us forward every day. Job Overview A Claims Examiner is responsible for analyzing and the adjudication of medical claims as it... schedule changes. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process or from claims...
us forward every day. Job Overview The Claims Director of Provider Disputes and Resolution has overall responsibility... and accountability for all aspects of the claims operation for all Provider Disputes, provider projects, as well as provider refund...
us forward every day. Job Overview The Claims Auditor will be responsible for the accurate review and auditing of claims... that are adjudicated by the system and the Claims Examiners. The auditor will suggest process improvements to management and act...
us forward every day. Job Overview A Claims Examiner is responsible for analyzing and the adjudication of medical claims as it... schedule changes. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process or from claims...
us forward every day. Job Overview The Claims Examiner II is responsible for analyzing and the adjudication of medical claims as it... schedule changes. May resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process...
us forward every day. Job Overview This position is responsible for administrative, clerical and Mail room support for the Claims...
us forward every day. Job Overview The Claims Examiner II is responsible for analyzing and the adjudication of medical claims as it... schedule changes. May resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process...
us forward every day. Job Overview The Claims Auditor will be responsible for the accurate review and auditing of claims... that are adjudicated by the system and the Claims Examiners. The auditor will suggest process improvements to management and act...
Kforce has a healthcare client in LA in need of Claims Director. Summary: The Claims Director has overall... responsibility and accountability for all aspects of claims operations while effectively and efficiently delivering and enhancingthe...
us forward every day. Job Overview A Claims Examiner is responsible for analyzing and the adjudication of medical claims as it... schedule changes. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process or from claims...
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark... on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry...
us forward every day. Job Overview The Claims Operations Analyst is responsible for the compilation and scrubbing of claims data... in order to analyze, track, and trend various aspects of the adjudicated claims. This includes but is not limited to, TAT...
claims processing, physician office billing and/or hospital admitting and PC/CRT Preferred: 3 years recent in healthcare...
care experience (HMO, PPO, Provider Networks, etc.) required. Working knowledge of provider network, eligibility, claims...
on the healthcare revenue, cost, and outcomes. The position will monitor claims cost; identify revenue opportunities... such as claims overpayment, leakage claims and billable services; monitor PCP and specialty cap; prepare risk pool and incentive...
us forward every day. Job Overview A Provider Dispute Claims Examiner is responsible for analyzing and the adjudication of medical... claims as it relates to managed care. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR...
. 4. Working knowledge of claims, credentialing and utilization management preferred. 5. Must have understanding of Medi...
and implements enhancements to pharmacy systems to further promote productivity. Ensures the accurate processing of insurance claims...
, appeals and grievances, claims status and requests for EOBs. The CSR I is expected to resolve and/or escalate inquiries...
as pharmacy staff. Seeks new and better ways to further promote productivity. Ensures the accurate processing of insurance claims...