Detail-oriented and experienced in claims processing, the temporary Claims Examiner will work remotely to process hospital and medical claims for self-funded and level-funded groups, determining payable amounts and ensuring accuracy for timely payments. Key responsibilities: Process hospital and medical claims according to plan rules for self-funded and level-funded groups Determine payable amounts, deductibles, co-pays, and co-insurance limits based on fee schedules and insurance plans Identify billing discrepancies and coordinate necessary corrections with providers and internal teams Required qualifications: Experience in claims processing for self-funded and level-funded groups Proficiency with CRM, Beacon Claims Administrative System, and Microsoft Office tools Ability to manage multiple priorities and adapt to new systems quickly Strong communication skills and sound judgment Attention to detail and efficiency in a fast-paced environment
Job Description Job Description Job Description Job Title: Administrative Assistant to the CEO Department: Executive Administration Reports To: Chief Executive Officer FLSA Status: Non-Exempt Employment Type...
...is with the Department of Homeland Security, within U.S. Customs and Border Protection, Office of Professional Responsibility, Investigative Operations Directorate, Operations Management, Significant Incident Programs, location negotiable after selection.This announcement...
Hudson High School in Hudson, Florida seeks a Biology & Cambridge AS Environmental Science teacher for the 2026-2027 school year. The position is full-time, teaching high school grades 9-12, with a 196-day instructional calendar and additional period compensation as needed...
...in San Diego, CA. For over 30 years, we have specialized in the design, installation, inspection, and maintenance of residential and... ...summer picnic, holiday event)~ Employee Referral Program ~ A management team that actively cares about your professional development...
...Job Description Job Description CNA Night Shift Job Location: Hartford City, Indiana Company Name: Envive Healthcare of Hartford City Organization Name: Envive Healthcare of Hartford City Job Summary: We are seeking a compassionate and dedicated...