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Provides highly technical assistance with other division and department programs and activities, including assisting with the City's annual insurance renewal program, procuring City special event and instructor insurance, handling City loss recovery and subrogation claims, and evaluating potential City risks and methods of risk transfer, avoidance, and/or mitigation.
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Greet customers by phone or in-person; educate customers about the collision repair process (high level overview), including basic insurance claims information, processing and payment procedures.
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The A/R Billing Clerk position is responsible for validating patient's insurance coverage, processing recurring rentals, claims coding, claims billing including price validation, assisting patient accounts with billing discrepancies, payment posting and working denials in CareTend management software.
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In the role of Premium Audit Manager (internally known as "Manager, Premium Audit"), you will manage the day-to-day operations of a processing team to meet the established standards for timely physical and voluntary audits.
$73,000 - $117,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience: Requires six months of admitting, medical claims processing, professional office experience and/or customer service experience with financial interaction. · Explaining and obtaining signatures on admission, clinical and financial forms · Collecting accident information · Identifying all insurance payer sources · Identifying payer order sequence · Verifying insurance eligibility · Obtaining insurance notification · Charge order entry processing · Determining estimated cost for services being rendered · Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc.
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High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience.
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Process insurance claims by gathering information from client, submitting to insurance company, and following through to the close of the claim with claims adjuster. Manage claims specialist, ensuring proper and timely claims processing.
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Serves as a liaison between the County and excess insurance for property, liability, and worker's compensation claims processing. Works directly with the County Civil/Legal Office and the excess insurance carrier to develop a strategic plan of action to handle liability claims in litigation.
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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 Portfolio Manager will oversee the Alternative Solutions and MGA administration of reinsurance and insurance accounts and contracts. The Portfolio Manager will be responsible for establishing and maintaining contractual data, processing the reinsurance accounts and manage the related cash flow as well as support the underwriters in all administrative activities related to the underwriting process.
$95,000 - $115,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Monitors and reviews workers compensation claims and the claims processing; identifies claims management trends and inefficiencies and make recommendation as needed. Bachelor's Degree with 2 years' work experience in insurance, workers compensation claims management or risk management.
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Reviews and interprets explanation of benefits received from payers in order to assist patients and guarantors with understanding of claims processing or denial of services by payer. Conducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing.
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Provide follow up with payers or internal claims processing team on denied or unpaid claims as applicable to the root cause of the denial; this could be an insurance plan error or internal processing such as in the case of coordination of benefits or billing configuration.
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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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We are looking for an experienced Independent Claims Adjuster to join our new claims processing team who also has a strong background in pet health, certified vet tech experience preferred.
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claims processing insurance jobs
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