Sentences with phrase «claim procedure work»

The feedback coming directly from your near and dear ones may provide you better insights about how its customer support and claim procedure work.

Not exact matches

Here, and in other egalitarian literature, principle is given priority over application; admonition is given preference over description.34 What is dangerous in such a procedure, though it admittedly works in many cases, is the implied epistemological claim that objective, impersonal statements are of a somehow higher order of trustworthiness than the more personal and relational aspects of Scripture.

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Leeds Global Partners, the New York firm that helped reorganize the Education Department «and create policies and procedures that promote student achievement in Connecticut» sued the state Education Department for paying only part of $ 200,000 it claimed it was owed for work it did past the due date of the original contract.

Bob Ward, policy and communications Director of the Grantham Research Institute on Climate Change and the environment at the London School of Economics and Political Science, claims the link between extreme weather events and climate change is clear, and that criticisms about the evidence for an increase in disaster losses is nothing new and is merely a repetition of criticisms that date back to 2006 because the IPCC's procedures for reviewing scientific work is currently under the spotlight.

In other work, the practice represented the state of Baden - Württemberg in a procedure before the Administrative Court of Stuttgart, defending the client against claims brought by Deutsche Bahn for the reimbursement of additional costs incurred by the construction project Stuttgart 21, and assisted the insolvency administrator of Infinus with the enforcement of shareholder loans totalling $ 320m.

In recent work, the team defended the sugar producer Nordzucker against damage claims following antitrust procedures, while Markus Meier and Gerd Sassenrath have been representing Porsche Automobil Holding in several prominent proceedings including the defence against dieselgate - related damage claims, various corporate disputes and in criminal proceedings against former board members.

The revised guidelines allow a lawyer to state that the device contains documents against which a claim of attorney - client privilege or attorney work product may be made and initiates a procedure to be followed.

Our attorneys work directly with medical experts to investigate your claim comprehensively, reviewing medical records, interviewing witnesses and evaluating hospital procedures.

David was a member of the Chancery Working Group reporting to Lord Woolf on Access to Justice and of the Civil Procedure Rules Committee Working Group on derivative claims procedure.

Challenging return to work situations might be managed if key players who represent or make decisions about claims are able to identify situations when procedures are working particularly well and conversely, when workers may be at particular risk of not being able to complete their expected return - to - work trajectory.

At North Shore Law, our Insurance Lawyers work with claims executives, managers, examiners, adjusters and other insurance professionals to come up with efficient risk and resolution procedures.

Be specific about the work you performed: «Drafted winning Fifth Circuit brief and researched corporate and tax issues,» and quantify your achievements: «Implemented claims investigation procedure that saved the company $ 15,000.»

You may be able to make an accident at work claim if you've been injured as a result of health and safety procedures not being followed.

If you have worked for your employer for at least two years, you may be able to claim unfair dismissal if your employer does not have reasonable grounds to dismiss you or fails to follow a fair disciplinary procedure.

We also have significant experience working for employees to bring claims arising from redundancy processes, as well as with employee representatives to ensure the company is following adequate procedures.

The personal injury attorneys at J&Y can help you navigate the legal complexities of filing a claim that often requires submitting doctor's reports, medical tests such as lab work, X-rays, details of any surgical procedures, medical bills and other expenses, as well as additional evidence to support your claim.

At one time she tried to take out a 100k policy but he refused to answer the questions from the underwriter and although he knew the amount from information that the underwriter gave him, his ex claimed it was under 10k and was merely a new company procedure at State Farm, where she works as an agent, to ask those questions on any policy.

The Premiums are low ~ 23 K twice a year and the payback returns are very high and claiming procedure is easy and simple, no paper work issue.

Policy coverage and claims are high and the claiming procedure is easy no paper works, every thing is done by home.

The claiming procedure is easy and no paper work.

«We along with some TPAs (Third Party Administrators), worked out package rates for some of the procedures / hospitalisation expenses, which are commonly claimed under our health insurance policies,» the statement said.

The claims procedures of Indian Insurance companies available below will help the policy holders to understand how the process works.

Be specific about the work you performed: «Drafted winning Fifth Circuit brief and researched corporate and tax issues,» and quantify your achievements: «Implemented claims investigation procedure that saved the company $ 15,000.»

A dermatologist resume objective is the combination of clinical & medical experiences, preventive skills and knowledge of available technique & procedures to claim the desired designation and excel in the field of work.

