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Manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Typically requires a bachelor's degree. Typically reports to a head of a unit/department. Manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and... view job details

Supervises the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures the accurate and timely disposition of claims and resolves matters according to coverage amounts and company procedures. Provides guidance to staff on more complex or high-value claims. Reviews and resolves escalated issues. Requires a high school diploma. Typically reports to a manager. Supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes ... view job details

Plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Requires a bachelor's degree. Typically reports to top management. Manages a departmental sub-function within a broader departmental function. Creates functi... view job details

Utilize reports to manage the claims submission processes. Examine claims and calculate reimbursement based on contract terms to determine accuracy of payment through use of various reports and supporting documentation. Follow all policies and procedures related to claims processing. view job details

Making the Move From the Parental Trenches to the Salt Mines? Check These Jobs Out! Maybe your kids are back in school and you're itching to take on a part-time job. Or perhaps the dismal economy has forced your hand and you need something full- or part-time to make ends meet. Whatever the case, figuring out which job to take is often the first and most daunting hurdle. Education, skills and background obviously play a part in what job you can get. Although everyone wants to be paid well, parents also place an added importance on things like flexible work hours, the ability to work from home ... view article details

Q: My facility just was closed. Approximately 80 hourly employees were eliminated, as well as 90 percent of the salaried workforce. I am one of the lucky 10 percent who are being offered postions at a different location. I currently live in a state that has a low cost of living and will most likely be asked to move to a state that has a much higher cost of living. Would it be out of place to ask for that increase in my salary?A: The first thing I would do is speak to my Human Resources Representative and find out what the company's compensation philosophy is. A company's compensation philosoph... view article details

You Might Want to Avoid These Jobs Years ago, Bobby McFerrin told us all to “don’t worry, be happy.” Clearly he wasn’t working in one of the careers on this list.The work website Careerbliss has come out with a survey detailing which careers feature workers who are the unhappiest. After analyzing more than 25,000 independent company reviews, these 10 jobs are the ones which feature the largest amounts of employee discontent. In order to compile these rankings, CareerBliss data evaluates the key factors that affect work happiness including: bosses, support and incentives, growth opport... view article details

Job descriptionComputer Programmers are responsible for creating code that essentially tells a computer how to operate. They write, test, and maintain these coded instructions, also referred to as programs. The work of programmers has been expanded in today's world, due to the innovative and advanced technologies that now exist. Programmers are now heavily involved in all aspects of technical problem solving for companies. Common computer languages that programmers use include COBOL, C++, BASIC, Java, and HTML. Most programmers know several computer languages because they tend to be similar, m... view article details

Q. I am a creative director with a mid-sized Internet development company (200 people). I oversee a department of 10 graphic designers, programmers, writers, and interface architects. Is it uncommon for one of my department members to be compensated more than I am? A. It doesn't happen often, but from time to time a supervisor may make less money than an employee who reports to him or her. When an employee earns more than his or her supervisor, it is normally because the employee's technical skills are worth more than those of the supervisor. For instance, employees who have very strong techn... view article details

Not everyone can afford to be sick and take time off from work, but sickness or accidents cannot be controlled. So, when things don't go as planned, State Disability Insurance can come in handy. It's important to understand how State Disability Insurance works to keep your finances safe. Keep reading to find out what State Disability Insurance is and how it can benefit you. Defining State Disability Insurance State disability insurance claims are requests for financial assistance due to an inability to work. You can use this benefit if you live in a participating state and contribute to the pr... view blog & white papers details

Most individuals find themselves scratching their heads while trying to figure out Health Reimbursement Accounts (HRAs). They can be tricky to master, but they do not have to be complicated. With a clear understanding, individuals can harness its benefits seamlessly. HRAs empower individuals to effectively manage their medical costs. Read on to learn how it works. What Are Health Reimbursement Accounts (HRAs)? Health Reimbursement Accounts (HRAs) are company-funded accounts designed to reimburse employees for eligible medical expenses. Each year, companies contribute a certain amount that empl... view blog & white papers details

You know how painful and time-consuming the recruitment process can be. From sifting through piles of resumes to scheduling endless interviews, determining the best fit for an open role poses significant challenges. Not to mention the challenging work of ensuring you're evaluating candidates objectively and giving everyone a fair shot. If artificial intelligence (AI) simplifies the hiring process, will you take advantage of it? AI for recruiting is now transforming how companies source, screen, and hire top talent. Discover more about how AI for recruiting works in this post. How AI Is Revolut... view blog & white papers details

Artificial Intelligence (AI) is revolutionizing human resources (HR). AI technologies are changing how HR teams operate. These include handling automated resume screening, personalized job suggestions, predictive analytics, and customized learning platforms. AI tools are currently enhancing and optimizing HR processes. The increased use of data and algorithms is enabling a more strategic, forward-looking approach to managing people and workforces. HR professionals must not view AI as a threat but as an opportunity. When combined with human skills and judgment, AI can augment and amplify the im... view blog & white papers details

Choosing the right HR management solutions for your company needs time and effort. The numerous options in the market are also overwhelming. So, how do you cut the chase and get suitable HR management solutions for your business? Benchmarking different products is the key. Compare options objectively and systematically to determine what will work best for your company. Benchmark HR management solutions in 10 simple steps. This article walks through evaluating features to suit your HR management solutions needs. The process may seem daunting, but with the right approach, you will gain valuable ... view blog & white papers details