Performs claim documentation review verifies policy coverage assesses policy application validity communicates with healthcare providers policyholders and beneficiaries to ensure accurate and timely handling of the medical review process. · ...

Job summary · Verify patient insurance and benefits, prepare and submit claims to payers. · Responsibilities · ...

The Claims Appeals Specialist is responsible for reviewing and processing claims for pre services and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) related to clinical and non-clinical services, · quality of s ...

This task-oriented individual is responsible for ensuring the organization meets its desired patient revenue goals by maintaining weekly claims processing and monitoring aging reports. · ...

We are The MJ Companies—a firm dedicated to inspiring the success, fulfillment, and wellbeing of each person we serve. · ...

Take charge as a Claims Adjuster at The General handling NSA claim investigations liability decisions and settlement negotiations for customers in the MTN/PST region. · ...

The Senior Claim Specialist – Casualty position is responsible for the quality handling and resolution of non-litigated claims including commercial auto claims and general liability in a timely and professional manner with emphasis on providing quality service while controlling e ...

+Job summary · The Claims Appeals Specialist is responsible for reviewing and processing claims for pre services and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party).+Reviews non-complex grievances and appeals. · ...

Elevate is seeking a Regional Technical Manager who will be part of a people-first company offering best-in-class products. The ideal candidate will reside in Texas or the Nashville area. · Manage the workload of investigators and provide review as needed to ensure the quality an ...

The Senior Revenue Cycle Business Analyst is responsible for analyzing and optimizing the financial processes within a laboratory organization. · AR Management · Analyzing denied claims, identifying reasons for denials, and taking corrective actions to minimize future denials · R ...

The Senior Revenue Cycle Business Analyst is responsible for analyzing and optimizing the financial processes within a laboratory organization. · ...

The Manager- Check Run oversees and manages the end-to-end process of generating, reviewing, approving and distributing claim payment checks and electronic funds transfers (EFTs) for health insurance organization. ...

The Claims Specialist is responsible for investigating and administering claims related to illness, minor injuries, auto incidents and property damage. · ...

Ingram Marine Group seeks a Claims Specialist to investigate and administer claims related to employee well-being and company assets. · ...

The Medical Claims Adjuster is responsible for investigating and administering claims related to illness, minor injuries, auto incidents, and property damage. · ...

The job involves reviewing and adjudicating complex or specialty claims. The role also includes training and mentoring new staff members. · Examines and processes complex or specialty claims according to business/contract regulations, internal standards and examining guidelines. ...

As a Property General Adjuster at Intrepid Direct Insurance, you will be responsible for investigating, evaluating, and settling large and/or complex property insurance claims. · ...

This position focuses on developing skills to successfully manage workers compensation claims. You will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. · ...

We believe that it should be easy for veterans to receive the benefits they have already sacrificed to earn. · As a Claims Outreach Specialist,you will be the dedicated advocate for our veteran clients as they navigate the next steps after a VA disability claim decision. · You pl ...

We re excited to let you know about an opportunity for a Neurologist to give back to America s heroes and help them receive their well-deserved Veterans Affairs (VA) benefits in Nashville. · Examinations begin with a review of the Veteran s medical history, · Our providers are pr ...

As the Workers' Compensation Coordinator, you are responsible for the day-to-day management of workers' compensation claims. · ...