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Skills: Claims Management; Relationship Management; Microsoft Excel; Claims Resolution; Microsoft Office; Analytical Thinking; Claims Processing; Insurance Claims Processing; Detail-Oriented; Communication.
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They participate in insurance procurement, claims & litigation management, data management, data analysis, reporting, and risk retention. Operate within a multi-functional team focusing on insurance procurement, claims management, litigation management, data management and governance.
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The ideal candidate will have 10 years or more of management consulting experience serving dental clients, and bring a broad understanding of dental insurance operations and a deep knowledge of the dental value chain, The candidate will demonstrate knowledge of but not limited to claims processing, network management, revenue cycle management and regulatory compliance.
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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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Claims Processing: Assist in the timely and accurate processing of insurance claims by gathering relevant information, documenting claim details, negotiating settlements and/or denying claims, and communicating with internal stakeholders and insurance providers.
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Included are processes related to prescription fulfillment and billing and claims processing, as well as customer service written and verbal inquiries. Working knowledge of insurance industry and medical terminology and detailed knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred.
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The responsibilities of a warranty clerk include processing and reviewing claims, overseeing fraudulent claims, and monitoring and maintaining warranty documents. Description: We are looking for a warranty clerk to be responsible for warranty claims.
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Explain CARSTARs repair process, including insurance claims processing, payment procedures, repair techniques, repair needs and expected delivery date of repair. Educate customers on CARSTARs CSI/NPS survey (kept informed, customer service, quality of repair and on-time delivery.
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Healthcare claims processing. Business System Analyst – Healthcare – Health Insurance – EDI, HL7, Medicare / Medicaid – IT – Information Technology. · Healthcare / Health Insurance – EDI, HL7, Medicare / Medicaid.
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The Workers Compensation Legal Assistant will be responsible for answering all incoming calls and emails to the Workers Compensation Department, setting up new patient charts, setting appointments, obtaining authorizations, providing end of visit documentation to insurance carriers, and processing outgoing claims.
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Responsible for processing customer bills and insurance claims in an accurate and timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed.
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The Collections Associate II is responsible for processing insurance claims and billing. 6 months experience with insurance billing and processing claims. Processes claims: investigates insurance claims; properly resolves by follow-up & disposition.
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You'll serve on the front lines of insurance sales, helping new customers navigate our products, processing claims and inquiries, and developing an ever-growing lead list to secure new business.
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This position will be a subject matter expert in insurance billing, claims processing, and prior authorizations. The Insurance Analyst I handle patient requests received by phone or electronically (fax, Humira Complete Pro, or other systems) and would complete related outbound calls.
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Act as subject matter expert for benefit plan and claims processing. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
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claims processing insurance jobs in Atlanta, GA
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