4 jobs near Columbus, OH
Austin, TX · On-site
$20 - $26/hr
This position works as part of the Stop Loss Team to ensure timely reporting and stop loss claim filing with the various stop loss carriers. Monitors members approaching/exceeding spec, including ...
New
Austin, TX · On-site
$20 - $26/hr
This position works as part of the Stop Loss Team to ensure timely reporting and stop loss claim filing with the various stop loss carriers. Monitors members approaching/exceeding spec, including ...
New
Austin, TX · On-site
$18 - $18.50/hr
Posi t ion Overview: This position involves receipt of inbound calls for the purpose of verification of benefits and answering questions from providers, members, and clients. The benefits service ...
Posted today
Austin, TX · On-site
$18 - $18.50/hr
Posi t ion Overview: This position involves receipt of inbound calls for the purpose of verification of benefits and answering questions from providers, members, and clients. The benefits service ...
Posted today
Austin, TX · On-site
The TPA Services Manager is responsible for the daily supervision and coordination of core TPA operations, including claims processing, member services and assigned special projects. This role ...
Austin, TX · On-site
The TPA Services Manager is responsible for the daily supervision and coordination of core TPA operations, including claims processing, member services and assigned special projects. This role ...
Austin, TX · On-site
Position Overview: This position is responsible for maintaining, creating, updating and coordinating all plan document related functions. This includes but is not limited to ERISA plans, non-ERISA ...
Austin, TX · On-site
Position Overview: This position is responsible for maintaining, creating, updating and coordinating all plan document related functions. This includes but is not limited to ERISA plans, non-ERISA ...
Austin, TX • On-site
$20 - $26/hr
Full-time
Posted yesterday
New
This position works as part of the Stop Loss Team to ensure timely reporting and stop loss claim filing with the various stop loss carriers.
Monitors members approaching/exceeding spec, including policies with advance funding.
Monitors clients approaching/exceeding aggregate, including policies with accommodation.
Generates various reporting and reviews for accuracy before distribution, both internally and externally, as assigned.
Gathers supporting documentation from both internal and external entities.
Compiles stop loss claim filings, to include all supporting information/documentation, and submits to the stop loss carrier to maximize reimbursement.
Manages filings, through reimbursement, to include consideration of policy filing limitations.
Communicate regularly with various departments, external vendors, clients, and carriers.
Validates filing denials and prepares appeals when necessary, to ensure our clients are receiving the maximum reimbursement allowed under the policy