- UPMC (Pittsburgh, PA)
- …software to assess and monitor for potential FWA. + Review and analyze claims , medical records and associated processes related to the appropriateness of ... substances, prescribing of controlled substances, or medically appropriate services. + Query medical and/or pharmacy claims and conduct a risk assessment by… more
- Humana (Madison, WI)
- …initiative and judgment. May apply intermediate mathematical skills. The Claims Research & Resolution Representative 3 works with insurance companies, ... caring community and help us put health first** The Claims Research & Resolution Representative 3 manages...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Travelers Insurance Company (Irvine, CA)
- …Determination - Advanced. + Settlement Techniques - Intermediate . + Legal Knowledge - Intermediate . + Medical Knowledge - Intermediate . **What is a Must ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Travelers Insurance Company (Overland Park, KS)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...rules and regulations applicable to the insurance industry. + Medical knowledge: Intermediate knowledge of the nature… more
- Travelers Insurance Company (San Diego, CA)
- …- Advanced. + Settlement Techniques - Advanced. + Legal Knowledge - Advanced. + Medical Knowledge - Intermediate . **What is a Must Have?** + High School ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions ... area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and… more
- LATICRETE International (Dallas, TX)
- …waiting for? Join the family and expand your horizons! Just some of our benefits: + Medical + Dental + Vision + 401k + Tuition reimbursement + 13 paid holidays in ... products and system! In this role, a Technical Sales Representative 's primary responsibility is to achieve sales goals by...RSM. + Investigate, document and report all complaints and claims for service in territory and coordinate same with… more
- Logan Health (Kalispell, MT)
- …| Strive for Excellence. Join the Patient Accounting Team! Location: Logan Health Medical Center - Kalispell, MontanaSchedule: Day Shift - 8 Hours | Full-Time - ... At Logan Health, we are seeking a dedicated and customer-focused Customer Service Representative to join our Patient Accounting team. In this dynamic role, you will… more
- Dow (Freeport, TX)
- At a glance Position:Senior Construction Technologist Lead (I&E Owners Representative ) Primary Location:Freeport (TX, USA), Texas, United States of America ... an opportunity for aSenior Construction Technologist Lead (I&E Owners Representative )located inFreeport (TX)within the Texas Operations (TXO) Construction Group.… more
- Hussmann Corporation (Bridgeton, MO)
- …factory to satisfy the customer requests and resolve issues. The Customer Service Representative must ensure that the customer specifications and requests are met by ... Systems. + Monitors and Maintains processes/workload related to Freight Claims and Returns. + Must be able to work...to work outside normal working hours and weekends + Intermediate to advanced proficiency in Microsoft Office Suite +… more
- UNC Health Care (Chapel Hill, NC)
- …carrier denial of claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in conjunction with appropriate resources ... and quarterly Credit Balance reports. 6. Payor Audits & Pro-Active Medical Records Requests: Oversee and document all submissions pertaining to payor-generated… more
- Logan Health (Kalispell, MT)
- …| Strive for Excellence. Join the Patient Accounting Team! Location: Logan Health Medical Center - Kalispell, MontanaSchedule: Day Shift - Variable Hours | PRN ... Status The Medical Billing & Collections Specialist plays a vital role...efficiency, ensure compliance, and facilitate the seamless processing of claims . With a keen attention to detail and expertise… more
- Amentum (Washington, DC)
- …("VCF") was created to provide compensation for any individual (or a personal representative of a deceased individual) who suffered physical harm or was killed as ... claim review team leads, supervisors, and under the supervision of the Claims Manager, the Claim Review Assessor will perform pre-screen, document processing and… more
- LATICRETE International (Bethany, CT)
- …waiting for? Join the family and expand your horizons! Just some of our benefits: + Medical + Dental + Vision + 401k + Tuition reimbursement + 13 paid holidays in ... implementation, administration and communication of all benefit programs, including medical , dental, vision, life/disability, voluntary benefits, wellness, 401k, deferred… more
- Hendrick Automotive Company (Kansas City, MO)
- …Kansas City, Missouri 64114 Summary: Responsible for preparing records, reconciling warranty claims , and submitting warranty claims to the factory and ... Essential Duties and Responsibilities include the following: + Processes warranty claims in accordance with Manufacturer Guidelines. + Verifies criteria required by… more
- Superior Ambulance Service (Elmhurst, IL)
- …and today is the largest independent, locally owned, and operated emergency medical services provider in the Midwest. Superior employs more than 3,500 licensed ... Wisconsin. Superior also provides Critical Care, helicopter, and fixed wing emergency medical transportation. The primary purpose of the Accounts Receivable team is… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, administrative… more
- UIC Government Services and the Bowhead Family of Companies (Albany, GA)
- …Government Contracting Officer (CO) and the contract level Contracting Officer's Representative (COR). + Establish and carry out departmental or organizational ... written and oral communications abilities commensurate with this supervisory role. + Intermediate to advanced level skills in Microsoft Office software suite - Word,… more
- UIC Government Services and the Bowhead Family of Companies (Langley AFB, VA)
- …with the Government Contracting Officer (CO) and the contract level Contracting Officer's Representative (COR). + Has full authority to negotiate, act and commit for ... written and oral communications abilities commensurate with this management role. + Intermediate to advanced level skills in Microsoft Office software suite - Word,… more
- Owens & Minor (Indianapolis, IN)
- …that support your health, finances, and overall wellness. Our benefits program includes: + Medical , dental, and vision care coverage + Paid time off plan + 401(k) ... collection representatives who follow-up with insurance companies to resolve unpaid claims . **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Manages most complex overdue… more
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