- Molina Healthcare (Grand Island, NE)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Molina Healthcare (Kearney, NE)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- Omaha Children's Hospital (Omaha, NE)
- …up on insurance and government payor claims to research and resolve unpaid claims and denials in follow-up work queues by contacting payers and/or patients ... care, advocacy, research and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and… more
- Omaha Children's Hospital (Omaha, NE)
- …insurance or government claims to research and resolve unpaid claim and denials in follow-up work queues by contacting payers and/or patients for status. * ... care, advocacy, research and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and… more
- Omaha Children's Hospital (Omaha, NE)
- …Thur, Fri 9 am - 9:30 pm At Children's, the region's only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your ... and pre-admission certification requirements so as to prevent payment denials and/or reduction of benefits and enters this data...for missing registration information daily to ensure timeliness of claims . + Manages all aspects of our film room… more
- Molina Healthcare (Bellevue, NE)
- …reported accurately to maintain compliance and to minimize risk and denials . **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
- Banner Health (NE)
- …Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as ... Inpatient Facility Coding department. If you have experience with DRG and PCS coding/ denials /audits, we want to hear from you. **Requirements:** + **5 years recent… more