Pharmaceutical Benefits Management company seeking Finance or Accounting Director for Rx Claims department.
OVERSEE - Monthly reconciliation of accounts process
DIRECT - Transfer of funds to-from accrual accounts as a result of reconciliation
EVALUATE - Results for early trend signs and potential problems
REPORT - Finances and adjustments to regulators and 3rd party contractors
COMMUNICATE - Technically complex information to internal executive management
SUPERVISE - ...
Currently, Chubb is seeking an Administrative Assistant for the Philadelphia and Washington DC Claim Region in the Pittsburgh, PA office.
The person in this position will be primarily responsible for supporting the Regional Claim Manager along with the Property and Specialty Executive Technicians in the Eastern Territory.
As Administrative Assistant, the primary job responsibilities are the following:
• Travel & Entertainment charge backs
• Maintaining Attendance Records and providing Quarterly ...
Capstone ISG is currently seeking a full time field property adjuster in Baltimore, MD. Candidate will be responsible for reviewing insurance policies to determine coverage, preparing detailed written reports and making recommendations to clients while complying with state/federal laws and licensing requirements. Candidate will be working remotely from their home office.
• College degree: preferred degree in business, management, communications, marketing etc.
Job opening for a Regional Supervisor - Hospital Claims in Pittsburgh. Primarily Responsible for leadership and management of the daily workflow of the assigned region.
Will interview, hire, train, audit and review team members.
Lead, supervise, motivate and monitor team members to ensure compliance with company policies, procedures and standards
Advise Area Vice President of any workflow, personnel, client or carrier issues or improvement opportunities both within the region and in other ...
This position is responsible for answering patient calls and researching and resolving issues in order to receive maximum profitability for clients. Reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary.
1+ years of work experience; Healthcare and/or Insurance billing or processing and customer service preferred; 7,000 alpha numeric ...
Organizes in-patient and out-patient claims for electronic or hard copy mail and forwards to appropriate third party payers. May receive payment, and prepare payment for deposit and forward to appropriate financial institution. Responsible for posting payments, rejections and LOA's to accounts and making corrections to misapplied payments. Reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers ...
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