Dubai, United Arab Emirates
... Control Design Coordination Managing Multiple Projects Variation Analysis Procurement of materials and services Contract & Claim Management Resource Management Team Leadership & Management Internal Audit for ISO 9001:2015 and ISO 14001:2015 system. ...
- Jun 20
Dallas, TX, 75225
... Title Processor Copart, Inc - Dallas, TX July 2020 to May 2022 JOB DETAILS Job Title: Title Procurement Processor Company: Copart • Opening/scanning mail received • Call queue (ability to answer basic TP questions, give claim updates and direct ...
- Jun 20
South Amboy, NJ, 08879
... Senior Business Analyst TRIZETTO GROUP, Union, NJ 04/2001 – 06/2009 Performed Quality Assurance testing of system enhancements / fixes for Claim’s adjudication and billing software. Skilled Implementation Analyst for HIAA/MDR pricing data tasked to ...
- Jun 20
Pittsburgh, PA
... Processing 56900 Denials, 56900 Appeals re-opens, Post Pay 56900 Denials, Post-Payment Claim Review Adjustments, Medical Review Adjudication Errors Entering Claim Determinations into Fiss PIMR & MR Workload Requirements 04/2011-08/2011 (Temporary ...
- Jun 20
Kennesaw, GA
... Used RX Web software for determining coverage determination(Prior authorization, Step therapy and Quantity limits) Accessed RX Claim to add new user and assist customers with account history for prior authorization and troop levels Assisted customer ...
- Jun 20
Sacramento, CA
... requests for claim research inquiries, responding to written provider inquiries and conducting stellar customer service • Research provider calls/inquiries and responds to appropriate parties in accordance with service level agreements (SLAs). ...
- Jun 20
Layton, UT
... Coordinated with insurance companies for claim submission and payment processing. • Assisted patients with understanding their account statements, insurance coverage, and financial responsibilities. • Maintained strict confidentiality of all patient ...
- Jun 20
Redmond, WA
... Care guidelines support claim types of both Professional and Institutional with its evidence-based guidelines. Care Guidelines following the ICD-9 standards for Diagnostic codes, CPT for the procedure codes. Care guidelines do not support the dental ...
- Jun 20
Peoria, AZ
... Responsibilities included managing claim reconciliations, identifying opportunities for improvement, developing the budget for Health & Welfare for company business units, and leading the implementation of an HRIS project ● Utilized a Financial ...
- Jun 20
Houston, TX
... 07/17/2017 – 09/21/2017 Phase 1 Gap Claim Processor – Phase 1 Processor – Global Response Analyze and process the insurance claim, checking documents for validity. Review all documents to ensure that all questions have been answered, compiling data ...
- Jun 20