KEY ACHIEVEMENTS • Successfully established effective liaison with 32 insurance companies, leading to a decrease in claims payment time • Singlehandedly set up a co-pay calculation system, which dynamically calculated patient co-pays by working with basic insurance coverage information • Implemented a novel online patient registration system, which reduced actual registration time by 65 % • Wrote a short booklet on patient registration and admission procedures, as part of the patient education program

• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied claims and providing alternatives to denials

• Greeted patients as they enter the facility • Took patient information for record purposes • Maintained demographic and insurance information • Verified information by interviewing patients • Reviewed medical history and took vital signs • Educated patients about the facility's policies and medical procedures • Recorded billing information • Managed supplies and equipment • Maintained a safe and clean environment for the patients and the doctors • Liaised with insurance companies • Created and maintained record systems to ensure that patients» information was properly recorded • Manned the telephone exchange, answered telephone calls and provided required information • Registered new patients by assisting them in filling out registration forms and providing them with information on required documents • Prepared examination rooms by ensuring that all equipment and supplied were available and in good working order • Assisted doctors in performing examinations by operating medical equipment and providing them with supplies needed to complete the procedure • Prepared patients for examinations by assisting them in changing into robes and providing them with information on what to expect during the procedure or examination • Created and maintained effective liaison with insurance companies to verify patients» insurance coverage information • Contacted insurance companies to determine the status of submitted claims and follow up on delayed or unpaid claims • Calculated co-pays and provided patients with information on how much coverage their insurance company will provide to them for each procedure • Created and implemented supplies inventory systems and contacted vendors and suppliers to ensure timely delivery of equipment and supplies • Provided one on one information of what to expect from a procedure to patients and their families • Administered medication to patients and ensured that medicine refill requests are timely filled • Oversaw the cleanliness, maintenance and sterilization of medical equipment after each procedure • Scheduled patients for appointments and performed follow up duties to ensure that all appointment slots are filled • Handled any cancelled appointment slots by allotting them to patients on the facility waiting lists

• Organized and processed paperwork, reports and all kinds of claims documentation • Entered, recorded and reviewed claims into claims information management system • Performed verification checks on the customer / claimant loss - claims following company's standard policies and procedures • Attended to clients, claimants, field appraisers and management queries, regarding claims using the claims MIS • Forwarded appropriate claims for new losses verifying data for accuracy • Performed billing and payment processes • Processed routine claims transactions related to reserves and issued required checks or receipts • Resolved all kinds of issues / problems regarding claims and payments • Regularly run and generated claims reports for management • Gave formal presentations regarding all claims activities to the senior management at the bimonthly • Utilizing outstanding communication and interpersonal skills maintained strong and positive relationships with the providers, the claimants, and the clients • Provided company with necessary clerical support like handling fax, attending and making telephone calls as directed, filing and photocopying, matching checks with receipts etc. • Prepared, updated and organized customer and client's files • Managed all types of correspondence preparing, reviewing and sending memos, letters, emails, reports, applications, and forms • Provided effective CSR to providers, field appraisers, agents, insurance agencies, clients and customers • Matched incoming emails, mails, and faxes with the claims records • Arranged and set up medical appointments for health claims • Kept department's office supplies stocked • Maintained confidential claims information including correspondence with sensitive information • Accelerated claims correspondences as well as updated claims diaries • Worked in a team on several pilot claim projects • Reviewed and kept the record of closed files

CAREER HIGHLIGHTS • Over 5 years» dedicated experience in medical billing and coding field • Highly skilled in generating pre-bills and transmitting claims • Well versed in following up with payers, vendors and clearing agencies • Hands - on experience in resolving denial log entries running reports • Working knowledge of ICD - 9 / 10 and CPT coding, medical terminology and diagonosis procedures

Duties may include but are not limited to: • Review charges and file claims electronically • Post insurance and patient payments • Run error reports and make corrections as needed • Work denied or incorrect claims • Review accounts for collection and send to outside agency if necessary • Process and send patient statements • Prepare patient and insurance refund requests and respond to requests for recoupment and / or overpayment from an insurance company or payer • Answer and resolve all patient inquiries about payments and insurance • Answer requests and inquiries from insurance companies and other agencies seeking information related to claims • Stay informed of insurance news and regulation changes • Ensure compliance with Medicare and third party payers» procedures and protocol • Assist all employees in the understanding of new policies implemented by insurance carriers • Maintain EOB files EDUCATION AND EXPERIENCE: • A minimum of a High School diploma • A minimum of five years of billing experience in a medical office setting.

Proficient in digital health records and insurance claim procedures, with a working knowledge of common drugs and over-the-counter medications.

Responsible for doing pre-registrations for inpatient and outpatient procedures Responsible for verifying and making corrections on all insurance for inpatient and outpatient admissions Responsible for reviewing the claims error report and audit trail errors and submitting corrected billings to call payers Responsible for reviewing and working remittance advices.

Review medical records for cosmetic / elective procedures, and fraudulent claims pre-existing, cosmetic, self - inflicted, or work related.

