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Three (3) years claims processing experience or equivalent experience in a health insurance environment. Subject Matter Expert on assigned subsystem and works collaboratively with other areas of CFHP to determine change needed, impact on other areas (i.e. Membership, Finance, Claims, HSM, Network Management ) and to ensure accurate configuration.
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Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system, Amisys. Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers.
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Property insurance claims adjusting experience, catastrophe, and/or field experience preferred. Supervises the staff and activities involved in all aspects of processing CPI claims to ensure the highest degree of.
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Responsible for assisting with claims processing and payments to third-party providers, monitoring charges and verifying correct payments. Experience with Property & Casualty Personal Lines of Insurance (Two Years.
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EssentialJobDutiesandResponsibilities - Ability to work with insurance carriers to negotiate claims processing and payments - Ability to appeal denied and deficient claims - Contact and follow up with insurance carriers on denials, file reconsideration requests, formal appeals and negotiations.
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The Patient Account Representatives responsibilities include liaising with medical insurance providers to process claims in a timely and accurate manner, resolve payment issues, assist patients in understanding insurance claims, and processing patient payments and refunds.
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Greet customers by phone or in-person; educate customers about the collision repair process (high level overview), including basic insurance claims information, processing and payment procedures.
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Support and assist store associates with ensuring all proper customer demographic and authorizations are present for clean claim submittal to insurance carriers for accurate claims processing and payment.
$14.12 - $17.66 an hourFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Provide support for all vehicle and equipment claims processing. Responsible for verifying information, contacting Fleet Management company, and validating proper information for the primary insurance company, and maintaining complete documentation and correspondence.
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Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children's Health Insurance Program) according to departmental and regulatory requirements.
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Our flexi Claims, Assistant, Customer Experience, Processing, Technology, Insurance. Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity.
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Ability to work with insurance carriers to negotiate claims processing and payments. Aggressive follow up with insurance carriers on claims with accepted negotiation agreements.
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