- Elevance Health (Richmond, VA)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Kiewit (Alexandria, VA)
- …monitor performance routinely using pre-defined metrics (Ex: progress of projects, financial health , schedule adherence, risk and opportunities, claims ). * Work ... **Market:** Building **Employment Type:** Full Time **Position Overview** The Project Manager will be responsible for overseeing the successful delivery of… more
- TEKsystems (Newport News, VA)
- …facility, ensuring accurate billing and collections. Reporting to the Billing Manager , your core responsibilities will include managing unpaid medical claims ... coding, ICD-10, and HCPCS will be essential for processing claims efficiently. With a focus on medical collections and...billing questions Skills AR Follow Up, icd-10, Medical Billing, insurance , NexGen, EMR, Excel Top Skills Details AR Follow… more
- Mass Markets (VA)
- …ranging from electronics to dream vacations-and sometimes even cars! + Health Benefits: Full-time employees are eligible for comprehensive medical, dental, and ... Secure your future with retirement savings programs, where available. + Disability Insurance : Short- and long-term disability coverage is available to help protect… more
- Elevance Health (Richmond, VA)
- …Audit Facilitator** is responsible for managing the process for claims and customer service audits/quality control reviews, including implementation audits, ... scope presented by external auditor. + For implementation audits, ensures the claims system is coded accurately by independently developing and running test … more
- Elevance Health (Norfolk, VA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Elevance Health (Roanoke, VA)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... claims . Health insurance...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- MetLife (Mclean, VA)
- …product knowledge and possess knowledge of plan designs, benefit features and how claims are paid. * Proactive customer focused mindset * Strong focus on customer ... or be able to obtain State Life, Accident and Health license within 90 days of date of hire...related account management or customer service experience in the insurance industry * Strong understanding of industry marketplace and… more
- MetLife (Mclean, VA)
- …and possess in-depth knowledge of plan designs, benefit features and how claims are paid. * In-depth understanding of industry marketplace and legal developments. ... or be able to obtain State Life, Accident and Health license within 90 days of date of hire...related account management or customer service experience in the insurance industry Location * Positions available in the following… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …but not limited as other tasks may be assigned. + Submit Medicare/Medicare Advantage plan claims both electronic and paper claims ( UB -04 and 1500) to the ... and non-government payers + Submit shadow bill (Information only claims ) to Medicare + Understand how to resolve Medicare/Medicare...lacl aims resolution is achieved + Generates letters to insurance or patients as needed in order to resolve… more