Denial Claims Analyst Lead

The Company Person by person, we believe we can reimagine mental healthcare for everyone, at any point in their lives. We are a human potential brand-obsessively focused on guiding the individual toward comprehensive mental healthcare, and being an ally to everyone no matter where they are. We compete on frictionless urgent access to affordable mental...

Inside Sales Representative Role: Full-Time Opportunity (with benefits) As a Commercial Inside Sales Representative, you will be providing pre- and post-order support to key dealers, as well as the local sales team to customers in the Northeast region. You will seek new business opportunities by responding to sales leads and targeting underserved markets who...

???? We are seeking a highly skilled and experienced professional to join our leadership team as the Safety & Compliance Coordinator, to lead our client's focus in Health, Environmental, and Safety throughout their organization. Your primary objective will be to maintain a safe working environment and promote a safety culture throughout the organization. ?...

Commercial Insurance Inspector- (Brentwood, NY.) Brentwood, NY, USA Req #15244Thursday, April 4, 2024The CompanyCommercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspection and risk control services to support our clients...

The CompanyCommercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspection and risk control services to support our clients' underwriting processes. EXL's consultants deliver industry-leading professionalism, quality and...

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our...

Job Description Job Description Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously...

Job DescriptionJob DescriptionAllied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously...

Job DescriptionJob DescriptionAllied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously...

Allied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our...

We are seeking a highly organized and detail-oriented Stop Loss Claims Analyst to join our team. As a Stop Loss Claims Analyst, you will be responsible for submitting stop loss claim packets, tracking and monitoring claims, performing complex analysi Claims Analyst, Claims, Analyst, Customer Service, Microsoft, Monitoring, Insurance, Staffing

Job 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 provide guidance...

Job DescriptionJob DescriptionGranger Medical Clinic has an immediate opening for a Denial Resolution Specialist at our West Jordan, Headquarters location. Overview:AR responsibilities are to ensure that the patient claim is reviewed for possible reimbursement issues and billed out appropriately. The AR responsibilities are to analyze and research claims to...

We are currently hiring for a Claims Policy Analyst II to join BlueCross BlueShield of South Carolina. In this role as a Claims Policy Analyst II, you will interprets all directives and policies to establish processing guidelines for area of expertis Claims, Policy, Analyst, Processing, Senior Analyst, Project Management, Technology, Healthcare

**_Appeals & Grievances Health Claims Processing Specialist (REMOTE)_**Position Summary**: Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and providers (or authorized representatives) following the standards and requirements established by the Centers for Medicare and Medicaid. **Position...

Job DescriptionJob DescriptionAllied Digestive Health is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously...

claims team lead. long beach , california posted may 9, 2024 job details summary $55 - $60 per hour temporary bachelor degree category business and financial operations occupations referenceAB_4531701 job details Now Hiring: Claims Team Lead Apply today because openings are limited!! Overview To supervise the operation of multiple teams of...

Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and...

Now Hiring: Claims Team Lead Apply today because openings are limited Overview To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on...

Purpose of this position is to lead a claims team to help to achieve loss and claims expense objectives, as well as deliver excellent claims service to customers. Responsibilities include fostering good relationships with independent agents. This claims leader must provide continuous training, coaching and feedback to the members of their claims team. Must...

Job DescriptionJOB DESCRIPTIONJob Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the...

Job SummaryResponsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and...

Job Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and...

Job Description: Medicare Claims Appeals and Grievances SpecialistPosition Type: 100% RemoteLocation Requirements: Pacific Time Zone PreferredWork Hours: 8 AM – 5 PMTemp-to-Perm; $20/hr range; benefit plan offeredJob SummaryThe Medicare Claims Appeals and Grievances Specialist is responsible for reviewing and resolving member and provider complaints, and...

PRIMARY PURPOSE:To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the...