The Provider Enrollment Specialist is responsible for ensuring that all forms of enrollment are completed in a timely fashion enabling individual practitioners and facilities to meet all billing and reporting requirements for commercial, state, and government agencies Qualifications EDUCATIONAL REQUIREMENTS Associates Related Field or Five (5) years relevant experience. C

Display a strong working knowledge of personal lines insurance products. Responsible for servicing of accounts to include processing and maintaining appropriate records. Assist producing agents in reviewing pricing and proactively solicit new and renewal business. QUALIFICATIONS Combination of education and experience which enables the incumbent to be successful in the jo

AND DUTIES Data entry in company's proprietary database Performing analytical review of documentation received to determine the rightful ownership of property Reviewing and verifying data entered in system in accordance with the client's business processes Ability to follow detailed written instructions and make independent decisions regarding the next step of each claim R

Claims Clerk Job Locations US IN INDIANAPOLIS Requisition ID 2024 18087 # of Openings 1 Category (Portal Searching) Administrative/Clerical Position Type (Portal Searching) Regular Full Time Overview The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missing information as necessary. Determines claims coverage by exami

FIND YOUR FUTURE We're excited about the potential people bring to our organization. You can grow your career here while enjoying first class perks, benefits and commitment to diversity and inclusion. This is a great opportunity to join Independent Health and our family of companies! We are hiring full time customer service representatives to start on July 29, 2024. T

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Responsible for scheduling, cancelling, rescheduling and registering of outpatient visits and procedures fo

Eligible for a $2,500 sign on bonus Eligible for Full Time benefits Shift Full Time The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in the resolu

Underwriting Assistant Hybrid Job Locations US NY ELMSFORD Job ID 2024 3879 Category UW Operations Type Regular Division Seneca Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial stren

Perform duties such as review and process various types of transactions, conduct data validation, data entry, and/or other process type functions Responsible for creation of daily, weekly, monthly, quarterly and annual reports for internal and external distribution. Track various regular file transmissions to ensure transactions are completed regularly, report files with

This position is aligned to a geographic or other territory. The Associate Vice President Imaging has senior level responsibility for generating new clients. Key elements to successfully managing an assigned territory are building a strong sales pipeline, advancing sales opportunities and growing relationships with unidentified accounts. Primary Responsibilities Identifie

JOIN OUR TEAM! Spring Mountain Treatment Center is currently seeking a dynamic professional to join our team as an Patient Accounts Representative. The Patient Accounts Representatives is t o identify, record and summarize financial data related to business transactions, events and decisions to report and interpret data necessary for sound judgments and decisions by manag

Navigate to the corresponding State License Verification website based on the state in which the provider is licensed, and search for the provider's license status using the provider's License # or name. If an exclusion is identified, the Analyst will place bills on hold and work collectively to mitigate issues. Perform reviews of Registration billing accuracy and timely

Reviews payer EOB's but not limited to payment accuracy, patient liability, and appeal grievances. Work 60 accounts daily Files appeals on denied claims and/or forwards to the Nurse Auditor for review Process incoming mail correspondence from payers within 5 business days. Follow up with the insurance companies by phone and or web for the status of outstanding claims. Fol

As a File Room Specialist responsibilities include control loan collateral/legal files and related credit files including imaging and quality control, filing and retention, in additional to other loan servicing/recordkeeping responsibilities. Responsible for maintaining an accurate inventory and tracking of all Collateral and Credit loan files Responsible for ensuring the

Account Servicing Responds to service requests and proactively identified service needs. Manages new and existing insurance customer activities including policy check in, renewals, cancellations, endorsements, and initial claim activity. Performs data entry, processing, and risk analysis at an advanced level. Ensures accuracy and compliance with all rules and regulations.