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3) Interacts by telephone and/or mail with payers relative to claims processing. Responsible for clean and timely submissions of 837I and UB claims to insurance carriers to ensure maximum reimbursement for the Hospital Health System.
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As a Claims & Complex Corrections team member, you will be responsible for efficiently and accurately processing corrections needed at either the plan or the participant level. We are excited to bring on a Claims/ Complex Corrections Processor representative to the RPS Ops Administration Complex Corrections team.
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Responsible for the day-to-day account management of an assigned book of business, including but not limited to processing policies/endorsements, invoicing, issuance of certificates of insurance, claims reporting and follow up as needed, premium breakdowns, auto ID cards, policy changes, review of policy forms, providing coverage comparisons, loss analysis and responding to coverage questions.
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Oversee the processing of building insurance claims to minimize financial impact. Preferred experience with Yardi, MRI, YieldStar, and LevelOne. Conduct bi-weekly meetings with all managers to ensure alignment and foster team cohesion.
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Resolve claims processing issues with 3rd party payers and provides all requested information timely; engaging patients and family members to resolve claim or insurance issues when needed.
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5 years prior medical dental, vision, FSA and HRA claims processing experience. Provide guidance to the claims team with questions on all aspects of claims processing.
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Ensures claims processing is consistent with applicable policies, procedures and department guidelines. Directs the processing and administration of all aspects of LTD complex claims ensuring accurate and timely claim management.
$90,300 - $164,700ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experience processing insurance claims. Work with insurance companies to process claims. Primary Care practice Medical Secretary will be administrative, scheduling appointments, insurance verifications, working the phones, prior authorizations.
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Preform analytics within the claims processing system and other systems as required using a variety of analytics tools such as Business Objects, Excel and Cognos. Overview POSITION SUMMARY:Under the direction of the Director of Pharmacy Technology and Informatics or designee, the Pharmacy Business System will drive operational excellence within the team by ensuring the accurate processing of pharmacy claims within a real time system.
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Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs.
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Through email and telephone calls, the position is responsible for remotely diagnosing problems and determining a resolution, managing the processing of spare part orders, as well as handling customer inquiries, warranty claims, and resolution of customer issues.
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This position will is fully remote and will be a temp-to-perm role supporting the Corporate Client Services (CCS) processing team. EQ offers a comprehensive product set, including transfer agency services, cap table management, equity compensation services, proxy solicitation and advisory services, private company solutions and bankruptcy claims administration services.
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Competency in HIPAA claims and payment transaction processing Strong data analysis skills- SQL proficient. Preference will be given to candidates with Medicaid systems experience well as claims and business knowledge of the MassHealth program.
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Software product suite includes claims administration processing systems, business intelligence, integration capabilities, and configuration applications. Comprehensive benefits package includes: highly competitive base salary plus bonus program, health insurance plan, 401(k), generous PTO policy and full remote work environment.
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You’ll be hands on in the development of their processing and claims applications that are crucial to the company. As a software engineer, you’ll work alongside the team in maintaining and supporting existing applications used for claims and billing as well has work on greenfield development projects.
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claims processing jobs in Cambridge, MA
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