Manage all aspects of the Med Only Workers' Compensation claim processes assigned to the Insurance Carrier/TPA across multiple jurisdictions including, but not limited to, claim reporting, medical management, reserving, communications, return to work, and closures. The Analyst will also work closely with the Managers to disseminate PC365 training and follow up with the ho

3RD PARTY CLAIMS PROCESSING SUPERVISOR Job Locations US MA TAUNTON ID 2024 144691 Line of Business PharMerica Position Type Full Time Our Company PharMerica Overview Are you the super star multitasker type, strong in administration skills? Our Administrative and Clerical positions support the business from multiple locations and via various functions across the nation. Re

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self funded health benefits plans that manage costs without compromising benefits by offering innovative solution

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self funded health benefits plans that manage costs without compromising benefits by offering innovative solution

Company Description Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the ca

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. This

Under limited direction of the Executive Director of System HR/Policy/Planning, the System Affirmative Action Officer and Investigator (Title IX, Civil Rights) is responsible for accountability and compliance with federal and state laws, as well as ENMU policies and procedures related to affirmative action, equal opportunity, and discrimination/harassment; as well as cond

The Insurance Follow Up Specialist contributes to the financial viability of the organization by assuring that accounts have been properly billed and reimbursed. Responsibilities include contacting the appropriate insurance company to secure and expedite payments through the follow up and appeals resolution processes, and acting as a functional leader or reference source.

Overview We invite you to come be a part of a growing, cutting edge health plans department and leading home care organization with over 130 years in the business. In this role, you'll be responsible for efficiently handling authorization/service requests, collaborating across departments to resolve issues promptly, and ensuring effective and timely delivery of services.

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD 10 CM/PCS coding and/or CPT 4 procedure coding classification systems. II. Principal Responsibilities and Tasks The following st

General Liability Claims/States Workers Comp Claims Coordinator At Loews Hotels at Universal Orlando, our team members get to make a difference and have fun every day. Our world class team brings to life the incredible, award winning hotels located at Universal Orlando Resort. Named one of Central Floridas Top Workplaces and one of Americas Best in State Employers by Forb

The Insurance Producer will sell insurance products to new and existing clients, maintains relationships with clients; assists clients in determining appropriate coverage and oversees the general servicing of accounts. 40 Responsibilities include but are not limited to Sale of insurance products with goal of building and maintaining a book of business. Work closely with Ma

Compensation Salary Range $21.13 $29.42 / hour The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees alrea

. Work Schedule and Additional Information Full time employment, 37.5 hour work week Work hours are 8 00 AM to 4 00 PM, Monday to Friday, with 30 minute lunch. Telework You may have the opportunity to work from home (telework) part time up to 3 days a week. In order to telework, you must have a securely configured high speed internet connection and work from an approved l

Schedule 8am 5pm, Monday Friday Pay rate $16 18/hr. Provide support service to all claims including review, submission, and follows up to insurance companies. Accurately post and balance payments that are received electronically, by mail, and from credit cards. Answer phone calls, review, and resolve outstanding balances, respond to payer correspondence, investigate claim