Claims Representative Jobs in Delaware

22 jobs

ESIS Senior Worker’s Compensation Claims Representative- Wilmington, DE ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of ACE USA, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and...

Our unique combination of highly trained staff, coupled with award winning technology, allows HBCS to provide superior customer service and accounts receivables management services in partnership with hospitals throughout the country. Enhance your career in the growing healthcare industry by joining our team as an Insurance Representative where you will utilize your knowledge of the claims process...

Our unique combination of highly trained staff, coupled with award winning technology, allows HBCS to provide superior customer service and accounts receivables management services in partnership with hospitals throughout the country. Enhance your career in the growing healthcare industry by joining our team as an Insurance Representative where you will utilize your knowledge of the claims process...

Our unique combination of highly trained staff, coupled with award winning technology, allows HBCS to provide superior customer service and accounts receivables management services in partnership with hospitals throughout the country. Enhance your career in the growing healthcare industry by joining our team as an Insurance Representative where you will utilize your knowledge of the claims process...

Job Description: Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment acti...

Description Job Description: Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or re...

Our unique combination of highly trained staff, coupled with award winning technology, allows HBCS to provide superior customer service and accounts receivables management services in partnership with hospitals throughout the country. Enhance your career in the growing healthcare industry by joining our team as an Insurance Representative where you will utilize your knowledge of the claims process...

Description: The role of the Business Rep position is to support our customer’s business unit regarding all modes of transportation including domestic, exports, and hazardous materials. Meeting the business unit’s transportation and logistics requirements and working closely with the Business/Supply Chain team members. Working as a liaison between our customer’s Procurement Group, Business Units,...

As a Patient Account Representative: Insurance Follow-up, you will utilize your knowledge of the claims process by analyzing and applying payer contract terms and conditions to ensure that all elements of the account are accurate. Must have working knowledge of insurance follow up process and be proficient in comprehending and applying payer contract conditions and reimbursement methodology. Follo...

Job Title: Physician Billing Representative Location: Satellite - Other City, State Newark, Delaware General Description: Christiana Care is a major teaching hospital and is recognized as a regional center for excellence in cardiology, cancer, and women's health services. The system is home to Delaware's only Level I trauma center, the only center of its kind between Philadelphia and Baltimore...

Education: - Qualified candidates must have a high school degree or GED. Some college or customer service training preferred. Experience: - 1+ years quality assurance/complaint processing experience necessary - 1+ years customer service experience necessary - 1+ years of developing & analyzing reports - Knowledge of clinical UR and QA, Medicaid, Medicare guidelines and covered services preferred -...

As a Patient Account Representative: Insurance Follow-up , you will utilize your knowledge of the claims process by analyzing and applying payer contract terms and conditions to ensure that all elements of the account are accurate. Must have working knowledge of insurance follow up process and be proficient in comprehending and applying payer contract conditions and reimbursement methodology. Foll...

Job Title: Information Technology Application Analyst (SQL Developer) Location: 1 Reads Way City, State New Castle, Delaware General Description: The IT Administration Application Services Department is currently recruiting for an IT Data Application Analyst to join their team. This position will be responsible for software implementations, upgrades, configuration and support of multiple Patie...

JOB SUMMARY: This will be a temporary appointment not to exceed September 30, 2015, with the earliest hire date being May 18, 2015. The foundation for success of the Defense Commissary Agency (DeCA) mission is our people. It is DeCAs goal to have a workforce that is representative of the nations diverse cultures and backgrounds. We strive for a work environment of world-class enterprise leaders a...

JOB SUMMARY: This will be a temporary appointment not to exceed September 30, 2015, with the earliest hire date being May 18, 2015. The foundation for success of the Defense Commissary Agency (DeCA) mission is our people. It is DeCAs goal to have a workforce that is representative of the nations diverse cultures and backgrounds. We strive for a work environment of world-class enterprise leaders a...

JOB SUMMARY: The foundation for success of the Defense Commissary Agency (DeCA) mission is our people. It is DeCAs goal to have a workforce that is representative of the nations diverse cultures and backgrounds. We strive for a work environment of world-class enterprise leaders and an engaged, highly motivated, and capable workforce with a results oriented performance culture. The DeCA operates a...

JOB SUMMARY: The foundation for success of the Defense Commissary Agency (DeCA) mission is our people. It is DeCAs goal to have a workforce that is representative of the nations diverse cultures and backgrounds. We strive for a work environment of world-class enterprise leaders and an engaged, highly motivated, and capable workforce with a results oriented performance culture. The DeCA operates a...

Your success is a train ride away. Amtrak connects businesses and communities across the country and we move America’s workforce toward the future. We employ more than 20,000 diverse, energetic professionals in a variety of career fields throughout the United States. The safety of our passengers, our employees, the public and our operating environment is our priority and the success of our railro...

Help Connect Faith and Finances as a Thrivent Financial advisor What if your next career could change lives? What if you could succeed by helping others succeed? What if you could help Christians connect their faith and finances? As a financial advisor with Thrivent Financial, you’ll have the opportunity to turn these “what-ifs” into a meaningful career. Why Thrivent? We believe money is a too...

DSI Renal Job Description JOB TITLE: CLINIC MANAGER REPORTS TO: DIRECTOR OF OPERATIONS FLSA STATUS: EXEMPT SUMMARY Manages the overall operations for nursing services and patient care at a hemodialysis facility including but not limited to financial management, quality assurance and patient care, safety, risk management, employee management and satisfaction, quality indicators, facility maintenanc...