- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines.… more
- University of Utah Health (Murray, UT)
- …+ Three years of experience collecting, organizing and maintaining health insurance and processing medical claims , enrollment, and familiarity with ... + Experience with claims processing in a health care delivery setting or insurance payer.... medical coding, or experience as a medical claim processor. **Qualifications (Preferred)** **Preferred** + Extensive Customer… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Regulatory and Property/ADP, to protect the assets of the ministry by resolving those claims within the parameters of the available insurance coverages. Is the ... claim developments and obtain necessary discovery information + Utilize knowledge of insurance contracts, claims investigations, and vendor management to make… more
- Banner Health (AZ)
- …Interfaces with all departments within the health plan to ensure that the Claims , Medical Management training program supports all Customer Care, Medical ... BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians...guidelines as they impact the health plan, claims adjudication, regulatory compliance or medical management.… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …Automobile No-fault etc. all necessary. Transmits claims and current medical reports to insurance company. Corresponds with field activities claimants' ... Privacy Act requirements responding to inquiries received from hospitals insurance carriers and other health agencies. Assists...gain general knowledge of medical /dental and life insurance and benefit claims . OR SUBSTITUTION OF… more
- Prairie Ridge Health (Columbus, WI)
- …experience. + Experience with medical terminology. + Previous experience with health insurance and collection techniques. + Must possess the ability to ... Prairie Ridge Health is seeking a Claims Resolution...responsible for researching and resolving complex facility and professional insurance denials and ensures that claims are… more
- American Family Insurance - Corporate (Denver, CO)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Louisville, KY)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Madison, WI)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- American Family Insurance - Corporate (Columbia, SC)
- At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of ... role will be employed by AFICS, Inc. (American Family Insurance Claims Services, Inc.), an affiliate of...and financial wellbeing. You will have access to comprehensive medical , dental, vision and wellbeing benefits that enable you… more
- Whitney Young Health Center (Albany, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... following up on more complex or problem claims or insurance types as designated by...Clinical degree/background preferred. Prior experience reviewing and coding from medical records. Behavioral Health , Mental Health… more
- Mass Markets (Wichita, KS)
- …ourselves as a trusted partner in the industry. We are seeking an experienced Insurance Call Center Claims Manager experienced in Property and Casualty and Life ... production supervisors and agents to ensure accurate and timely claims processing . Experience in BPO insurance ...Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …though eligibility for specific benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical , dental, vision, life ... Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND… more
- Banner Health (Phoenix, AZ)
- …& Litigation Counsel** will provide strategic and operational leadership to Banner Health 's teams responsible for claims and litigation management, clinical risk ... providing legal advice and direction for risk management incidents and grievances, claims and litigation. Banner Health believes leadership matters. We **value… more
- AIG (Lenexa, KS)
- …skills and experience as a valued member of the team. Make your mark in Accident and Health Claims Our Claims teams are the proven problem solvers of choice ... to external and internal customers. + Handle Accident & Health claims as part of the A&H...work in a high pace, team oriented environment. + Insurance claims experience of at least 1+… more
- LA Care Health Plan (Los Angeles, CA)
- …tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with LA Care. This role works ... findings that would affect the audit results. Perform claims audits for all medical groups and health plans contracted with LA Care. Timely audit reports… more
- Banner Health (AZ)
- …of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work ... to reduce healthcare costs while keeping members in optimal health . If you're ready to change lives, we want... Recovery Unit (CRU) is designed to help reduce medical costs of pre and post payment claims… more
- Guidehouse (San Marcos, CA)
- …finance or customer service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance +… more
- Sedgwick (San Diego, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Professional Liability ( Medical Malpractice) **PRIMARY PURPOSE** ... analyze complex or technically difficult long term care and medical malpractice claims ; to provide resolution of...dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health … more
- Dignity Health (Bakersfield, CA)
- …is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business ... benefits they want from a variety of options including medical dental and vision plans for the employee and...and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and… more
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