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claims adjuster in Buffalo

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  1. Medical Billing Rep (3202945)

    In an environment where the patient is at the center of everything that we do the individuals in this position typically reconcile medical claims for the purpose of collecting revenue for the organization. They work with patient, client and/or Third Party insurance bills, and may work on one or more of these processes on a daily basis. Job Accountabilities • Focused efforts on increasing cash and reducing bad debt. • Apply payments and denials to third party carriers in all media types • Interpret ...

  2. Home Based Field Nurse Case Manager in Workers Compensation

    DIRECT HIRE OPPORTUNITY for stellar Nurse Case Managers in the Allentown, PA area working with a Regional Workers Compensation Case Management company.  This role combines the best of both worlds combining telephonic and field work together to offer variety in this position.  In this role as a Nurse Case Manager, you will engage in case review and audits working directly with members and primary care physicians to ensure care plans are established, managed and members receive the highest quality of ...

  3. Hail, Storm, Wind or Water Damage??? Home Improvements, Roofing and Re

    Do you have weather related damage to your home from wind, water or hail? Harleys Home improvement can help you. We are family owned and operated, licensed, and insured. We help you get a full roof job repairs for no out-of-pocket expense other than your insurance deductible. We almost always agree to accept the price that your insurance will pay for the claim, depending on your insurance policy. We ensure the highest quality workmanship. You may also benefit for upgrades at no additional charge ...

  4. Hail, Storm, Wind or Water Damage??? Home Improvements, Roofing and Re

    Do you have weather related damage to your home from wind, water or hail? Harleys Home improvement can help you. We are family owned and operated, licensed, and insured. Harleys Home Improvement specializes in insurance claim assistance to the homeowner for weather related damages to your roof and home, such as hail, wind or water damage etc... We will help you deal with your insurance company and meet with your insurance adjuster to discuss your homes damage. Our involvement prevents you from ...

  5. Director Claims Reconciliation

    HRC 00-13This position is with a leading company in the PBM space.  The Director Claims Reconciliation is responsible for directing the claims analysis and reconciliation financial functions of the company in accordance with the policies and practices. This position will be responsible for resolute and proactive direction of the claims analysis and reconciliation process while maintaining the exceptional level of professionalism and customer service standards that we have attained within the pharmacy ...

  6. Customer Support Representative

    Job Details: Job Title: Customer Support Representative Location: Wilkes Barre, PA 18762 Duration: 12+ months (Strong possibility for extension) Job Description / Requirement: • The primary function is creating and providing disposition for Client’s to customer shipment claims, claims indexing, customer satisfaction and initiation of supporting documentation requests for claims closure. • Claims and claims documentation are received by phone call, fax or email which is processed, and assigned to the ...

  7. Claims Management Specialist - Metro Area/Lansing/Ann Arbor

    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. RESPONSIBILITIES Receive claim assignments from assigned agents, verify applicability of coverage. ...

  8. Customer Service & Materials Representative - Automotive

    As reflected in our mission statement, “L&W is committed to serving our customers better everyday and providing a good job for willing workers.” We are seeking highly qualified individuals to build a career with us. No matter what team you will be working with, what you do is an important link in our ability to meet the needs of our customers. We have high expectations for L&W and for you. We look forward to a mutually rewarding and successful partnership. L&W offers a competitive salary and ...

  9. Water or Wind Damage??? Home Improvements, Roofing and Repairs

    Do you have weather related damage to your home from wind, water or hail? Harleys Home improvement can help you. We are family owned and operated, licensed, and insured. Harleys Home Improvement specializes in insurance claim assistance to the homeowner for weather related damages to your roof and home, such as hail, wind or water damage etc... We will help you deal with your insurance company and meet with your insurance adjuster to discuss your homes damage. Our involvement prevents you from ...

  10. Billing Specialist

    Billling Specialist: Reviews appropriateness of CPT/ICD-9 coding and determines if care provided corresponds to the charges submitted and are in compliance with the insurance plan guidelines. May assist in identifying improper plan billing practices and provides assistance to clients as it relates to billing requirements upon request. Organizes inpatient and outpatient claims for electronic or hardcopy mail and forwards to appropriate third party payers. Reviews claims to make sure that payer ...

  11. Reimbursement Coordinator

    Reimbursement Coordinator: -   Provides technical support assistance to internal client relations staff and the client during and after implementation for referred claims and healthcare electronic data interchange applications (including referral, payment, note posting, and reconciliation files). Responds to inquiries regarding EDI issues with enrollment, claims, payments, and/or clearinghouse activities to both internal and external client staff. Conducts analysis of EDI and payment transactions ...

  12. Claims Adjuster

    Reports To: Senior Claims Manager/Claims Manager Date: March 25, 2014 Purpose: To adjust claims in accordance with corporate professional standards, Special Account Instructions, Client Claims Handling Guidelines and file specific instructions given by the Claims Manager. To assume responsibility for investigating, evaluating, negotiating and settling claims in a timely and cost effective manner. Essential Functions: 1. Adjust claims for the Client pursuant to the Client’s Claims Handling ...

