- Guidehouse (Birmingham, AL)
- …. Five years of relevant experience **What Would Be Nice to Have:** . Prior supervisor , leadership, and management experience . Prior experience with ... **:** None **What You Will Do** **:** **The** **PFS Supervisor -Physician Billing** is an extension of a client's...closely with other areas to ensure timely submissions of claims to the non-government payers. Ensure all claims… more
- HomeSafe Alliance (Columbus, OH)
- …preferred + Minimum 3-4 years personal property claims adjusting experience preferred + Prior experience in a Supervisor or leadership role. + Prior ... **Title:** Assistant Claims Manager (Military Move) **HomeSafe Alliance** is the...claim expenses. + Work with the Director of Claims and Claims Managers to ensure any… more
- University of Rochester (Rochester, NY)
- …reimbursement + Billing primary and secondary claims to insurance + Review paper claims prior to billing. Review include potential of high cost, and late ... for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a...supervisor or manager on trends of incorrectly paid claims from specific payers + Work with supervisor… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. On-site in Hartford, CT required Claim Supervisor : Responsible for the overall supervision of Medical ... of the company at all times. Required Qualifications: + 1+ Year prior work experience in a claim processing role. + The candidate must have success in claim… more
- CVS Health (High Point, NC)
- …professional image of the company at all times. Required Qualifications: - 2 plus years prior work experience in a claim processing role. - The candidate must ... Hybrid Model Position Summary Responsible for the overall supervision of Claim Processing employees. Achieve superior service performance through an integrated… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …institutions; + Responsible for performing complex calculations to determine total value of claims prior to approval for payment; + Researches and evaluates ... claims for validity, legality and subsequent approval of claim for payment; + Reads, interprets and applies office...state offices or businesses to confirm accuracy of information prior to approval of claim ; receives and… more
- Prestige Employee Administrators (Melville, NY)
- …of the Workers' Compensation Claims team and will be responsible for claims investigation, claim reporting, and timely, effective claim management of ... is within policy period. + Determine carrier and report claims + Investigate and discuss with supervisor ...of experience and education + Minimum of 2 years' claims experience + Prior PEO experience is… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager… more
- NJM Insurance (Hammonton, NJ)
- …training. PIP Claims Representative: Reporting to the immediate designated PIP Supervisor , the PIP claims representative is responsible and accountable for ... skills. We are looking for talent with and without prior experience in the insurance industry. Schedule: Monday through...conducting complete and thorough investigation on assigned claims and medically managing those claims through… more
- Texas Veterans Commission (Houston, TX)
- …veterans claim submissions. . Evaluates and analyzes existing benefit claims and determines appropriate action necessary to complete processing and adjudication. ... includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of...interview can be extended.If this information is not provided prior to the interview, your application may be rejected… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …This role does not manage people + This role reports to this job: SUPERVISOR , CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this ... the following responsibilities or functions required to support the claims unit. Accurate processing of claims edits,...necessary and accurate information for the establishment of sound claim records. This may include, but is not limited… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... loss once the GSE or Government Mortgage Insured "expense" claim has been paid. + Take on department projects...to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims… more
- Billings Clinic (Billings, MT)
- …must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) ... to learn more! Claims Specialist I (Full-time/Billings) PATIENT FINANCIAL SERVICES (ROCKY MOUNTAIN...hours (Non-Exempt) Starting Wage DOE: $17.00 - 21.25 The Claim Specialist's main focus is to obtain maximum and… more
- AdventHealth (Apopka, FL)
- …goals. The Specialty Pharmacy Supervisor oversees the intake, claims adjudication, prior authorization coordination and patient management processes ... Wesley Rd Apopka, FL 32714 **The role you'll contribute:** The Specialty Pharmacy Supervisor is responsible for a wide range of activities regarding the Specialty… more
- Mass Markets (Savannah, GA)
- …the performance and success of your team. This is a management-level position. Prior experience in management, supervisor , or customer service leadership is ... POSITION OVERVIEW CALL CENTER SUPERVISOR Looking to work for a fast growing...736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Bozeman Health (Bozeman, MT)
- …Health and all related entities, to include insurance follow-up related to no response, returned claims , denied claims , or claim edits preventing claim ... resolve discharged not billed (DNB) or claim edits that are preventing timely claim submission. Monitor denials, returned claims , claim edits, and payer … more
- InnovaCare (San Juan, PR)
- …related duties as assigned by the Supervisor . General knowledge of Prior authorization criteria and pharmacy claims processing. Provide support to additional ... the members and prescribing physicians. Perform system overrides (eg, prior authorization) on the PBM claims processing...is not limited to coordination of care, data entry, claim review, coordination of orders, call center tasks, outbound… more
- Commonwealth of Pennsylvania (PA)
- Park Maintenance Supervisor 1- Gifford Pinchot State Park Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4527407) Apply Park Maintenance ... Supervisor 1- Gifford Pinchot State Park Salary $44,010.00 -...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Senior Civil Engineer Supervisor (Transportation) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4526173) Apply Senior Civil Engineer ... Supervisor (Transportation) Salary $72,548.00 - $98,661.00 Annually Location Blair...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Computer Operations Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4526521) Apply Computer Operations Supervisor Salary ... Office of Administration has an opening for a Computer Operations Supervisor supporting applications within the Pennsylvania Department of Transportation. Enjoy… more