Sentences with phrase «insurance claims adjudication»

Mr. Munish Daga, CEO at Remedinet Technologies, further supported this statement by saying, «It has always been our endeavor to bring efficiency and accuracy to healthcare insurance claims adjudication and with Remedinet's strong cloud - based technology we are trying to achieve just that.

Not exact matches

In a previous role, Nicole built and scaled the team responsible for determining insurance products» coverage and corresponding claims adjudication.

Our contentious expertise includes adjudication, ADR, arbitration and court proceedings and the resolution of claims for defects, delay to completion, certification issues, loss of engineer / architect's independence, loss and expense claims, final account disputes, insurance matters and professional negligence claims.

With this association, Bajaj Allianz health insurance policyholders will experience a transparent, more efficient and accurate cashless claims adjudication process.»

Our specialized underwriting divisions, claims processing / adjudication, small and large group case management, and international experts are committed to excellence and providing practical insurance solutions to all of our customers.

The definition of a «contributing entity» at § 153.20 provides that for the 2015 and 2016 benefit years, a contributing entity is (i) a health insurance issuer or (ii) a self - insured group health plan, including a group health plan that is partially self - insured and partially insured, where the health insurance coverage does not constitute major medical coverage, that uses a third party administrator (TPA) in connection with claims processing or adjudication, including the management of internal appeals, or plan enrollment for services other than for pharmacy benefits or excepted benefits within the meaning of section 2791 (c) of the PHS Act.

Remedinet — Hospital mobile app allows hospitals and insurance companies to access information on claims adjudication.

If you are searching for an experienced, knowledgeable and dedicated Health Insurance Management professional who will generate significant insight in client service and support, and develop and oversee successful claims systems and adjudication initiatives, please contact me to arrange an interview.

Position Overview Medical claims adjudicators may work for insurance companies or independent claims adjudication facilities, depending on their individual employment setting.

Responsibilities also include contacting insurance companies, patients and other outside sources to secure payments from third party payers and to maintain a comprehensive follow up log to ensure claims adjudication and to facilitate daily cash collection and meet departmental goals.

Experience with 3rd party pharmacy insurance payors and understanding of on - line prescription claims adjudication preferred.

Carolina Health Specialist (Myrtle Beach, SC) 09/1998 — 03/2000 Insurance Coordinator / Supervisor • Manage the billing of commercial, Medicare, and Medicaid claims to insurance carriers • Perform research, follow up, and appeals on unprocessed claims for payment adjudication • Serve as team trainer instructing junior associates in corporate policies and industry best practices • Create audit reports, manage time cards, and monitor weekly logs for team productivity • Oversee talent recruitment ensuring a highly qualified and effecInsurance Coordinator / Supervisor • Manage the billing of commercial, Medicare, and Medicaid claims to insurance carriers • Perform research, follow up, and appeals on unprocessed claims for payment adjudication • Serve as team trainer instructing junior associates in corporate policies and industry best practices • Create audit reports, manage time cards, and monitor weekly logs for team productivity • Oversee talent recruitment ensuring a highly qualified and effecinsurance carriers • Perform research, follow up, and appeals on unprocessed claims for payment adjudication • Serve as team trainer instructing junior associates in corporate policies and industry best practices • Create audit reports, manage time cards, and monitor weekly logs for team productivity • Oversee talent recruitment ensuring a highly qualified and effective team