- Highmark Health (Columbus, OH)
- …Utilize robust, data-driven insights from complex healthcare datasets (eg, claims , clinical, utilization, pharmaceutical) to inform policy development, identify ... 7 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 5 years of project leadership… more
- Sanford Health (Fargo, ND)
- …captured and reconciled against prescription records. Reviews and completes coding, claims , and denials for medications, supplies, and diagnosis within pharmacy. ... Assess pharmacists' progress notes for proper documentation. Monitors denials and claims to assess outstanding accounts receivable. Stay current on changing payer… more
- Enviri Corporation (King Of Prussia, PA)
- …bond rights on customer projects and prepare and file notices, liens and bond claims as required. * Review new accounts for credit worthiness run Dun & Bradstreet ... construction industry or trades required **Prior knowledge of filing payment bond claims and reviewing and executing mechanics liens waivers** Clean Earth offers… more
- University of Rochester (Rochester, NY)
- …and datasets related to, but not limited to, enrollment, premiums, claims , payments, prescription rebates, and stop-loss insurance to ensure proper booking ... Maintains several relational data systems and business decision models based on claims and utilization data. + Develops and maintains monthly, quarterly, and annual… more
- SSM Health (MO)
- …Acts as subject matter expert; interprets payer guidelines for clean claim submission; develops and analyzes trend reports; researches, interprets, and provides ... guidance on federal, state, and local regulatory mandates, payer policies and contracts. Responsible for performing in-depth analysis of proposed and final rules to ensure revenue cycle departments are aware and informed with changes to support operational… more
- TEKsystems (San Antonio, TX)
- …and provide superior customer service to each. Skills Revenue cycle, Claim , Patient accounting, excel Additional Skills & Qualifications Education and Training: ... High School diploma or equivalent required. Experience: Proficient in use of Microsoft Word, Excel, Access and Outlook. Good interpersonal skills. Ability to provide positive customer service. Ability to maintain independent work schedule. Ability to work… more
- US Bank (Minneapolis, MN)
- …and maintains the analytical framework and support systems for the fraud claim management and reporting processes. **Basic Qualifications** - Bachelor's degree, or ... equivalent work experience - Typically more than five years of applicable experience **Preferred Skills/Experience** - Thorough knowledge of all departmental data sources, and of fraud risk and operations management associated with the product lines - Strong… more
- Naval Supply Systems Command (PA)
- …when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation ... with your application as described in the Required Documents section below. more
- Sharp HealthCare (San Diego, CA)
- …reviewed in order to perform timely follow-up collections and claim form submissions.Demonstrates effective customer relations by:Consistently communicate with ... Executives, Operations Senior Management, department members and other Sharp employees in a pleasant, professional and effective manner.Respond appropriately to needs, preferences and dissatisfactions expressed by customers within a time period appropriate to… more
- MVP Health Care (Schenectady, NY)
- …awareness of competitive landscape + Working knowledge of MVP Data assets including claim , pharmacy, member and provider data + Proficiency in SQL and Microsoft ... suite of products including Power Platform + Curiosity to foster innovation and pave the way for growth + Humility to play as a team + Commitment to being the difference for our customers in every interaction **Your key responsibilities:** + Collaboration with… more