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Resolves claims processing dispute as it related to following denials/correspondence received. Utilizes denial management system and responds to requests from insurance carrier for additional information necessary to process claims.
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The Finance Associate handles vehicle insurance claims and vehicle ID cards and requires expedient processing of vehicle additions and deletions. We offer GREAT BENEFITS (annual pay increases, affordable excellent health insurance, competitive retirement program with matching, up to $1000 employee referral bonuses, up to 30 days of paid time off (PTO) per year, PTO payout every year, comprehensive benefits package, and more.
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Responds to inbound phone calls and assists renter’s insurance policy holders with servicing transactions, such as processing payments, answering billing inquiries, website navigation, and some claims & coverage inquiries.
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The Vice President of Finance provides oversight of all accounts receivable, the prompt payment of all accounts payable, the accurate submissions of all insurance reimbursement claims, and the accurate processing of all payroll documents.
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Utilizes charge scrubbing software in charging process, claims processing, payment posting, denials management, insurance carrier refund processing. Demonstrated, hands-on reimbursement experience with: commercial insurance, contracted insurance, Medicaid and Medicare.
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Within their duties of claims submission, claim edits, payment posting and cashiering, credit and refund processing, insurance follow up, denial management, patient follow-up, and patient collections.
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The Insurance Billing Specialist's primary job function is to ensure accurate and timely processing of insurance claims and payments and create Good Faith Estimates. Strongly prefer knowledge of diagnosis and procedural coding, medical terminology, and insurance billing guidelines, fluent with industry X12 and ANSI guidelines, proficient with claims adjustment reason and remark codes (CARC and RARC), FQHC certification or billing experience.
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Experience in provider network management, Medicaid/Medicare contracting, and/or claims processing preferred. Experience in marketing/sales, medical economics in a managed care or insurance environment.
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JOB SUMMARY: The Benefits Coordinator assists employees with benefits enrollment, and benefits questions, manages all insurance billing, maintains employee database and files, assists with payroll processing, and assists with reconciling monthly invoices.
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A motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Childrens Health Insurance Program (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA.
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Benefits include, but are not limited to: Competitive Compensation 403b Retirement Plan with Match Medical, Dental, Vision Insurance PTO/Vacation Employee Wellness Program and Counseling Services Position Overview The Billing Specialist is responsible for both commercial insurance and Medicaid claim processing, the appeal process for denied claims, A/R tracking, collections, posting, and statements.
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Manage and process unemployment insurance claims, ensuring accuracy and compliance with state and federal regulations. We are recruiting for multiple positions at a variety of experience levels to work on-site in Hawaii, supporting State Unemployment Insurance processing.
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Three (3) to five (5) years claims processing or maritime operations experience preferred. Supervises: Insurance/Claims Specialist. Report claims excess of our primary deductible to insurance broker.
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The successful candidate possesses practical experience and knowledge in the area of insurance claims processing and handling, technical expertise in insurance, strong analytical and communication skills and is customer- and team-oriented.
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Minimum of 2 years' experience processing insurance claims or other professionally relevant task. Process, prepare, and submit all insurance claims, including Medicare billing forms.
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