Participant Accident Claims Examiner / Health Insurance K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports, and events. As a Claims Examiner, you will report directly to the Manager of Claims working in the challenging and rewarding segment of insurance. The Claims Examiner handles all assigned claim

WEX Inc. (NYSE WEX) is a leading provider of business to business physical, digital, and virtual card payment solutions. WEX's fleet, corporate, and health payment solutions provide its customers comprising small businesses, large fleets, and corporations with unparalleled security and control across a wide spectrum of business sectors. We are executing against a multi pr

Claim Processor Worker's Compensation Job Locations US WI Merrill | US WI Milwaukee ID 20243396 Category Claim Type Regular Full Time Introduction Looking to join a vibrant organization that makes a difference? At Church Mutual, our customers are at the heart of everything we do. For more than 125 years, we've made it our business to protect those who serve and inspire ot

Population Specific Care No Direct Patient Care Denials Analysis & Resolution 1) Conducts root cause analysis of denials to determine where improvements within PFS or other departments may be necessary. 2) Collaborates with and provides support to PFS staff and management in appeals including, but not limited to, follow up with departments where letters of medical necessi

Insures patient accounts are handled according to hospital policy and that contacts with the public are conducted in a concerned and efficient manner Enter detailed notes explaining account activity in the Patient Accounts system Determine and assist but not limited to qualifying patients for Indigent, Bankruptcy, Deceased, Financial Assistance, Medicaid eligibility, Pres

We have a passion for making everyone feel good from the inside out! Join Advantage Resourcing and our partner company, which strives to improve the health of individuals. From digital radiography, magnetic resonance imaging, ultrasound, electromyography, and nerve conduction velocity, we thrive in finding new ways to save the day! Our hardworking team is dedicated to mak

Using discretion and independent judgment, the Payor Relations Specialist manages the pre certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. Follows the Select Workflow Process for initiating and completing patient authorizations. Takes full responsibility for following the "Workflow Process" and ensu

(65%) Insurance Administration Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority Determines if patient's insurance is a part of the provider network Makes outgoing calls to insurance companies for pre certification or any authorization Receives pre authorization from patie

(65%) Insurance Administration Prioritizes work load to ensure all patients are contacted prior to their exam and those with largest responsibility to pay are given highest priority Determines if patient's insurance is a part of the provider network Makes outgoing calls to insurance companies for pre certification or any authorization Receives pre authorization from patie

Take on an important role within an award winning health organization. Help ensure the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health. You will receive urgent, routine, pre service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.

include Ensure accurate completion of enrollments in accordance with CMS and other Managed Care Guidelines Process all Enrollment, Disenrollment, cancellation requests, reinstatements and managed retro reconciliation files or requests Reconcile daily Transaction Reply Report (TRR) and retro reconciliation files Maintain oversight on the accuracy and timeliness of acknowled

As the Insurance Verification, you will be responsible for Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative pers

Take on a key administrative role within an award winning health system. Elevate the operational efficiency of a world class healthcare leader. Take your career in an exciting new direction. You can do all this and more at UCLA Health. In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new and existing enrollment applications

As an Insurance Verifier, you will be responsible for Determining insurance eligibility, authorization and benefit verification Contacting health care insurers, transcription of information as quoted, type, proofread and mail clarification correspondence Answer telephone and written inquires Maintain filing systems Interface with medical staff and administrative personnel

The Human Resources File Clerk is responsible for uploading digital files and data. They organize records and archive paperwork so it can be found when needed most by other departments or personnel who might require its services. They also make copies of documents and distribute them accordingly. The position reports to the Director, Human Resources and provides support t