Durham Jobs

including auto, homeowners, marine and liability claims. Substantial customer contact via the telephone and ... telephone reports, investigating, negotiating and settling claims and general office functions. Candidates will be...

HMS is seeking a motivated and qualified individual to fill the position of Provider Auditor in our Credit Balance and Provider Audit unit.a The primary responsibility for this position is the identification and recovery of client...

North Carolina office. Must possess skills to investigate claims, negotiate settlements and manage litigated claims. Please forward resumes to the attention of Judy Lester at jlester@bmico.com or fax to her attention at (919) 845-9385.

large data sets * Minimum of (3) Three years of SAS programming experience utilizing Base SAS * General knowledge of SAS statistical functions Preferred: * Healthcare insurance industry knowledge * Strong understanding of healthcare...

Electronic Claims and 3rd Party Follow-Up Representative Department: Patient Accounts/Bus ... general supervision, generates and submits, electronic claims utilizing the UB04 and CMS 1500 claim form * Performs...

securities. Job Duties to include: * Review claims and initiate any required correspondence with ... or incomplete documentation or information * Audit claims for opportunities to mitigate losses * Review files...

and Administration -- specifically related to Healthcare Claims data (including Medicare/Medicaid). Seek the ... data analytics duties. Some experience analyzing healthcare claims and eligibility data, preferably focused on Medicaid,...

claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal ... Secondary Market:Raleigh Job Segments:Change Management, Claims, Compliance, Customer Service, Customer Service...

provides outstanding customer service. Promptly manages claims by completing essential functions including contacts, ... claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal...

for COBOL DB2 Programmer Analyst / Lead With Medicaid Claims Exp, Raleigh, NC. // Need Local or Nearby ... ApplicationDevelopment Experience working within Medicaid claims adjudication is required. In-depth knowledge of...