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Verifies e-billing data submitted by law firms for new and ongoing legal matters to ensure proper payment processing. Prior legal or insurance claims experience. Communicates with Legal Bill Review vendor and claims organization with respect to inquiries regarding special billing instructions.
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In addition, the Scheduling and Staffing Administrator supports a strong safety culture by handling all administrative tasks related to Worker's Compensation, General Liability, and Auto Claims.
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Maintains the Pharmacy area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies, identifying shrink and damages, and ensuring a safe work environment.
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1+ years of experience with investigations of member claims, researching, analyzing, and processing disputes. 1+ years of customer contact experience in a financial services organization to include dispute processing and/or conflict resolution.
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Administers all day-to-day activities with benefits administration and record keeping (i.e., open enrollment process, invoices, scheduling meetings and info sessions, data entry/data management, including employee's leave time activity, ACA, garnishments, workers comp claims, work comp and FMLA documents.
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Processing of all work assignments into applicable business systems with strict adherence to all. Coordinate client follow-ups with appropriate claims adjusters. Insurance experience, knowledge of medical terminology and working knowledge of PMA Claims Systems a plus.
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Working knowledgeable of state, federal, and third party claims processing required. Enters charges, processes, and submits insurance claims to third party payer. Under general supervision, prepares and submits patient claims to appropriate third party payers.
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They also prepare files for the processing of patient statements, posts payments to accounts and re-bills claims as needed. Our Professional Healthcare Billers will input data using a computerized billing information system including out of office encounters and bills claims to third parties manually and electronically.
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Key Responsibilities:Creating a fast, accurate, and seamless experience for the beneficiaryCommunicating to our beneficiaries and advisors in a professional manner, both verbal and written to bring claims into good orderDetermining good order of requirements and processing the claimApply procedures and interpret contractual provisions.
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Compiles and organizes medical records; distributes to Medicare Compliance nurses for analysis; and provides guidance and advice on processing claims based on nurses’ analysis. Analyzes lien notices for accuracy, communicates with the CMS to efficiently facilitate lien resolutions on claims and/or prepare MSA submissions in accordance with submission guidelines from CMS as assigned.
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Required: 5 years of minimum experience working in large medical practice and/or billing company; specifically involved in the charge entry, claims processing, claim rejections and claims edit/correction processes.
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Ensures that established turnaround times for claim completion and billing are met or delinquent claims are escalated to RCM and operations leadership. Works with the vendor on any claims that are not billed and escalates to RCM leadership and operations leadership for claims that are not meeting the established KPI.
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The U.S. Back Office Customer Service (BOCS) organization is seeking a Claims Examiner in our Annuity Team of Beneficiary Fulfillment. Calculate of benefitsParticipate in projects as neededQualifications:Mandatory overtime required, sometimes on short notice, due to same day processing.
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EchoPark is looking to hire an Accounting Manager for our dealership in Cary, NC. The Accounting Manager at EchoPark is responsible for the accurate representation of the financial condition of the dealership, developing controls necessary for the proper conduct of the business, maintaining accurate records, and establishing and maintaining the data processing capabilities to accomplish the dealership's objectives.
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20 an hour~ 40 hours a week Minimum of 6 months experience This Call center operates calls to handle potential claimant inquires and claims. The incumbent for this position is responsible for answering inbound and outbound calls, processing email, chat and callback interactions.
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