- Usaa (Seattle, WA)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... to Special Investigations Unit for handling, if applicable. Maintains accurate and current claim file documentation throughout the claims process for moderate to… more
- University of California Santa Cruz (Santa Cruz, CA)
- …medical healthcare environment with demonstrated proficiency in navigating electronic medical record platforms, coordinating and resolving insurance claim ... to support health and well-being. Here is a sample of benefit options: Medical , dental, and vision insurance plans UC Retirement Pension Plan Optional life, legal,… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …upon request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine ... management including UM/CM, Grievance and Appeals, inpatient and outpatient services, medical policy, and clinical claims review In-depth experience of Mass… more
- NYL - Matthews (Charlotte, NC)
- …agent performance will determine your income. Benefits for full-time agents include medical , dental, vision, life, and disability insurance, as well as a 401(k) ... information about commission-based income and benefits for financial professionals, please follow this link income-and-benefits. About New York Life New York Life… more
- Johns Hopkins University (Chicago, IL)
- …of Health/CLIA required for lab testing provided on-site. Maintain patient medical records. Work collaboratively with the Benefits and Safety teams Coordinate ... health and wellness events and initiatives. To manage workers' compensation claims . To expand clinic services and reach. Provide crisis management/intervention, as… more
- MAG Industries LTD (Tyrone, PA)
- …ensuring accuracy and compliance with company policies * Evaluate return claims , validate supporting documentation, and determine eligibility based on established ... the ERP system * Monitor open return cases and follow up with internal teams and customers as needed...Office and computer based systems Compensation and Benefits: * Medical , dental, vision, and life/AD&D insurance * Paid time… more
- Trinity Health (Davenport, IA)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow -up in... to appropriate colleagues to ensure timely and accurate claim resolution. Proactively follow up on delayed… more
- Guidehouse (Birmingham, AL)
- …and CPT codes. + 1 year experience with claim edits and follow -up related to government/non-government claims accounts. + Prior experience with Metrix, SSI, ... + 0-2 years of experience in hospital billing and/or claims follow -up **What Would Be Nice to...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and… more
- City of New York (New York, NY)
- …Office of the Corporation Counsel and other City agencies to investigate and resolve claims pre-litigation. The Claim Specialist II - Personal Injury Liability ... and damages, and preparing an objective evaluation of the claim ; - Maintain a complete claims file...to request increased settlement authority; - Maintain control over claim backlog, timely follow -up on requests made… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …Nursing,11. Meets regularly with the VP of Nursing and Nurse Administrator regarding medical follow -up issues and personnel issues. Attends meetings as assigned ... medical appointment tracking on all individuals indicating all medical appointments including initial and follow -up appointments, re-scheduled appointments… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …when verbally directed by the Nurse. + Meets regularly with the Nurse regarding medical follow -up issues and personnel issues. Attends meetings as assigned by ... appointment flow sheets for all assigned individuals indicating all medical appointments, including initial and follow -up appointments, re-scheduled… more
- Insight Global (Nottingham, MD)
- Job Description Insight Global is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. ... only, and this role is focused only on outpatient claims follow up, specifically to BCBS. The...and navigate multiple contracts. * Utilize BCBS portal to follow up and resolve outstanding claim issues.… more
- Ryder System (Augusta, ME)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow -up, timely resolution, and adherence to service… more
- Principal Financial Group (Des Moines, IA)
- …and legal purposes. Identify and refer claims to other resources (senior claims personnel, Medical , Law, etc) with appropriate action plan and questions. + ... customer service skills to assist with our client's disability claims - all during a time in which they...medical conditions, restrictions & limitations, disability policy provisions, claim decisions, and all other aspects of the … more
- CRC Insurance Services, Inc. (TX)
- …the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately. 5. Analyze claim coverage with insurance carriers to ... affecting primary and excess policies in a fast-paced E&S Claim environment. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Following is a...and adjudication of all claims . 8. Maintain claims and suspense system ensuring follow -up for… more
- CVS Health (Bismarck, ND)
- …resource materials to manage job responsibilities. **Required Qualifications** + 2+ years medical claim processing experience. + Experience in a production ... RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines....level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity… more
- CRC Insurance Services, Inc. (ID)
- …and makes recommendation for additional activity as appropriate. 4. Determine where new loss claims should be reported. 5. Manage all claim documentation. 6. Use ... and/or correspondence to the Agent or Insurer to process claims appropriately. 7. Analyze claim coverage with...all customer needs (both internal and external). 10. Maintain claims and suspense system ensuring follow -up for… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Performs follow -up activities designed to bring all open account receivables ... to successful closure and obtain maximum revenue collection. Researches, corrects, resubmits claims , submits appeals and takes timely and routine action to resolve… more
- Ellis Medicine (Niskayuna, NY)
- …healthcare practitioners, practice management and staff; establishing relationships with medical /dental staff, follow -up with providers to ensure documentation ... and the Soarian Financial Management Systems. + Establish relationships with medical /dental staff, follow -up with providers to ensure documentation supports… more
- Ellis Medicine (Schenectady, NY)
- …healthcare practitioners, practice management and staff; (6) Establish relationships with medical /dental staff, follow -up with providers to ensure documentation ... and the Soarian Financial Management Systems. + Establish relationships with medical /dental staff, follow -up with providers to ensure documentation supports… more
