Claims Specialist I Salary at Amfed BETA

The Claims Specialist works with and reports to the Department Manager within the TPA Department. The position is located at 500 Steed Road: Ridgeland, MS 39157. Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, and inquiries. Review member correspondence and process or direct to the appropriate department. Maintain quality customer services by following customer service p

The Claims Specialist works with and reports to the Department Manager within the TPA Department. The position is located at 500 Steed Road: Ridgeland, MS 39157. Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, and inquiries. Review member correspondence and process or direct to the appropriate department. Maintain quality customer services by following customer service p

The Claims Specialist works with and reports to the Department Manager within the TPA Department. The position is located at 500 Steed Road: Ridgeland, MS 39157. Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, and inquiries. Review member correspondence and process or direct to the appropriate department. Maintain quality customer services by following customer service p

The Claims Specialist works with and reports to the Department Manager within the TPA Department. The position is located at 500 Steed Road: Ridgeland, MS 39157. Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactory. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medical, dental and vision claims adjudication. Utilize MWG Administrators Policy Administration System and Claims Management Software to verify eligibility and review members accounts based on the policy assigned. Input data into MWG Administrators Claims Management Software. Handle incoming mail, provider appeals, and inquiries. Review member correspondence and process or direct to the appropriate department. Maintain quality customer services by following customer service p

Summary Responsible for follow up on Accounts Receivable to all payers. Serves as a resource for other Office staff and patients concerning expected payments, payments made and contract conflicts. Performs other duties as assigned. Responsibilities + Communicates with Insurance companies daily + Reviews Payment Variance and Work Queues daily + Maintains credit balance reports + Processes Work Queues daily. + Reviews accounts for accuracy + Completes assigned goals Requirements, Preferences and Experience Experience Preferred: One (1) year experience in physicians office or hospital setting. Minimum: Experience in the healthcare setting or educational coursework. Special Skills Preferred: Knowledge of ICD-9, ICD-10, CPT and HCPCS codes and certification and/or degree in Healthcare Administration Business, Finance or related fields preferred. Minimum: Ability to type and key accurately, problem solving, written an d oral communication skills, financial counseling skills - knowledge of in

At Cardinal Health's **Artificial Intelligence Center of Excellence (AI CoE)** , we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is to leverage the power of data to create innovative solutions that improve patient outcomes, streamline operations, and enhance the overall healthcare experience. We are seeking a highly motivated and experienced **Sr. Data Scientist** to join our team as a thought leader and architect of our AI strategy. You will play a critical role in fulfilling our vision through delivery of impactful solutions that drive real-world change. **Why Join Cardinal Health's AI CoE?** + Make a Real Difference: Contribute to cutting-edge solutions that improve patient care, enhance healthcare operations, and drive positive change in the industry. + Work with a Passionate Team: Join a team of highly skilled data scientists who are committed to pushing the boundaries of AI in healthcare. + Grow and Develop:

Job Description Job Description Hometown Restoration, LLC is currently seeking experienced Outside Sales Project Managers in the Ridgeland Mississippi area. Hometown Restoration is Mississippi’s premier roofing and home restoration contractor with a primary focus on providing a seamless process for the homeowner. With best in class customer service, Hometown Restoration aims to both mitigate potential problems with the insurance claim process while ensuring exceptional quality and artisanship at a fair price. We offer comprehensive in office training followed by in the field hands on training! Weekly and Monthly Commission pay scale! We are a company that cares about our team, everything we do is a collaboration! Responsibilities ∙Generate qualified leads canvassing engagement and/or sales pipeline ∙Understand, educate and inform homeowners about the insurance claims process, product & service offerings. ∙Accurately maintain records with an attention to detail ∙Possess the ability to r

Job Description General paralegal duties such as, but not limited to, formatting pleadings and other legal documents; compile and prepare draft discovery documents, serving and filing legal documents, maintenance of electronic document management system; scheduling and coordinating court dates, appointments, and meetings, jurisdictional coordinating with co-counsel across the country, coordinate request between multiple parties involved in litigation by way of consistent communication with client, claims and full partnership with attorney through the end of case for a well-established law firm that has a total of nine locations. Any candidate interested in this position must be self-motivated and have excellent multi-tasking skills. Competitive salary. Required Skills: High School diploma or equivalent required. MUST HAVE TOXIC TORT EXPERIENCE 7-10+ years’ experience as a Litigation Paralegal. Excellent verbal and written communication skills. Excellent time management skills! Organiza