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5+ years related experience in a service center claims processing or managed care operational role. Develops and executes comprehensive testing processes for system enhancements and new products and processes encompassing all aspects of customer service including claims, enrollment, provider contracts, and benefits administration.
$17 - $29.3 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Processes monthly federal reimbursement claims for the purpose of receiving federal funding for the meals served in compliance with the National School Lunch and Breakfast programs. Any person having inquiries concerning the School's compliance with the regulations implementing Title VI of the Civil Rights Act of 1964 (Title VI), Section 504 of the Rehabilitation Act of 1973 (Section 504), Title II of the Americans with Disabilities Act of 1990 (ADA), or Title II of the Genetic Information NonDiscrimination Act of 2008 (GINA) may contact the Assistant Superintendent of Human Resources.
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The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
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Assists staff with the application of complex coding conventions to appropriately code and sequence medical claims for claims payment and DRG validation purposes. Reports to the Manager, Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and processing.
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LHH Recruitment Solutions is searching for a full-time Medical Billing Specialist on a Direct Hire basis for a client in Phoenix, AZ. Our client is seeking a Medical Billing Specialist to handle follow up and collections and obtain additional information for claims processing.
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Assess and monitor subrogation claims for resolution. Provide notices of qualifying claims to excess/reinsurance carriers. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated claims.
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Supervises the processing of all parts and transit vehicle warranty claims, maintains warranty records and related collections and reports. Transdev is the largest private sector operator of multiple modes of passenger transit in North America, providing bus, rail, paratransit, and shuttle services.
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This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
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Maintains the Sales Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and identifying shrink and damages.
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Process all charge entry and claims submission functions, including coding and managing rejections. Receive insurance correspondences, such Explanation of Benefits (EOB) and research appropriate claims steps, such as first or second appeal.
$19 - $21 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Determine final disposition of warranty claims and work with suppliers to resolve difficult cases. The electrical and automation sales engineer will work with our field sales personnel to grow our sales in unit handling conveyors and systems for new and existing customers.
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As a claims adjuster trainee , you'll learn how to help customers get back on the road after an accident. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
$50,000 - $53,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Previous insurance industry experience that required knowledge of life insurance and annuity policies where you handled calls from members inquiring about payments, policy information, or claims.
$15.5 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As a member of an experienced Claims Adjuster team, you will investigate, evaluate, and resolve complex workers compensation claims with minimal direct supervision, engaging your analytical skills to make decisions and bring claims to resolution.
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Experience in US Healthcare Payer/TPA/Insurance space with emphasis on Claims, Clinical Edits, Claims Pricing, Benefit Plans, Premium Billing, Enrollment, Payments, Reinsurance/Stoploss, EDI (834, 835, 837, 278, 270/271, 276/277 etc.
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claims job in Phoenix, AZ
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