Trabajos claims processing en Randolph, New Jersey (NJ) State

Understand system rejects and applies appropriate RFS codes as well as processing policies on applicable claims. * Requests information from providers and subscribers through telephone contact or ...

Handle insurance claims processing and resolve any issues related to reimbursement. - Team Collaboration: Work closely with the pharmacist and other healthcare professionals to deliver optimal ...

Handle insurance claims processing and reimbursement efficiently. - Customer Service: Address and resolve patient inquiries and concerns professionally. Job Requirements: - Must Have: A valid state ...

As a Healthcare Business Analyst specializing in claims processing and pre-authorization, you will play a critical role in optimizing the development of our products. Your expertise will contribute ...

Researches and assists in resolution of pricing discrepancies, complaints, returns, credits and Freight claims. * Processes customer complaints within the customer complaint database. * Successfully ...

While primarily focused on overseeing DDNJ's API lead Integration strategy you will also have responsibilities and input in modernizing DDNJ's core Enrollment & Claims processing platforms. Delta ...

Ongoing analysis of procedures to improve call handling and claims processing efficiency of staff associates, including monitoring CSA calls to ensure quality customer service and reviewing random ...

Genius, Frame, Wins, XLGC, etc.), demonstrating strong knowledge of commercial insurance processes across multiple functions (e.g., Underwriting, Claims, Operations, Finance) including how data flows ...

Knowledge Defending against consumer fraud act violation claims; preparing for trial, drafting pleadings and complaints, the discovery process; construction, sub-contractor, employment, and general ...

Writing automation using python, R language, etc. independently Develop analytics / process ... and claims Data. Genpact is an Equal Opportunity Employer and considers applicants for all ...

Support commercial and government operations in day to day functions, including but not limited to, processing claims within tight deadlines * Responsible for reconciliation activities in supporting ...

... process engineering to provide investigation, analysis, reports, and testimony where technical and scientific answers are needed to help resolve civil and criminal litigation and insurance claims

... process engineering to provide investigation, analysis, reports, and testimony where technical and scientific answers are needed to help resolve civil and criminal litigation and insurance claims

In-depth understanding of the insurance claim restoration process and involvement in claims negotiations with insurance adjusters Responsibilities will include: * Lead the charge on reconstruction ...

Responds to benefits inquires and reviews and resolves claims issues. * Handles open enrollment process and benefit plan transfers. * Manages our HIPAA process and conducts necessary audits of the ...

Process claims, post EFTs, keep current all patient ledgers, post checks, assist with general office tasks. Hours and Days of the week required : Monday 8:30am- 5:30pm; Tuesday 8:30am- 6pm; Wednesday ...

Process all claims and billing verifications, and resolve any issues * Efficiently and timely handle internal/external common carriers, FTL and LTL and Parcel carriers inquiries * Monitor all ...

Traces lost shipments and/or customer claims of lost shipments, initiates proof of delivery documents. * Submits shipment and contract information in government systems (WAWF) to process and obtain ...

Leads and maintains a thorough and well-documented investigative process by gathering and ... Building scalable systems to track and report on claims among Field business lines. * Ability to ...

Oversee team management, reporting objectives, and key performance indicators process to identify ... Familiarity with syndicated data sources (eg, IQVIA, claims data, etc) * Understanding of and ...

Manage (company like Hawkers) investigation and disputes of chargebacks, fees, and shortage claims ... Operational training as necessary to ensure all Amazon shipping processes are being followed. e

... claims and discrepancies. * Conduct thorough benefit checks, verifying insurance coverage and ... Collaborate with the team to streamline billing processes and improve revenue cycle management ...

Ability to properly process Warranty claims and returns properly. Critical Duties and Responsibilities: * Sell and Service the customer so they want to return, be available, Listen and help them make ...

... insurance claims. ERS is seeking an individual who can handle the pickup and delivery of ... Advancement opportunities into learning the electronic restoration process available. Benefits