Title: Accounts Receivable Coordinator Job Responsibilities: - Monitor and manage accounts receivable for healthcare reimbursement cases. - Reconcile payments, identify discrepancies, and resolve issues promptly. - Communicate with clients, healthcare providers, insurers, and internal legal teams regarding outstanding balances. - Prepare aging reports, dashboards, and...
underpayments, and discrepancies. - Coordinate with insurance carriers to optimize timeliness and accuracy of client payments. - Provide guidance to internal stakeholders and external partners on No Surprises Act (NSA) requirements and best practices. - Monitor regulatory updates and... assess impacts on co...
Investigator Job Responsibilities: The Senior Equal Employment Opportunity (EEO) Investigator is... tasked with overseeing and conducting in-depth investigations into complaints of discrimination, harassment, and other EEO-related issues within the organization. The Investigator assists in facilitating reasonable accommodations for employees under the authority...
claims of moderate complexity by providing technical guidance, direction, and performance tracking. - Elevate Customer Satisfaction: Build strong relationships with internal and external stakeholders, resolve quality concerns, and ensure high levels of service. - Drive Best Practices: Analyze claims tren...
Title: Legal Claims Handler - Professional Lines Job Responsibilities: The Legal Claims Handler in the Professional Programs group will manage Professional Liability claims of moderate to high complexity under limited supervision. Key responsibilities include: - Reviewing complaints, legal pleadings, discovery, and...
Directors and Officers (D&O), Employment Practices Liability (EPL), and... Fiduciary claims that range from moderate to high complexity with limited supervision. Key responsibilities include: - Reviewing complaints, legal pleadings, discovery, and arbitration demands. - Conducting coverage analysis and determining ex...
liability claims of moderate complexity by providing technical guidance, direction, and performance tracking. - Elevate Customer Satisfaction: Build strong relationships with internal and external stakeholders, resolve quality concerns, and ensure high levels of service. - Drive Best Practices: Analyze claims trends, reco......
Title: Sr. Claims Specialist (Workers Compensation, NE Region) Job Responsibilities: The Senior Workers Compensation Claims Specialist is responsible for handling multi-party commercial line Workman’s Compensation claims that have moderate to high exposure and complexity, all within specific authority limits. The role is...
medical necessity appeal requests from members and providers. Primary duties include: - Managing State Fair Hearing and External Medical... Review requests to support legal, management, and executive leadership. - Acting as a resource for clinical and non-clinical teams by conducting thorough investigati...
Healthcare Reimbursement AttorneyJob Location: Fair Lawn, NJJob Overview:A well-established... law firm in Fair Lawn, NJ, is seeking... a Healthcare Reimbursement Attorney to handle a variety of reimbursement disputes on behalf of medical providers. This role requires expertise in New Jersey...