456 - 1904 OK to contact: YES Performs administrative work in advising armed forces veterans and... Enforced compliance of operations personnel with administrative policies, procedures, safety rules... reports and other data as required by law or in support of claim.

Managed payroll and time and attendance systems for over 1200 employees Enforced established payroll - related policies, procedures and regulations and adherence to company and governmental policies Responded to employee inquiries regarding payroll, benefits and timekeeping Entered new employees in the time reporting and payroll systems Processed rehires, transfers, terminations, garnishments and withholdings Monitored vacation, personal and sick time accrual Processed terminations Worked quickly and efficiently, with minimal oversight, to accomplish assigned duties Created and managed more than 1200 confidential personnel records Ran the bi-weekly payroll process Worked on 401 (k) administration, FMLA and workers» compensation claims and benefits Created new Job Postings Audited job postings for old, pending, on - hold and draft positions Completed all work with a 100 % rate of accuracy.

CERTIFICATIONS ILT Class: Defusing Emotionally Charged Situations │ Authorizations 204a & Assessment │ Individual Rights 203a & Assessment │ Marketing 205a & Assessment │ Notice of Privacy Practices 202a & Assessment │ Privacy 101a & Assessment Protected Health Information 201a & Assessment │ — ILT Class: Claims Integration Overview & Positive Responses to Change │ WellPoint Standards of Ethical Business Conduct Update │ Confidentiality and Acknowledgement Statement Fraud and Abuse Awareness │ Emergency Response Procedures │ Consumerism 101 │ Limited English Proficiency (LEP) Business Etiquette and Professionalism Simulation │ IT Project Management SkillSoft Pre-Requisite Activity Project Management for Non-Project Managers │ Emotional Intelligence at Work │ Enterprise Data Warehouse and Research Depot and Assessment │ Intro to Teradata SQL │ MS Office 2007 │ Business Writing │ Infocast Module 5 Sustaining the Gain Visual Management, and Performance Coaching & Opportunities │ IM Business Objects User Group │ Candor and Constructive Confrontation │ ICD - 10 Fundamentals: All WellPoint Associates

KEY DUTIES OF RECRUITMENT CONSULTANT * Managing drivers and being point of contact for resolving issues * Conduct interviews / pre screen and full reference of all drivers * Ensure that all clients and workers comply with health and safety legislation and promptly refer any concerns to the branch manager * Maintaining quality and ISO procedures in line with Standard Operating Procedures to ensure effective, positive quality audit results * Liaising daily with the clients and managing expectations including job requirements, hours of work and rates of pay * Self generate new clients via cold calling and expanding on existing client opportunities * Meet with new and existing clients to account manage and advise of the services available to them * Generate new drivers by way of advertising, social media and networking * Covering out of office calls and demands on a rota requirement * Planning a weekly rota / submitting accurate payroll data / reporting KPI data * Maintaining and increasing daily route allocations — ensuring the customer promise is delivered * Training of drivers in all aspects of the job * Managing claims for damages, insurance and fines * On time reporting of key information to Extra Personnel SKILLS REQUIRED: Recruitment Consultant * Strong Sales and Customer service experience within a fast paced changing environment * Able to communicate at all levels from driver to director * Excellent organisational skills and the ability to prioritise workloads which continually change * Computer literate — outlook, excel and word * Ability to report critical information accurately and to tight deadlines * Ability to use a common sense approach to problem solving * Full UK driving license required BENEFITS As part of our commitment our Recruitment consultant will also receive: * Excellent salary and bonus opportunities * Healthcare Scheme * Pension * Min 23 days holiday plus Bank Holidays rising to a maximum of 29 plus Bank Holidays * Plus an additional days holiday for your Birthday * Continued advancemenprocedures in line with Standard Operating Procedures to ensure effective, positive quality audit results * Liaising daily with the clients and managing expectations including job requirements, hours of work and rates of pay * Self generate new clients via cold calling and expanding on existing client opportunities * Meet with new and existing clients to account manage and advise of the services available to them * Generate new drivers by way of advertising, social media and networking * Covering out of office calls and demands on a rota requirement * Planning a weekly rota / submitting accurate payroll data / reporting KPI data * Maintaining and increasing daily route allocations — ensuring the customer promise is delivered * Training of drivers in all aspects of the job * Managing claims for damages, insurance and fines * On time reporting of key information to Extra Personnel SKILLS REQUIRED: Recruitment Consultant * Strong Sales and Customer service experience within a fast paced changing environment * Able to communicate at all levels from driver to director * Excellent organisational skills and the ability to prioritise workloads which continually change * Computer literate — outlook, excel and word * Ability to report critical information accurately and to tight deadlines * Ability to use a common sense approach to problem solving * Full UK driving license required BENEFITS As part of our commitment our Recruitment consultant will also receive: * Excellent salary and bonus opportunities * Healthcare Scheme * Pension * Min 23 days holiday plus Bank Holidays rising to a maximum of 29 plus Bank Holidays * Plus an additional days holiday for your Birthday * Continued advancemenProcedures to ensure effective, positive quality audit results * Liaising daily with the clients and managing expectations including job requirements, hours of work and rates of pay * Self generate new clients via cold calling and expanding on existing client opportunities * Meet with new and existing clients to account manage and advise of the services available to them * Generate new drivers by way of advertising, social media and networking * Covering out of office calls and demands on a rota requirement * Planning a weekly rota / submitting accurate payroll data / reporting KPI data * Maintaining and increasing daily route allocations — ensuring the customer promise is delivered * Training of drivers in all aspects of the job * Managing claims for damages, insurance and fines * On time reporting of key information to Extra Personnel SKILLS REQUIRED: Recruitment Consultant * Strong Sales and Customer service experience within a fast paced changing environment * Able to communicate at all levels from driver to director * Excellent organisational skills and the ability to prioritise workloads which continually change * Computer literate — outlook, excel and word * Ability to report critical information accurately and to tight deadlines * Ability to use a common sense approach to problem solving * Full UK driving license required BENEFITS As part of our commitment our Recruitment consultant will also receive: * Excellent salary and bonus opportunities * Healthcare Scheme * Pension * Min 23 days holiday plus Bank Holidays rising to a maximum of 29 plus Bank Holidays * Plus an additional days holiday for your Birthday * Continued advancement training

