Claims Administrator

Job DescriptionJob DescriptionObjective:The Account Representative will be responsible for managing the inventory, building relationships with staff and administration at accounts, collecting and reviewing claims with account staff, and helping manage set up and delivery of equipment as appropriate. The Account Representative will be responsible for Chester...

POSITION SUMMARY:This office position plays an integral role in the overall function of the Human Resources department. The HR Manager provides professional advice on human resources policies and procedures, handles all employee relations matters, oversees the company benefits administration, coordinates and directs administrative functions, promotes...

More Information about this Job:     IMMEDIATE OPENING  Medical Billing - Medicare Claim Status Follow-up Remote or On-Site Starting Pay $16.00   Job Summary    The Medicare Claim Status Follow-up position is responsible for timely follow up of claims filed to Medicare Part B and Medicare Advantage along with accurate documentation of these...

Under the direction of the Manager of Third Party billing, perform third party research functions. Sort and mail all bills (HCFA 1500) attaching any required documentation needed to receive payment (i.e. EOB for other secondary insurance, cost invoice, operative notes, etc.). Review rejection/denials from insurance carriers to determine what actions have...

Seeking a RN to function as a Medical Affairs Coordinator. This position if fully remote. The schedule is M-F, 9am-5pm. DUTIES: Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non-covered services and...

Overview: A successful candidate for this position will be responsible for assisting the Accounting Manager with all accounting and related functions while assuring that the department provides accurate and efficient service to members, branches and then credit union. The position will handle certain aspects of project implementations, general ledger...

Job description **Job Summary**: Creates and manages submission, intervention and resolution of bills, appeals, and grievances. Conducts pertinent research, evaluates, responds and completes appeals and other insurance/policy guideline inquiries accurately, timely and in accordance with all established regulatory guidelines. Prepares appeal documentation,...

More Information about this Job:   Medical Billing – Claim Response – Payor Research – A/R Follow-up Specialist - Commercial  Immediate Opening    Starting Pay:  $20.00/hour    Job Summary   The Medical Insurance A/R Follow-up Specialist must have experience working with multiple commercial insurances. The successful candidate will...

More Information about this Job:   Medical Billing – Claim Response – Payor Research – A/R Follow-up Specialist - Commercial  Immediate Opening    Starting Pay:  $20.00/hour    Job Summary   The Medical Insurance A/R Follow-up Specialist must have experience working with multiple commercial insurances. The successful candidate will...

Summary Securing Travel, Protecting People - At the Transportation Security Administration, you will serve in a high-stakes environment to safeguard the American way of life. In cities across the country, you would secure airports, seaports, railroads, highways, and/or public transit systems, thus protecting America's transportation infrastructure...

Job SummaryResponsible for oversight, coordination and regulatory compliance of Employee Health daily operations as prescribed by Emanate Health, state, and federal regulations. Provides leadership, direction, and general supervision of team members. Management of new hire onboarding process, injury program/ worker's compensation, leaves of absence, and...

Job SummaryResponsible for oversight, coordination and regulatory compliance of Employee Health daily operations as prescribed by Emanate Health, state, and federal regulations. Provides leadership, direction, and general supervision of team members. Management of new hire onboarding process, injury program/ worker's compensation, leaves of absence, and...

Job DescriptionJob DescriptionAs a Benefits Analyst, you will oversee daily administration and compliance, as well as initiate improvements within the areas of the health, welfare, and retirement plans. Additionally, you will analyze data, propose and assist with the implementation of plan changes, and assist with managing our vendors, data interfacing and...

Job DescriptionJob Description Bilingual Spanish - EnglishAnswering phone calls and emails from clients promptly and professionally.Assisting clients with inquiries, policy changes, and claims processing.Providing accurate information regarding insurance products and coverage options.Processing policy renewals and payments efficiently.Resolving customer...

Job DescriptionJob DescriptionCascade Counseling is seeking a dedicated and empathetic Client Support Specialist to join our mental health clinic. In this role, you will be the primary point of contact for clients, providing support in accessing services, handling billing inquiries, and performing various administrative duties to ensure the smooth operation...

Our client, a rapidly growing and unique insurance organization and one of the fastest-growing insurance brokers in the U.S., is seeking a highly motivated and customer-focused Commercial Lines Account Executive to join their team.As the Commercial Lines Account Executive, you will be responsible for efficiently managing a high-volume book of insurance...

Job DescriptionJob DescriptionOur client, a rapidly growing and unique insurance organization and one of the fastest-growing insurance brokers in the U.S., is seeking a highly motivated and customer-focused Commercial Lines Account Executive to join their team.As the Commercial Lines Account Executive, you will be responsible for efficiently managing a...

Job DescriptionJob DescriptionOur client, a rapidly growing and unique insurance organization and one of the fastest-growing insurance brokers in the U.S., is seeking a highly motivated and customer-focused Commercial Lines Account Manager to join their team.As the Commercial Lines Account Manager, you will be responsible for efficiently managing a...

Job Purpose: Maintains and enhances the organization's human resources by planning, implementing, and evaluating employee relations and human resources policies, retention programs, and practices. Duties: * Maintains the work structure by updating job requirements and job descriptions for all positions. * Maintains organization staff by establishing a...

Job DescriptionJob DescriptionTri Star Sports and Entertainment Group is a renowned business management firm serving high net-worth clients in the sports and entertainment industry. Tri Star provides comprehensive financial and advisory services including accounting, tax, tour management and wealth preservation strategy. We foster a culture of professionals...