Overview: Overview: HealthEdge is seeking a senior product manager with deep expertise in healthcare claims... processing and Web UI applications to help enhance our HealthRules Payer platform. As a Senior Product Manager in the claims...
Overview Overview: HealthEdge is seeking a senior product manager with deep expertise in healthcare claims... processing and Web UI applications to help enhance our HealthRules Payer platform. As a Senior Product Manager in the claims...
. Ensure communication to Direct Report of any claims, risks, or disputes to prevent litigation. Be a partner in sound... a valid driver’s license within the applicable jurisdiction and meet company’s auto insurability requirements...
/federal regulations and medical terminology. Knowledge will include at minimum, all aspect of payer relations, claims... adjudication, contractual claims processing and general reimbursement procedures. Uses excellent customer service, written and oral...
/federal regulations and medical terminology. Knowledge will include at minimum, all aspect of payer relations, claims... adjudication, contractual claims processing and general reimbursement procedures. Uses excellent customer service, written and oral...
, etc. Processes various types of loan applications, including but not limited to Auto VIPs, credit cards and lines of credit. Ability..., savings bond redemptions, safe deposit box services, gift cards, fraud and forgery claims, credit and debit card disputes...
) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims..., an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the...
services. Provide reports to stakeholders on project status & progress. Ensure communication to Direct Report of any claims...’s auto insurability requirements. You must have working knowledge of proposal preparation including scope development...
for all incidents/injuries, including general liability, auto liability, workers compensation, and all other applicable claims.... Executive level leadership and administration of proper risk management processes, including negotiation/settlement of claims...
Service Representative, PI Billing Representative I &II when necessary Use coded data to produce and submit claims... claim handling was appropriate Update claims and reprocess as necessary Review and update posted adjustments...
Customer Care Area Manager will manage complex customer care claims regarding structural deficiencies that requiring high level... work meets standards before approving payment. Occasionally auditing the tasks of a customer care representative...
Service Representative, PI Billing Representative I &II when necessary Use coded data to produce and submit claims... claim handling was appropriate Update claims and reprocess as necessary Review and update posted adjustments...
for all incidents/injuries, including general liability, auto liability, workers compensation, and all other applicable claims.... Executive level leadership and administration of proper risk management processes, including negotiation/settlement of claims...
and in designated area and reports freight damage claims Prepares branch orders from the warehouse and ensures that the correct... computer knowledge Working Conditions and Physical Demands The physical demands described here are representative...
Policy Statements and Permanent Memorandums, as requested. Management of Auto Shop Unit (15%) - Includes oversight...%) - Assists the Facility Services Property Claims process by filing claims with the Office of Risk Management and communicating...
. Investigates quality claims to root cause and develops and executes corrective actions to eliminate recurrence. Leads projects... must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge...
resources engaged in the collection and recovery of managed care and/or Worker's Compensation claims. ESSENTIAL DUTIES... on payers. May file liens on auto accident patients to state interest in claim. Verifies in system that accounts have been...
customers with their insurance and financial services needs, including: Auto insurance Home insurance Life insurance... Retirement planning ROLE DESCRIPTION: As an Account Representative for Neil Vranak State Farm, you are vital to our daily...
-2 years as Lead Claims Processor, Claims Auditor, Customer Service Representative, or other related position in the... projects, achieving the highest possible auto-adjudication rates, while at the same time maintaining excellent quality...
edits. The SPEC, PHYS SVC EDIT analyzes claims for process improvements to reduce edits. ESSENTIAL DUTIES... satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable...