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Premium Processor Do you enjoy data entry at a high level of complexity? Is reconciling accounts and solving problems a specialty that you have? As a premium processor, you will resolve billing issues while maintaining the highest level of customer service. You will provide options to internal and external customers. In addition, you will process and reconcile accounts. Responsibilities Process an
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Quartz Health Solutions
- Middleton, WI / Onalaska, WI / Sauk City, WI
Quartz is seeking an individual with experience or interest in a career in medical coding to join our Special Investigations Unit as a Claims Coding Specialist. This position will perform investigations on potentially fraudulent claims activity through research and analysis of high dollar claims. Key Responsibilities Research and analyze high dollar claims for potential fraudulent activity Compile
Posted Today
Oversee enrollment and credentialing of Providers in accordance with requirements (NCQA, CMS, etc.). Ensure DentaQuest's credentialing process meets client expectations and state regulations. Assist with delegated credentialing audits as needed. Ensure all Applications and Site Reviews are tracked. Ensure reports are prepared accurately, timely and work to automate the reports where applicable. Al
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Q.B.E North America
- Chandler, AZ / Atlanta, GA / Sun Prairie, WI
Support the handling and review of claims for assigned line(s) of business by providing accurate documentation, communicating progress, delivering consistent customer service and assisting with special projects to complete assignments. Generally responsible for working on medium to high volume low complexity claims for assigned line(s) of business. This position is responsible for the consistent d
Posted Today
Work for an employer that values your professional skills, input and encourages growth!
Posted Today
Where is your claims career taking you? If you see nothing but the daily grind of a claims desk for years to come – and that terrifies you – we want to talk about your future. As a Client Claim Advocate at Integrated Risk Solutions, you’ll Have real, measurable impact on clients’ cost of risk Guide innovative resolutions to unique claims Have the latitude to use your insura
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The Manager, Financial Services (MFS) is responsible for the recruitment, selection, development, retention, success, and supervision of new agents and Financial Services Associates (FSA). The MFS is the immediate supervisor for the organization's approach to a relationship based, life cycle, sales and advice process. Key aspects of this approach include · Training and coaching new ag
Posted 1 day ago
Seeking individuals who share our passion for attaining quality affordable health care.
Posted 1 day ago
This position primary responsibility is the coordination and scheduling of projects. Work hand in hand with attorneys, banks and court employees to administer Class Action settlements, including document preparation for Courts. Your team would be responsible for project management including plan preparation and implementation, inter department, vendor, and client communications, of oversight manag
Posted 2 days ago
Looking for a company with a great work-life balance and appreciates the work you do? Apply now!
Posted 3 days ago
of Responsibilities Handle subrogation claims assigned, with the supervision and guidance of the manager or supervisor. Evaluate legal liability and aggressively pursue, negotiate and resolve subrogation collection with insureds, at fault parties or their attorneys. Secure additional information/investigation from supported claims file when necessary. Communicate with policyholders, at fault parti
Posted 3 days ago
Assess and coordinate claims inquiries for a very diverse population of members of the World Trade Center (WTC) Health Program Nationwide Provider Network throughout the United States. Educate and inform members of program coverage and limitations for claims within contract requirements. Use critical thinking, research and problem solving skills to navigate through the complexities of a member's h
Posted Today
Even in the midst of our growth, NIS has upheld the high standards and family values we started with in 1969 ethics, compassion, hard work, passion, optimism and community altruism. Our commitment has always been and will always be, to do the right thing for our clients, partners, employees and the community. We are looking to add to our Billing team. Review and accurately process enrollment appli
Posted Today
The Manager, Financial Services (MFS) is responsible for the recruitment, selection, development, retention, success, and supervision of new agents and Financial Services Associates (FSA). The MFS is the immediate supervisor for the organization's approach to a relationship based, life cycle, sales and advice process. Key aspects of this approach include · Training and coaching new ag
Posted 1 day ago
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 6, we are totally focused on innovation an
Posted 1 day ago
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