- Intermountain Health (Washington, DC)
- …+ **Essential Functions** + Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and ... secondary billing issues, credit balances, sequencing of charges, and non-payment of claims . + Reconcile accounts, research and resolve various issues relating to… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... claim review team work, with a particular emphasis on claim and data management, claim assessment, knowledge management and training coordination. Working closely… more
- Highmark Health (Washington, DC)
- …of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more