Manage all aspects of multi-line claims generated by assigned group of agents including claim examination, investigation, determination of coverage, liability, compensability, subrogation, etc., adjustments, litigation and settlements within limit of assigned authority levels. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
Receive claim assignments from assigned agents, verify applicability of coverage.
Processing insurance claims and perform follow up procedures for delinquent accounts.
1. Maintain accurate patient accounts by entry, verifying discrepancies with patients, offices or insurance companies as needed and correction
2. Charge entry for assigned incoming revenue sources; recognizing possible coding discrepancies and addressing with management
3. Receive insurance claim forms, verify information, make adjustments as needed and mail to appropriate insurance ...
We are looking for someone that has supervisory or management experience with hospital based Medicare claims experience.
The Director of Medicare Services is primarily responsible for leadership and management of the daily workflow of the Medicare Advantage, Traditional Medicare and Post Discharge Review Departments.
Essential Duties and Responsibilities:
Interview, hire, train, audit and review team members
Lead, supervise, motivate and monitor team members to ensure ...
JOB ID: MI24964
Job Title: Insurance Claims Adjuster
Company: Job Chit Chat
Industry/Environment: Insurance (professional, motivated & results driven)
Investigates, analyzes, and determines the extent of liability concerning loss or damages on high complexity claims to secure an accurate and fair settlement
Interpret complex policy language
Experience interpreting complex policy language
Exceeds expectations ...
eBay Classifieds offers various jobs, such as administration jobs, jobs in the legal sector, manufacturing jobs, finance jobs and many others. Perhaps you are a freelance writer searching for content work or copywriting online in your local area. Or you may be a website administrator working from home, looking for new advertisements on the Internet. It could be that you are struggling to find work elsewhere on the Internet, or perhaps you are unemployed or you have recently lost a job. Whatever it is you are looking for, eBay Classifieds makes searching for jobs in Detroit easier than ever before.