- MAPFRE Insurance (NM)
- Claims Payment Associate ( Hybrid or Remote) Date: Sep 22, 2024 Location: Remote, NM, US Company: MAPFRE **Century Automotive Service Corporation** , a ... talent to join our team We offer Remote or Hybrid schedule in our Albuquerque, NM office. This position...diploma or equivalent. **Experience:** 2 years experience in automotive claims payments or payment processing; cash processing… more
- Lincoln Financial Group (Columbus, OH)
- …#:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting Group Protection ... Hampshire); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Hybrid /Flexible : Work at home and use the office...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be… more
- Illumination Foundation (Riverside, CA)
- …. + Have knowledge in understanding, reading EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close out process. ... Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims...90-day probation period, this position will be eligible for Hybrid schedule with 2 days in office and 3… more
- Lincoln Financial Group (Columbus, OH)
- …aligned to the specific responsibilities for this role or; For candidates with an Associate degree, 0-1 year claims experience directly aligned to the specific ... to bring on a highly motivated Long-Term Disability (LTD) Claims Specialist to our claims organization. **What...Must-haves: * High School diploma or GED or minimum Associate degree in lieu of required experience. * 3-5… more
- Humana (Columbus, OH)
- …career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal ... on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers inquiries regarding pharmacies' outstanding balances… more
- DriveTime (Murray, UT)
- …use your knowledge of vehicle systems and repairs to validate, approve, and authorize payment for repair recommendations on warranty claims . You'll work over the ... which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative… more
- University of Rochester (Rochester, NY)
- …as to why claims are not paid and steps necessary for processing/ payment + Initiate collection phone calls to insurance companies to determine reason for claim ... denial, or reason for unpaid claim. Address unpaid claims , and solicit a payment date from...Planning PFS events or addressing employee issues **Qualifications:** Requires: Associate 's degree in Business Administration and 2 years of… more
- CareFirst (Baltimore, MD)
- …in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from ... function as well as Clinical Medical Review for both pre- payment and post- payment stages. + Directs and...Clinical Medical Review function aimed at controlling and managing claims that were denied with reason codes that have… more
- CareFirst (Baltimore, MD)
- … and medical records. The claims may be in a pre or post payment environment. + Provide a detailed but concise analysis to communicate findings about the ability ... of losses to CareFirst through the clinical review of medical records and claims , resulting in the savings and/or recovery of funds. Responsible for providing… more
- University of Rochester (Rochester, NY)
- …complex based on high dollar amounts, multiple payers, unique billing or payment arrangements, specialized services (eg transplants, studies) as well as governmental ... to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application, Microsoft… more
- CareFirst (Baltimore, MD)
- …the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week ... provider contract including negotiations, level of network participation, rates, payment levels, reimbursement methodologies, financial feasibility, performance monitoring and… more
- Methodist Health System (Dallas, TX)
- …in healthcare revenue cycle management, specifically in addressing and resolving no response claims , denied claims , and correspondence. As an AR II Specialist, ... outstanding accounts receivable and ensuring timely reimbursement. **Your Job Requirements:** - Associate degree or High School Diploma with (4) four years of… more
- CareFirst (Baltimore, MD)
- …measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and claim ... to determine appropriate billing and code submissions while not compromising payment integrity. Provides expertise and mentoring to other team members. **ESSENTIAL… more
- Martin's Point Health Care (Portland, ME)
- …supports Patient Accounts by actively managing the collections process, patient payment plans, and the Financial Assistance Program. They must have fundamental ... with many payer policies and procedures, including rules for claims appeals, rules regarding the use of ABNs, payer...filing limits to work with Billing Specialists to obtain payment for services rendered from the appropriate party. The… more
- Highmark Health (Wexford, PA)
- …Responsible for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate ... payment of services deemed medically necessary. (20%) + Engages...products (ie Word, Excel, PowerPoint, etc.) **EDUCATION** **Required** + Associate degree **Preferred** + None **LICENSES or CERTIFICATIONS** **Required**… more
- BAYADA Home Health Care (Pennsauken, NJ)
- BAYADA Home Health Care is seeking a Healthcare Medical Collections Associate to work in our Home Health Reimbursement Services office in our state-of-the-art ... your career and learn the business? Then the Reimbursement Associate position might be right for you! **This is... position might be right for you! **This is Hybrid position** . Qualified candidates must be able to… more
- Travelers Insurance Company (Downers Grove, IL)
- …Under moderate supervision, fulfill Bond & Specialty Insurance (Bond) Claims mission by conducting thorough investigation, analysis, evaluation and disposition ... of claims to achieve superior customer service and claim results...This job does not manage others. Travelers offers a hybrid work location model that is designed to support… more
- Taiho Oncology (Princeton, NJ)
- Associate Director, Outcomes Research & Real World Evidence Princeton, NJ, USA Req #389 Wednesday, September 4, 2024 Looking for a chance to make a meaningful ... and our legacy. We invite you to join us. Hybrid Employee Value Proposition: Join our growing Medical Affair...our growing Medical Affair team in the role of Associate Director, Outcomes Research & RWE. Your expertise will… more
- The Clorox Company (Oakland, CA)
- …**Your role at Clorox:** This Associate Director, Risk Management will manage ... and correspondence. + Have responsibility for the insurance premium allocation and payment process. + Provide risk analytics and advisory support to internal and… more
- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... possesses comprehensive knowledge of medical reimbursement programs and the complexities of payment systems, including CPT, ICD-10, and HCPCS codes for Medicare and… more