Claims Referral Manager

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.SummaryCoordinates the activities for processing referrals received by IMPAXX/Bridge Pointe and works closely with Analysts as well as with customers to fulfill responsibilities. Manages audit/exception assignments and...

(Workers Compensation Claims Examiner I - Medical Claims) Intro Our client, the largest privately held third party claims administrator in the United States, is seeking a Workers Compensation Medical Claims Examiner I. We are looking for a professional with 2-5 years of experience in Texas Workers' Compensation Claims and a Texas Workers' Compensation...

Job Description Job Summary Thorough knowledge of processing professional, outpatient facility, and inpatient facility claims for Medicare, Medicaid, and Marketplace plans. Assists Molina departments with reviewing and conducting analysis of claims to ensure regulatory requirements are appropriately applied. Clearly documents claims research results and...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.SummaryProvides Conditional Payment Claim investigation services to assist customers in addressing this important MSP compliance obligation. Interacts with attorneys and insurance carriers to provide education and status...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.SummaryProvides Conditional Payment Claim investigation services to assist customers in addressing this important MSP compliance obligation. Interacts with attorneys and insurance carriers to provide education and status...

**JOB DESCRIPTION** **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding...

Job Description Job Description Salary: The Mortgage Banker Branch Manager (MBBM) proactively oversees MLOs that solicits new residential mortgage business. In this on-going Mortgage Banker Branch Manager role, that you would continually identify, develop and maintain a quality network of business relationships that serves as a recurring source of referrals...

Job Description Job Summary Job Duties Uses analytical skills to conducts research and analysis for issues, requests, and inquiries of high priority claims projects Assists with reducing re-work by identifying and remediating claims processing issues Locate and interpret regulatory and contractual requirements Tailors existing reports or available data...

Job DescriptionJob Description The focus of this position will be research and root cause analysis of claims / config issues with direct provider interaction and collaboration with our provider relations team. Additionally, the role will help with overpayment recovery, claims payment and adjustment projects, and reviewing proposed SAI concepts from PI and...

Job Description: Position is fully remote and will be a temp role through 3/31/23. Position has the option to go perm based on positive work. Candidates can sit anywhere in the US and schedule will be M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST. Daily responsibilities will include the following: Candidates will be reviewing medical...

Job DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...

Job DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...

We are looking for individuals who are eager to develop and apply their skills in ways that make a positive impact to communities. Here, you'll be proud to be a part of a company known for putting safety and people first, combined with uncompromising integrity. Job Description PRIMARY RESPONSIBILITY: Manage the oversite of the collection function and...

Job DescriptionJob Description Referral specialists are responsible for ensuring patients are already cleared for specialty service office visits. They resolve registration, pre-certification, and case-related affairs before the client's appointment. Also, they give support to clinical staff to manage the administrative components of clinical referrals...

 Referral specialists are responsible for ensuring patients are already cleared for specialty service office visits.They resolve registration, pre-certification, and case-related affairs before the client's appointment.Also, they give support to clinical staff to manage the administrative components of clinical referrals for many services.They must gather...

Job DescriptionJob Description Referral specialists are responsible for ensuring patients are already cleared for specialty service office visits. They resolve registration, pre-certification, and case-related affairs before the client's appointment. Also, they give support to clinical staff to manage the administrative components of clinical referrals...

Peak Living is currently seeking a qualified Assistant Community Manager to join our team! At Peak Living, our employees love where they work! We are a fast-growing property management company with communities across the United States. We believe successful growth is best achieved by developing high quality teams and empowering them in their...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.It's an exciting time to join Brown & Brown Our business is growing both in North America and internationally which emphasizes the need to build an unparalleled team that promotes future growth. We're excited to continue...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.It's an exciting time to join Brown & Brown! Our business is growing both in North America and internationally which emphasizes the need to build an unparalleled team that promotes future growth. We're excited to...

Claims Service Representative 2 - Casualty Prompt Response The Automobile Club is seeking Casualty Prompt Response Claims Representative handing bodily injury claims, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. Under the general supervision of Claims Management, your...