Responsible for the accurate and timely processing of claims. Description Logistics PGBA one of BlueCross BlueShield's South Carolina subsidiary companies Location This position is full time (40 hours/week) Monday Friday from 8am 5pm in a typical office environment. This role is located on site at 17 Technology Cir., Columbia, SC, 29203. Government Clearance This position

Inputs various data into specified computer system with limited judgment. Under direct supervision operates numerical and/or alphabetical data input from source documents received from clients. Follows basic specified data entry instructions. Refers problems to higher level operators. Maintains records of individual production. Data entry of test request form and re bill

Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat

Perform data entry tasks accurately and efficiently, ensuring all transactions are recorded in a timely manner. Responsible and accountable for electronic billing including professional fee billing activities and tracking of this facility function including charge sheet functions and batching . Understanding of billing and collection processes. Collaborate with other depa

About the Opportunity TEKsystems is actively seeking a Licensed Sales Representative to join a rapidly growing, innovative insurance provider that is transforming the way small businesses access commercial insurance. This is a unique opportunity to be part of a mission driven team that values customer experience, efficiency, and integrity. As a Licensed Sales Representati

Are you passionate about supporting patients and ensuring their healthcare needs are met? We have an exciting opportunity for you! TEKsystems is actively hiring candidates with experience in both insurance verification and prior authorization. To be considered for this role, candidates must demonstrate the ability to initiate and manage the predetermination process. Ideal

Description As an Underwriting Assistant to an Industry leading International Insurance Institution you will be responsible for working with top National and State Wide companies as well as High Profile Clients. Assist the team in maintaining efficient underwriting processes and providing customer service to their Clients. Work on a flexible and innovative team offering a

Job Title Denials Specialist Job Type Open Ended Contract Location 100% Remote (Excluding AK, AR, DE, HI, ME, MS, NM, OK, PR, SD, VT, WI) About the Role We're seeking a Denials Specialist to join a fast growing, mission driven healthcare company focused on reversing type 2 diabetes through innovative telehealth solutions. This is not your typical denials role you'll need

Location Remote (must be located in WI) Description As a Claims Processor, you will be tasked with the following Examine and process paper claims and/or electronic claims. The person in this role determines whether to return, pend, deny or pay claims within established policies and procedures. Determines steps necessary for adjudication. Follows established departmental p

Location Remote (Must reside in Wisconsin) Schedule Monday Friday, 8 00 AM 4 30 PM or 8 30 AM 5 00 PM About the Role Seeking a detail oriented and experienced Claim Processor to join our growing team. This role is critical to our Medicaid line of business expansion and involves processing healthcare claims with accuracy and efficiency. If you have a strong experience in cl

Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims. Analyze and identify trends and provide reports as necessary. Consistently meet established productivity, schedule adherence, and quality standards. You'll be rewarded and recognized for your performance in an environment that will challenge

The University of Colorado Anschutz Medical Campus has an opening for a full time University Staff (unclassified) Insurance Specialist in the Department of Psychiatry. Clinics are located in Aurora Colorado at the School of Medicine. Programs in the various clinics include traditional psychiatric and psychological outpatient treatment; support and therapy groups, trauma c

The Insurance Verifier is responsible for securing appropriate patient account reimbursement by obtaining complex demographic, insurance, and medical information, identifying services requiring authorization for treatment and referral information. The incumbent performs all duties in a manner that promotes the Providence mission, values, and philosophy. In all aspects, th

NOTE Your application must include your first and last name as they appear on your social security card. Why work at SRHD? Do you have a desire to gain valuable skills and experience in public health, nutrition, and counseling? Ready to make a positive impact on the health and well being of low income families and children? Want to enjoy a flexible and rewarding work envi

Underwriting Assistant II 3 Month Contract Job Locations US OH Cleveland Requisition ID JR1004379 Category Underwriting Position Type Temporary Full Time Overview This Underwriter Assistant specifically works with national payroll agencies and digital partners and is within a quickly growing division of the AmTrust with opportunities for advancement. Emphasis is on provid