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Key Responsibilities: Conducts thorough investigations, as outlined in the claim handling guidelines and best practices Denies, settles, or authorizes payments to property claims based on coverage, field reports, and verifiable damage Interviews, telephones, or corresponds with insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys, etc.
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You have deep experience in commercial health plan operations ranging from health plan product configuration, member enrollment, care management, member engagement, prior authorizations, eligibility verification, and end-to-end claims processing (payments, EOBs, claims status inquiries, denials management.
$118,400Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience working with healthcare data, including but not limited to eligibility, claims, payments, and risk adjustment datasets. The person in this role will work with a wide array of healthcare data for ingestion, processing and consumption including but not limited to eligibility, claims, payments and risk adjustment.
Full-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Respond to regular EDI inquiries and troubleshoot issues from internal organizations, trading partners and vendors regarding healthcare transactions (claims, enrollment, payments, encounter, etc.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
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Prepares and reconciles daily deposit of payments received by mail, in person, on the WEB, and through EFT and ACH transactions. Prepares, reviews, and transmits claims using billing software, including EDI and paper claim processing.
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Sells Optical products and services by assisting Members with purchasing decisions, measuring, adjusting, and repairing frames and lenses, completing eyewear/contact lens orders, identifying and verifying prescription information, completing and maintaining paperwork, forms, and other required documentation, collecting payments for doctor services, and performing and recording results of optometric pre-tests.
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When applying, please be experienced in setting up claims with insurance companies, requesting medical discovery, synopsis of medical records, navigating the medicare portal, and handling conditional payments.
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JOB SUMMARY The Payment Posting team is responsible for posting payments, adjustments, and denials from healthcare third party insurance payers and patient to open patient claims, using multiple practice management systems.
$12.3 - $18.4Full-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assist in preparing insurance claims and verify payments. Assist in preparing insurance claims and verify payments. Dedicated to giving back to the communities we serve, we encourage our associates to get involved with their local civic organizations.
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Contacts payers for medical claims status, followup denials, or partial payments. Obtains payer requirements for timely adjudication of claims. Initiates the review/appeals process on disputed claims.
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Preparing reports, authorizing and processing claims and payments, managing timely. Obtaining insurance pre-authorizations, collecting co-payments and posting payments. The Insurance Claims position works primarily in the healthcare and insurance sectors to review.
$17.1 - $19.8 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Typical responsibilities include scheduling appointments, validating insurance and payment authorization, inputting claims, processing payments, performing account collections, conducting billing research and responding to telephone inquiries.
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Calculate payments and approve payment of claims within a certain monetary limit. Job Title: Auto Insurance Adjuster Location: Bedford, Texas (76021) Pay : $27/hr BOE Schedule: Monday thru Friday 8-5 Job Description: Examine, analyze, and determine the extent of the company's liability concerning casualty or property loss or damages on claims filed.
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The Payroll/Benefits Coordinator for our Corporate location will be responsible for processing payroll for approximately 650 employees that includes Corporate and Hospital staff; maintaining strict timelines and accuracy; processing payroll deductions, benefit premium payments, and employee enrollment in benefit programs; answering employee questions about payroll and benefits; resolving discrepancies and maintaining excellent records.
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