Worked on relational databases, created tables, views, temp tables, CTEs and stored procedures to retrieve healthcare claim / financial data.

Cebcor Service Corporation (City, ST) 10/1997 — 06/2003 Administrative Specialist Team Lead • Train administrative clerks best practices and corporate policies and procedures • Develop and maintain professional relationship with employees, peers, and management • Maintain strong rapport with more than 1200 clients ensuring satisfaction and generating sales • Process all medical bills, payrolls invoices, client contracts, and claim reports • Generate new ideas and strategies for personal and corporate growth and achievement • Assist in marketing, sales, accounting, and various other departments as needed • Consistently recognized for exemplary customer service, team leadership, and work ethic

Director of Business — Duties & Responsibilities Recruit and train staff of 30 in hospital policies, procedures, best practices, and corporate branding Design and implement staff development, recognition, and disciplinary policies and procedures Oversee admissions, utilization review, PB X, imaging center, billing, collections, and wound center registrations Set and strictly adhere to departmental budgets and schedules Author and present financial reports concerning revenue, expenses, and outstanding collections Identify performance indicators and benchmarks for integration into reporting systems Conduct surveys regarding patient / staff satisfaction, benchmarks, accreditation, and employee benefits Maintain a 99 % patient satisfaction score through attentive and professional standards of care Negotiate contracts and claims with insurance carriers, Medicare, Medicaid, and other payer sources Increase revenue by 30 % through effective contract renegotiation with suppliers, carriers, and other parties Implement policies, procedures, and equipment to cut hospital costs while enhancing patient care Utilize strong management experience to drive operations in an efficient and professional manner Develop and implement billing controls, cash processing measures, lockboxes, and other financial processes Coordinate and oversee internal and external audits ensuring compliance with industry and legal standards Recruit physicians through successful marketing, networking, and other tactics Implement automated Chargemaster financial application (Craneware) and maintain patient accounts Responsible for HCAHPS and the yearly Quality Assurance Plan Appeal claims when appropriate resulting in $ 400,000 reimbursement from PPO insurance over the last year Build and strengthen professional relationship with community leaders, coworkers, and industry figures Consistently promoted for excellence in financial management, team leadership, and dedication to mission Develop working knowledge of hospital operations from patient admission to senior level strategic planning Represent company with poise, integrity, and positivity

Professional Experience Petroliance LLC -LRB-[Insert City, State]-RRB- 7/1996 — Present Credit & Collections Specialist • Oversee all accounts receivables including claims management, charge - backs, customer inquiries, and charge - offs as needed • Act accountable for all credit collections as well as for decisions related to credit approval and suspension • Apply customer remittances to corresponding accounts, while identifying and resolving all posting problems with related cash applications, issuing credit / debit memos regularly, and processing daily cash deposits • Lead overall firm direction with regards to accounts receivable administration and cash flow management, providing relevant guidance, feedback, and direction to finance department staff, management members, and other interested parties • Reduce outstanding receivables and minimize risk associated with marginal customers, consistently exceeding established collections goals while working within all related legal, firm, and industry policies and procedures • Utilize interpersonal skills to maintain quality client service, responding in a timely manner to all documentation requests • Assist credit manager with daily duties as needed