, developing innovative solutions to meet those needs. Assist in the development of a comprehensive claims strategic roadmap... and interpret claims, payment, and vendor data to identify, prevent, and recover overpayments, as well as to drive process...
resolution to claims (i.e.: additional information requests and medication determination updates) Thoroughly researches... Presents proposed solutions in a clear and concise manner Assists with audit preparation as needed Assists...
, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate... across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health...
, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate... across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health...
claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice..., and Experiences: Master's degree preferred. Experience in designing and implement software solutions using JAVA technologies...
and format contractual notices (e.g., delay notices, change notifications, claims correspondence) in accordance with contract... and with our partners and customers, to plan, design, build, and modernize infrastructure. We take special pride in projects and solutions...
in Financial Services & Insurance Claims Adjuster - Liability (REMOTE- Southeast State exp) Are you looking for an opportunity...? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative...
will have strong experience in toxic tort, complex litigation (including malpractice claims), subrogation, and general liability defense...-focused and realize that our value is in our ability to deliver the right solutions at the right time....
and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract... to referrals and claims submission, web site usage, EDI solicitation and related topics Perform provider orientations and ongoing...
. Responsible for processing insurance claims for various types of insurance and maximizing SMGOR reimbursement. Responsible... for claim resolution through working claims edits and appealing denied claims in a timely manner. Track status of outstanding...