Affairs. The Claims Examiner reports to the Supervisor of the Beneficiary ... claims submitted for payment under the CHAMPVA Program. Prior to the processing of claims , the...of complicated transactions to analyze and resolve issues involving claim submission utilizing automated healthcare claims processing… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- Overview The Claims Specialist, under the direction of the Supervisor (with guidance from a Team Lead), is responsible for processing medical claims received ... . Responsibilities + Verifies the accuracy and completeness of claim forms and attachments, such as EOBs, EOPs, SPPs,...to the systems. Consult with the Team Lead or Supervisor for complex claims or clarification of… more
- HCA Healthcare (Campbell, CA)
- …to received claims . + Generate emergency reports/authorizations for all received claims which lack prior authorization. + Adjudicate third party liability ... reports issues to supervisor . + Provide technical support and training for claims processors. + Recognize and appropriately route claims for carved out… more
- Sysco (Houston, TX)
- …and processing of (i) carrier freight invoices and adjustments, and (ii) freight cargo claims managed by the FECM (Freight Expense & Cargo Claims Mgmt.) team ... the FECM team in the area of: invoice auditing, claim processing, TMS system FECM module, and FECM data....Responsible for and performs any combination of freight cargo claims processing. This includes, but not limited to, evaluating… more
- Mount Sinai Health System (New York, NY)
- …HIS Systems, Clearing House Claim Scrubber and/or any payer websites available for claim correction of billed accounts. + Bill claims to third party payers ... **Job Description** **Accounting Clerk (Commercial Claims Follow-up) Full-Time M-F 9AM to 5PM East...42nd Street** Under the supervision of the Patient Financial Supervisor /Manager, performs a variety of patient accounting functions, including… more
- Texas Veterans Commission (Amarillo, TX)
- …job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive ... provided before an interview can be extended.If this information is not provided prior to the interview, your application may be rejected because it is incomplete.… more
- Mass Markets (Las Cruces, NM)
- …the performance and success of your team. This is a management-level position. Prior experience in management, supervisor , or customer service leadership is ... POSITION OVERVIEW CALL CENTER SUPERVISOR Looking to work for a fast growing...736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Bozeman Health (Bozeman, MT)
- …Health and all related entities, to include insurance follow-up related to no response, returned claims , denied claims , or claim edits preventing claim ... Position Summary: The Hospital / Professional Insurance Billing Supervisor is responsible for assisting with planning, directing,...or claim edits that are preventing timely claim submission. Monitor denials, returned claims , … more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …to coordinate multiple projects with multiple deadlines or changing priorities. + Prior experience with an electronic billing system/ claims editor. + Proficient ... as a leader of positive change. The Physician Billing Supervisor Reports directly to the Manager, PB Network Revenue...Skills and Abilities Preferred: + Proficiency with EPIC PB, claims , and Olive Reimbursement management. + Prior … more
- Commonwealth of Pennsylvania (PA)
- County Casework Supervisor (Local Government) Armstrong Co C&Y Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4737815) Apply County Casework ... Supervisor (Local Government) Armstrong Co C&Y Salary $33,676.50 -...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Records Specialist Supervisor - SCI Coal Township Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4727181) Apply Records Specialist ... Supervisor - SCI Coal Township Salary $50,836.00 - $77,321.00...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Clerical Supervisor 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4741263) Apply Clerical Supervisor 2 Salary $44,890.00 - $67,678.00 ... Protection is on the lookout for a skilled Clerical Supervisor 2 to become part of our South Central...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- …Construction Inspector Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4740285) Apply Transportation Construction Inspector ... on the lookout for a skilled Transportation Construction Inspector Supervisor to join their ranks. This is an exciting...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more