6 claims escalation analyst jobs found

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. SUPERVISION:  Reports directly to the Office Manager RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing....

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. SUPERVISION:  Reports directly to the Office Manager RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing....

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. SUPERVISION:  Reports directly to the Office Manager RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing....

DESCRIPTION OF POSITION: The Claims Escalation Analyst will be responsible for managing and investigating escalated claims and ensuring timely resolution. The successful candidate must have strong analytical and problem-solving skills, as well as excellent communication skills. SUPERVISION: Reports directly to the Collection Supervisor RESPONSIBILITIES AND DUTIES: Analyze and interpret policy language, contracts and statutes Maintain accurate records of all claims and ensuring timely resolution Understands assigned payer’s allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, deductibles & coinsurance assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other...

DESCRIPTION OF POSITION: The Claims Escalation Analyst will be responsible for managing and investigating escalated claims and ensuring timely resolution. The successful candidate must have strong analytical and problem-solving skills, as well as excellent communication skills. SUPERVISION: Reports directly to the Collection Supervisor RESPONSIBILITIES AND DUTIES: Analyze and interpret policy language, contracts and statutes Maintain accurate records of all claims and ensuring timely resolution Understands assigned payer’s allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, deductibles & coinsurance assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other...

DESCRIPTION OF POSITION: The claims escalation analyst monitors liability claims from start to finish, verifying and updating information on submitted claims, reviewing the policy to determine which charges are eligible for reimbursement, reconciling a claims adjuster's estimates, negotiating payment to all parties and following up to ensure that payments are made. SUPERVISION: Reports directly to the Office Manager RESPONSIBILITIES AND DUTIES: Understands assigned payers allowable calculations in order to preview an account to determine if properly paid and identify when errors are made in payments. Accurately posts transactions based on assigned duties ensuring that keying is correct for all payments, adjustments, ded & coins assignments. Able to evaluate transactions posted on an account to ensure all payments and adjustments are posted and are appropriate. Works with other departments to resolve any outstanding issues delaying claims processing....