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Knowledgeable in the life cycle of authorization and claims processing. Working knowledge of medical information systems, medical claims payment process, medical terminology, and coding.
$22.5ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Interacts daily with staff to identify, quantify and resolve difficult claims processing issues. Working knowledge of computer applications, including word processing, spreadsheet, and database applications required.
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Coordinate casualty claims (Work Comp, GL, Auto, Inn Keepers liability insurance, Garage Keepers liability insurance) processing including maintenance of all files, monitoring, auditing, and overseeing third-party administrative claims, reviewing, and approving reserve and reserve changes within their authority, pursue quick and efficient file closures and overall services to ensure that all claims are administered according to company policy and carrier requirements.
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Three (3) or more years or prior claims processing and/or medical billing experience. The Claims Reconsideration Representative relies on the medical notes, benefits, payment policies, clinical medical policies, NCCI edits, coding manuals (CPT, HCPC, ICD-10) to make their determination.
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The Associate Director of Product Management, will have experience in healthcare revenue cycle management (RCM), the financial process healthcare facilities use to manage the administrative and clinical functions associated with claims processing, payment, and revenue generation, to drive the overall vision and strategy of Wolter Kluwer’s.
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Tagged as: business technology, claims processing, commercial auto, data, Executive, insurance operations, management, operations, policy administration, premium collectino, private passenger auto, product management, project management, underwriting.
$188,000 - $300,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Develop an agency force that pre-qualifies accounts, in-house rates using CLAS, processing small business using One & Done and/or the Service Center, and recognizes the value of the AMS position to help them write new profitable business and achieve agency goals.
$80,000 - $132,100 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Process customer warranty claims. We're seeking someone to provide administration support and assistance in all matters relating to warranty processing, databases and campaigns and assist in obtaining maximum recovery from suppliers through material processing.
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As directed, the Analyst/Sr. Analyst will perform a number of insurance and risk management activities that support the various business lines within PPL which include: insurance program renewals for property and casualty lines, captive insurance management, claims, contract reviews for a wide variety of risks, management of the surety bonding program, certificates of insurance processing, and involvement in any project that requires corporate insurance assistance.
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Provide strategic goals for insurance operations including business technology, policy administration, claims processing, premium collection, and reconciliation of data. Assist staff, board companies, consumers and producers with complex automobile insurance regulatory requirements, coverage issues, claims, underwriting and residual market issues.
$188,500 - $301,100 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Full knowledge of third party health insurance claims processing coverage and documentation requirements. Completes documentation required to initiate commercial insurance WorkersCompensation and/or CHAMPUS claims.
$34,000 - $55,000 a yearPart-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Compiles and organizes medical records; distributes to Medicare Compliance nurses for analysis; and provides guidance and advice on processing claims based on nurses' analysis. Analyzes lien notices for accuracy, communicates with the CMS to efficiently facilitate lien resolutions on claims and/or prepare MSA submissions in accordance with submission guidelines from CMS as assigned.
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With HealthRules Payer, our integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a unique to industry configuration and promotion application, and home and host processing support available on both public and private clouds.
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This role also requires knowledge of health plan operations including Medicare and Medicaid plans, claims processing, EDI transaction processing, enrollment, financial reconciliation, and IT systems knowledge.
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claims processing jobs in Providence, RI
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