The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. ...
The client is seeking a highly motivated an experienced TEMP - Claims Resolution Specialist (Customer Service) to join our team. The Claims Resolution Specialist will be the first line of contact for the client’s providers. The incumbent will assist providers with questions related to the payment of...
Experience in handling conditional demands, preferably including bodily injury claims, on behalf of an insurer as an attorney, technical specialist, claims manager or similar role sufficient in one more of the following states to develop a high degree of technical expertise: CA, FL, TX, GA, or SC. O...
The Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in be...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...
The Collector performs A/R collections and billing involving multiple insurance contracts & entities. ...
Utilize in-depth knowledge of medical billing codes to ensure accurate and compliant billing practices. Are you looking to do meaningful and impactful work in the world with people you enjoy? Are you a detailed oriented individual with strong knowledge in medical billing? If so, we are looking for y...
As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynamic T...
The EHR Application Specialist I is responsible for the ongoing design, build, testing, validation and ongoing support of mission critical application(s). ...
The Billing Specialist is responsible for providing general support to the billing team including, but not limited to, time narrative entry and edits, corrections and edits to invoices, compiling expense back-up for invoice submissions, filing and other administrative functions. Aderant, Elite, Bill...
Responsibilities include determining benefits due; ensuring management of claims within internal claims management guidelines and in compliance with applicable laws; and identifying opportunities for, managing subrogation of claims, and negotiating settlements. The Workers Compensation Risk Analyst ...
The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully administer monthly billing, and research, respond to and resolve inquiries or discrepancies...
Minimum of five (5) years of California Claims Examiner experience and a Self-Insurance Certificate, or the ability to pass Self-Insurance Test within one (1) year of hire. Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abili...
The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully administer monthly billing, and research, respond to and resolve inquiries or discrepancies...
Family Dollar - 1710 MAIN ST [Retail Associate / Cashier / Team Member] As a Customer Service Representative at Family Dollar, you will: Be responsible for providing exceptional service to customers; Greet customers and assist them with selection of merchandise; Complete cash register transactions a...
Customer Service Representatives at Sam's Club ensure that customers have a pleasant shopping experience. Provide information to customers on products and services. Ensure customer satisfaction and provide professional customer support. Experience in customer service or retail preferred. ...
Contact doctors/ hospitals or other persons/ organizations to verify information to make claims decisions. Settle minor claims within authority limit. ...
Claims Service Representative 1 - Early Response. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess cl...
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure. Me...
The billing specialist will perform a variety of contractual, financial, and general billing tasks to assist in the management of all matters relating to financial government and non-government financial agreements. The Billing Specialist will work closely with the Corps Officer and Division directo...
As a Customer Service Representative - State Farm Agent Team Member with Poonam Walia - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help p...
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service req...
This Claims Examiner 2-Mgd Care will process professional and hospital HMO Risk claims in accordance with the individual provider contracts in an accurate and timely manner, verify system assigned risk pool determination in accordance with HMO Division of Financial Responsibility matrix, initiate ch...
Oversee Claims Examiners, Claims Examiners, Claims Assistants and other designated personnel. Minimum of five (5) years of experience as Senior Claims Examiner required and two (2) years-experience as a Workers’ Compensation Claims Supervisor, preferred. Responsible for overall supervision of a clai...