  13. Director Claims Reconciliation

    The Director Claims Reconciliation is responsible for directing the claims analysis and reconciliation financial functions of the company in accordance with the policies and practices. This position will be responsible for resolute and proactive direction of the claims analysis and reconciliation process while maintaining the exceptional level of professionalism and customer service standards that we have attained within the pharmacy benefit management industry. Description: Direct the management ...

  14. PORSCHE 944-S
    $10,500

    Condition: Used Transmission: Manual Drivetrain: RWD Vehicle title: Clear DESCRIPTION: 1987 PORSCHE 944-S 16V I picked this 944 up because it is a very fine example of a 944-S and are getting hard to find in nice condition. What sparked my interest is this particular 944, it was a special order. The BBS rims are from Porsche, ordered paint color, and many other custom options. The car is a two owner car and both owners were life PCA members. I picked the car up for a decent price but unfortunately ...

  15. Medical Biller

    Basic Function Processing insurance claims and perform follow up procedures for delinquent accounts. Responsibilities 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 ...

  16. Quality Assurance Engineer: Cleveland, OH

    Please do not email PrintWorkers regarding this position. Any resumes and inquires that are emailed will be deleted. Instead, to learn more about this position, including how to apply, click on this link, or paste it into your browser: http://www.printworkers.com/Default.cfm?fuseaction=search.3&ID=40960 Job ID: 40960 Key Job Responsibilities: Quality Assurance Engineer role involves people management, data analysis, and strategy selection and execution with responsibility for customer claims. ...

  17. Physician Enrollment Specialist

    Physician Enrollment Specialist: Processes credentialing and re-credentialing applications for both provider and physicians and understands required credentials for both. Reviews applications, prepares verification letters and maintains provider enrollment database. Contacts medical office/facility staff, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications. Organizes inpatient and outpatient claims for electronic or hardcopy mail and forwards to ...

  18. 2006 Kia Sedona LX  - Dark Blue - Auto - 78K Mi.

    Kia's front-wheel-drive minivan became the company's top-selling vehicle by 2004 after its launch for the 2002 model year. After four seasons in its original form, the South Korean automaker has developed a second-generation Sedona for 2006. Introduced at the 2005 Chicago Auto Show, the redesigned Sedona is larger in every dimension and uses a lengthened wheelbase. Kia claims the Sedona is significantly lighter and passenger space has increased by nearly 15 percent. The 2006 Sedona has a 3.8-liter V ...

  19. Chihuahua - Janera - Small - Senior - Female - Dog

    Chihuahua - Janera - Small - Senior - Female - Dog JANERA is one adorable little 8-9 year-old Chihuahua. This little girl weighs 7 pounds is brown in color and has a friendly nice personality. The shelter worker that found her as a stray was immediately taken by how well socialized she was. It was through that this gal had been loved and that she would be claimed before the holding period was up. However, wait she did and when the time was up Animal Alliance was alerted that one great little dog was ...

  20. Insurance and Risk Manager

    Yates County, New York, a local government employer, seeks experienced candidates for a full-time (35 hr/week) non-union position. This is a professional position responsible for the administration of the County’s Workers’ Compensation Self-Insurance Plan (plan), which includes all County Departments as well as all participating Towns and Villages; planning and coordination of programs relating to occupational safety and health; and claims and insurance management. This work requires the evaluation ...

  21. Customer Service Representative

    Our client, a Fortune 500 financial company, is seeking a Customer Service for about 6 months paying up to $12 an hour plus benefits. Hours are Monday-Friday 9-6pm with the occasional Saturday of 9-1pm. Hours will never exceed 40hrs a week. Customer Service Representative will be handling 30-70 inbound calls a day and assisting with consumer loans and getting them processed. Customer Service Representative will be reviewing loan images that come in from fax system, and indexing documents. The CSR ...

  22. Claims Representative

    ~~Are YOU ready to change your career?  We are seeking self-motivated, goal-oriented individuals interested in using their experience in construction, real estate, education and other fields to propel them forward into a lifelong career.  Paid training begins immediately.   We are a national Public Adjustment company with a growing local office in Pittsburgh.  Flexible hours available.  Possession of reliable transportation necessary.  Excellent compensation!  

  23. Claims Representative

    ~~Are YOU ready to change your career?  We are seeking self-motivated, goal-oriented individuals interested in using their experience in construction, real estate, education and other fields to propel them forward into a lifelong career.  Paid training begins immediately.   We are a national Public Adjustment company with a growing local office in Pittsburgh.  Flexible hours available.  Possession of reliable transportation necessary.  Excellent compensation!  

  24. Claims Representative

    ~~Are YOU ready to change your career?  We are seeking self-motivated, goal-oriented individuals interested in using their experience in construction, real estate, education and other fields to propel them forward into a lifelong career.  Paid training begins immediately.   We are a national Public Adjustment company with a growing local office in Pittsburgh.  Flexible hours available.  Possession of reliable transportation necessary.  Excellent compensation!  

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