or in-person vehicle inspections on repairable and/or total loss vehicles, establishes damages, and negotiates settlement of claims... damage estimates, Total Loss Express, Fire, Theft & Vandalism, diminution of value and other than auto property damage claims...
, or other requirements such as patient instructions. Utilizes electronic reports, worklists, and queues to identify claims requiring...
of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves... problem accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing...
ESSENTIAL JOB FUNCTIONS include, but are not limited to: 1. Processes claims populating into Ambulatory Claims Manager (ACM...) PERFORMANCE STANDARDS: Resolve Invalid and Rejected Claims populating into the list within 5 days. Documents the system...
Liability claims. Provides exceptional customer service and commitment to bring assigned cases to a timely, proper resolution... and supporting evidence. Assigned claims typically consists of medium to moderate complex litigated and non-litigated losses...
and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials... and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry...
of modifiers, CPT-4, ICD-9 and ICD-10 code ensure appropriate reimbursement. Analyzes and corrects claims to ensure accurate... and timely claims submission. Sets up account for Client Services and collects past due balances. Responsible for resubmission...
ESSENTIAL JOB FUNCTIONS include, but are not limited to: 1. Processes claims populating into Ambulatory Claims Manager (ACM...) PERFORMANCE STANDARDS: Resolve Invalid and Rejected Claims populating into the list within 5 days. Documents the system...
to attorneys. Prepare and submit Proof of Claims (POC’s) to the court, including supporting documents. Creates payment coupons...
for non-covered or nonparticipating provider services in addition to soliciting claims and other related medical information...
with the third party administrator staff for claims processing information, investigatory processes, and representation...
statistics, hospital patient discharge data, claims, and other relevant health sources; and supporting the preparation of reports...
to attorneys. Prepare and submit Proof of Claims (POC’s) to the court, including supporting documents. Creates payment coupons...
payments. Additional Responsibilities of Claims Payment and Compliance Specialist II: · Performs all duties of Claims... which provides the necessary skills, knowledge and abilities. Claims Payment and Compliance Specialist II: Three years experience...
, damages and otherwise adjusts and negotiates claims within limit of authority. ** We are seeking Bodily Injury Adjusters... in the Northeastern states to join our team! Dive into a role that primarily handles attorney-represented BI claims...
TITLE: INVESTIGATOR II STATUS: NON-EXEMPT REPORTS TO: FRAUD PREVENTION AND RISK INVESTIGATIONS MANAGER DEPARTMENT... Investigator II is an experienced level position within the Fraud department. Responsible for detecting, reviewing, and reporting...
We are seeking an AR Revenue Cycle Specialist II who will follow-up with insurance companies to collect outstanding... and insurance registration. The Specialist must have an understanding of claims submission requirements for all payers to expedite...
The Follow up Associate II/Appeals Specialist will be responsible for investigating and examining denial accounts... to answer relevant questions and obtain appropriate information in pursuit of resolving unpaid claims. Appeals Specialist...
Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the... authorization process including intake, logging, tracking and status follow-up. The Authorization Technician II collects...
our or connecting with us on , , , , or . About This Opportunity A Member Support Specialist II is responsible for representing the... for processing FSA reimbursement claims and must understand documentation and substantiation guidelines as defined by IRS regulations...