- CenterWell (Roanoke, VA)
- …the **Branch Coordinator** is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of ... + Process signed and unsigned orders and 485s. + Follow up on the Order Tracking Report weekly and...computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This… more
- TEKsystems (Roanoke, VA)
- …getting intake paperwork completed, insurance cards, checking out patients, scheduling follow up appointments, collecting any financial payments at the end, ... front end of the process, not processing or submitting any of the claims . Description: -Answers incoming calls in a professional and courteous manner, promptly… more
- Elevance Health (Norfolk, VA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... works with one provider type, eg physician, ancillary, or medical group. Provides advice and analytic support to ...and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- General Dynamics Information Technology (Herndon, VA)
- …Closeout Team, the candidate will be responsible for preparation, posting, and follow -up of interim and final invoices, and submission of final release documents, ... within the POP + Prepare invoices for Canceling funds. + Determine total claim to include all reimbursable costs (including applicable indirect costs) and total… more
- Elevance Health (Richmond, VA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Supports large scale… more
- Elevance Health (Richmond, VA)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Elevance Health (Richmond, VA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- US Tech Solutions (Chesapeake, VA)
- … medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities. May also include ... all case management activities with members to evaluate the medical needs of the member to facilitate the member's...and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management… more
- Intermountain Health (Richmond, VA)
- …Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position ... + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system...certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Experience in a role requiring… more
- Sunrise Senior Living (Richmond, VA)
- …in a timely manner. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. **Quality Assurance, Safety and ... deep fulfillment in your work. Explore how you can follow your passions and shed light on meaningful ways...also offer benefits and other compensation that include: + Medical , Dental, Vision, Life, and Disability Plans + Retirement… more