objectives and innovation. Role Overview: The Claim Processing & Reimbursement Specialist is responsible for the efficient..., accurate, and compliant processing of reimbursement claims submitted by broadband providers. This role ensures adherence...
and within all requirements and service standards. The Claim Associate is responsible for: Reviewing and processing the more complex claims..., and auditing less experienced associates. Escalating claim issues with minimal leadership consultation. Taking on escalated calls...
reports and insurance claim forms for damage or loss Prepares documents for imaging and final disposition by client staff... as intermediary between company and insured Helps Claims department by performing clerical duties e.g. mail, check processing...
reports and insurance claim forms for damage or loss Prepares documents for imaging and final disposition by client staff... as intermediary between company and insured Helps Claims department by performing clerical duties e.g. mail, check processing...
client interactions regarding the processing of a claim, as directed. Collaborate with and inform supervisor and teammates...
, reconciliation of cash and census, coinsurance claim billing and follow up. ESSENTIAL POSITION FUNCTIONS Reconciles census... name override is present for payers that need one. Completes month-end processing and billing. Completes special projects...
with certain claim situations or just help in understanding how their policies work. Our other primary obligation is to monitor the... or certification application. This includes working with the IDOI Enforcement Division on further processing of possible deniable...
; and to ensure the ongoing processing of claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Informs claimants of documentation... for a qualifying condition. Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead...
all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing). Process reimbursement... policy. Processing of prescription exceptions including prior authorizations, triaging of referrals to other Walgreens...