Edi Claims Specialist

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...

**Summary**: **Duties and Responsibilities**: - Run reports for FFS claims monthly. - Cross train on other tasks and reporting requirements within the unit. - Make sure claims are submitted to the Health Plan electronically monthly by EDI Unit. - Work any rejections of the claims submitted electronically to Health Plan. - Print onto CMS 1500 or UB04 forms...

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

You are as unique as your background, experience and point of view. Here, you'll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...

Responsible for administering employee benefits programs and ensuring compliance with applicable laws and regulations. This role involves managing benefits enrollment, processing claims, handling employee inquiries, and maintaining accurate records. Benefits Specialist, Benefits, Specialist, Administrative, Staffing

Akkodis is seeking a diligent and detail-oriented Warranty Claims Specialist to join our team. The role will be responsible for managing all aspects of warranty claims, ensuring compliance with established policies and procedures, and providing support to various stakeholders.PAY RATE: $20.00 - $25.00 per HRResponsibilities:Review and process warranty...

**Summary**: Under the direction of the Supervisor, Clinical Operations (COPS), the Specialist, COPS primary responsibility is to support a strategic approach to the development of actionable recommendations that improve the quality, access, and sustainability of MedPOINT’s clients’ network. **Duties and Responsibilities**: - Member of MPM’s COPS...

**Description** Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult...

Description Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult or...

Description Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex,...

Description Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult or...

DescriptionResponsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult or...

Description Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex,...

Description Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex,...

Job Description Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance qualification. Handles complex, difficult...

Onboarding Specialist - Temporary **Overview**: Allied Universal®, North America's leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace, you will be part of a team that fuels a culture that will reflect in our communities and customers we...

PBS is seeking a bilingual (Spanish speaking) billing/authorization coordinator for our HQ office in Woodland Hills. **Job Description**: The billing/authorization coordinator job duties includes the following, but is not limited to: ► Intake service specialist ►Program coordination ►Eligibility coordinator ► Verify insurance eligibility...

Perform follow up on delinquent claims from insurance payers, including filing of appeals - Review and resolve clearinghouse rejections and edits to ensure release of clean claims - Handle correspondence from insurance payers and patients - Receive incoming patient phone calls - assist with account updates and any issues as needed - Work collaboratively with...

Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg, Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park, Owings Mills, Parippany, Rancho Cordova, Rocky Hill, or Woodland Hills. If you are ready for a career move, consider working for a company with a global footprint that offers terrific...

Overview: **Physical Therapy Specialist**, a member of the Confluent Health family, is looking for a Full Time Billing Specialist to join our team!** At** **Physical Therapy Specialist** **you’ll find an amazing culture because we want our employees to love coming to work and do what they love - helping our patients get back to their everyday lives. We...