A company is looking for a Claims Negotiator I to negotiate out-of-network claim payments with providers on behalf of group health plans.
Key ResponsibilitiesReview and analyze health care claims for cost reasonableness, medical necessity, and potential fraudNegotiate discounts with providers and reprice claims to applicable Medicare ratesDocument and process claims in the QicLink System, ensuring compliance with privacy lawsRequired Qualifications and EducationBachelor's degree or equivalent work experience requiredA minimum of 5 years of medical claims analysis experience requiredStrong analytical skillsKnowledge of computer systems and CPT and ICD-9 coding terminology
Claims Negotiator
A company is looking for a Claims Negotiator I to negotiate out-of-network claim payments with providers on behalf of group health plans. ...
Contract Negotiator I
A company is looking for a Contract Negotiator I. ...
Auto Field Claims Adjuster I. II or Sr - National General
Auto Estimating experience & NC adjusters license are highly desirable. Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. Interprets regulatory compliance and fair claims practices. ...
Customer Service Representative - Intuit (WFH) Receive $300 bonus for 5 days of training
The ability to understand and empathize with our customers needs while driving innovation and providing top-notch service. To be successful in this Gig as a Service Provider for TurboTax you will need to be proficient in the following:. We're looking for enthusiastic individuals who are eager to lea...
Customer Service Representative - AVL
Signature’s Customer Service Representatives (CSR) are responsible for a variety of duties that contribute towards the overall success of the fixed base operation (FBO) and focus on consistently providing excellent customer service. Collaborate, cooperate and work closely with all coworkers, custome...
Crop Claims Seasonal Adjuster
Physical Requirements for employees in the Crop Business Unit/Crop Claims General Adjuster. Great American is currently seeking Seasonal Crop Adjusters, q. Understand and can work claims for all major crops, policy/plan types, in all stages of growth. Works toward the resolution of claims files, and...
Customer Service Representative I
As a Customer Service Representative in the bike industry, your role will guide customers and dealers through the FOX experience. Understanding customer needs and requirements and provide solutions for product, process, or services. Establish positive relations with customers and maintain ongoing re...
Customer Service And Sales Support Representative
We are seeking passionate individuals to join us in providing top-notch coverage and exceptional service. Are you willing to work your tail off for a full year and hustle for a couple more? ➡ Are you willing to invest in yourself and your business? ➡ Are you able to work hard even when...
Customer Service Representative
We are currently recruiting top talent for our Central and Pacific time zones for Medicare Retiree Solution Customer Service Centers. Our goal is to provide compassionate, innovative, and proactive customer service to our Medicare members. Customer Service Experience Preferred. Anchored in our brand...
WAH Mortgage Customer Service Representative
MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (T...