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Delivers innovative medical claims solutions through a seamless collaboration of our Medlogix technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff in an environment of continual performance improvement.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Understands Medicare, Medi-Cal HMO, PPO and 3rd party rules and regulations. Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool. Reports all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect cash collections and Accounts Receivable.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Must have a minimum of 3 years experience in insurance claims, first party property experience preferred, experience in civil litigation will be considered. This associate position will assist with all aspects of litigation, including review of claims file, drafting status reports to clients, discovery, motion practice and hearings.
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Foundational understanding of the IBC family of companies, organization, and functions including BCBSA, Claims, Billing Appeals, Customer Service, Enrollment QA, Workforce Management, etc. Mastery of general health insurance products e.g., PPO, HMO, group and individual plans, assigned IBC products and services under Scope, Ancillary products, (e.g. Dental, Vision, Prescription), the Affordable Care Act, CMS requirements, HIPAA, relevant state laws and Departments of Insurance (DOI) regulations.
Full-timeRemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Submits patient insurance claims correctly for payment processing. BCBS PPO Health Insurance plan. Submits patient insurance claims correctly for payment processing. Dental Insurance including orthodontic coverage.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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This greeter will assist with attaching payments, sending claims, checking billable x-rays. Health (PPO/HSA), Vision, Dental, This greeter will assist with attaching payments, sending claims, checking billable x-rays.
Full-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Assist in the follow up with the corporate insurance department regarding claims, to ensure that the appropriate information is collected and that claims will be resolved in a timely manner.
$21 - $26 an hourFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Process dental insurance claims, work with HMO and PPO dental plans, and present dental treatment plans to patients. Analyze and organize office operations and procedures, including but not limited to, bookkeeping, invoice processing, cash control, preparation of payrolls and other administrative duties.
Part-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Works with service providers in the community as well as internal homeless service programs to assist clients at-risk of and experiencing homelessness in securing housing placement including recruitment and retention efforts to develop landlord partnerships, responding to inquiries, issuing eligible payments to landlords for participation in programs, reviewing and submitting landlord claims for approval including ensuring claims are accurate and include all required verification.
ExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Blue Cross Blue Shield PPO, HMO or HSA. Exceptional customer service skills and the ability to identify potential fast track claims. Investigate, evaluate, dispose, and settle claims with moderate supervision including the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves.
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Offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan.
ExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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Ensures that all manufacturer warranty claims are completed and filed promptly according to the manufacturer’s requirements. Medical (PPO + HSA options) Ensures that all manufacturer warranty claims are completed and filed promptly according to the manufacturer’s requirements.
Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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Review and mail all paper claims for Medi-Cal, PPO, WC and insured services. Bill vision claims via website. The Billing Representative performs billing and support functions and is an integral part of the revenue cycle process.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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2 to 3 years with claims processing, computer, typing, 10 key and telephone skills preferred. Uses Health Plan and TPA websites to check on claim status or reconcile claims. Familiarity with Managed Care, HMO, PPO health plan provisions.
Part-timeRemoteExpandApply NowActive JobUpdated 9 days ago
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