-party claims processing (including paper & EDI processes) Strong grasp of medical terminology and human anatomy Familiarity...
analysis, claims tracking and resolution and benefit audit support. The Role As an Associate within the GBC Global Benefits...
simple claims like undershipping, overshipping, customer errors that require straightforward credit/debit or return Handle... more complex claims like annual returns and freight claims' Answer inbound calls for routine inquiries Make outbound calls...
including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes...
simple claims like undershipping, overshipping, customer errors that require straightforward credit/debit or return Handle... more complex claims like annual returns and freight claims' Answer inbound calls for routine inquiries Make outbound calls...
including Commercial, Medicare, Medicaid (FFS and MCOs), third-party claims processing (including paper & EDI processes...
is supported by ISPL FOP team Staff Claims, Supplier Payments and Intragroup Invoicing (payments in and out) to be performed... for complex/new transactions. Ensure staff claims and supplier payments are done on time. Liaise with Regional Finance Teams...
documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement...
and claims), financial report reviews, Request for Proposals (RFPs), onboarding/project set-up and Administrative Services...
and interpret reinsurance financial results for multiple domestic and international clients Review claims forecast and loss...
policy profile for the use in claims, underwriting, sales and billing Required Qualifications: Strong technical, analytical...
within a reasonable amount of time, ensuring SLA are met. Coordination with relevant parties (external vendors-warranty claims...
incidents detected by SIEM system and user-reported incident claims. Provide initial investigation, triage of potential...
incidents detected by SIEM system and user-reported incident claims. Provide initial investigation, triage of potential...
, processing, and handling claims or pricing adjustments related to vendor agreements. Reconciliation: Performing account...
Responsibilities: Responsible for vendor account reconciliation, dispute resolution, non-program claims (e.g., returns, invoice...
Responsibilities: Responsible for vendor account reconciliation, dispute resolution, non-program claims (e.g., returns, invoice...
, processing, and handling claims or pricing adjustments related to vendor agreements. Reconciliation: Performing account...
; experience in claims, authorizations, and Medicare Advantage plans Experience working in or with Medicare Advantage plans... and grievance processes Knowledge in claims, authorizations, and Medicare Advantage plans Skills & Competencies: Proven...
, and claims handling. Familiarity of the healthcare, pharmaceutical, and life sciences industries Why join our team: We help...