Essential Duties & Job Functions Operates keyboard controlled data entry devices such as computer, key operated magnetic tape, or disc encoder to transcribe data into a format suitable for computer processing. Operates an alphanumeric keyboard and transcribes procedures and relevant data entry equipment. Works under close supervision and follows specific procedures or det

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Specialist, you will provide expertise in insur

Your Job INVISTA is seeking an experienced Senior Accounting Analyst to join our CFO organization in Wichita, KS or Dallas, TX. A successful candidate is highly motivated, self driven, and has a passion for driving continuous improvement and transformation. They should have an advanced understanding of accounting concepts, excellent critical and economic thinking, and str

o Handle General Liability claims for a wide variety of AXIS policyholders written in various jurisdictions and reporting to the Claims Manager; o Triaging of first notification of loss, efficiently utilizing an established network of service providers; o Set accurate claim reserves and make referrals to senior members of the team where necessary; o Obtain relevant polici

Inputs customer applications into the agency management system from the carrier rating system. Upload/submit application(s), photos, appraisals, etc. to be submitted to the insurance carriers for policy issuance. Checks new and renewal policies for accuracy in rating, typing and coverage. Ensure that these policies are delivered and/or mailed to the client. Monitors renew

Administration of Pension Benefits Collection of data from pension participants to determine eligibility and vesting schedule. Answer questions via telephone and email to convey information regarding the provisions of the pension plans. Create various types of members or employer correspondence including letters and emails. Collection and data entry of participant hours w

The Provider Enrollment Specialist is responsible for merging, completing and following up on provider applications with third party payers by coordinating with enrollment vendors, payors, and internal stakeholders. This position serves as the departmentas Subject Matter Expert for all group and/or provider enrollment disclosure of ownership and group enrollment questions

The Senior Claims Examiner will manage a caseload of insurance claims pending under a moderate to low level of supervision. Job functions include the following Analyzing insurance claims to determine applicable coverage; Analyzing claims to determine the extent of insured's or insurer's liability; Reviewing and evaluating damages and determining strategies for resolution.

Review, process and identify medical claims based on standard operating procedures on CPS. Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates). Review and apply member benefit plans and provider contracts, Pricing,

Summary Under immediate supervision, performs eligibility related paraprofessional work of routine difficulty; and performs related work as required. Distinguishing Features An employee in this class assists Eligibility Counselors in case management activities and learns the rules and regulations necessary to determine eligibility for monetary benefits and social services

Monitors delinquent accounts and performs collection duties Reviews reports, researches and resolves issues Reviews payment postings for accuracy and to ensure account balances are current Works with co workers to resolve insurance payment and billing errors Monitors and updates delinquent accounts status Recommends accounts for collection or write off Contacts patients t

Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

Initiate Referral Authorizations Acquires and maintain a working knowledge of Optum contracted health plans agreements and related insurance products Provides administrative and enrollment support for team to meet Company goals Gathers information from relevant sources for processing referrals and authorization requests Submits authorization & referral requests to health

This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 51+ markets. This position will support Rating & Underwriting services for Stop Loss products. Develops and issues proposal rates for group size 51+ and experience rated proposals. Develops and issues experience rated renewals for grou

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. This position is required to work in office, downtown Des Moines Processes written correspondence in response