- Community Health Systems (Franklin, TN)
- …coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns ... of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (eg, Athena… more
- Hartford HealthCare (Farmington, CT)
- …of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees ... Performance Indicators (KPIs) and Productivity Standards). *Issue Resolution* 1. Reviews claim edits and revises coding/charging as appropriate for specific range of… more
- MVP Health Care (Rochester, NY)
- …and an **Inclusive Workplace** . **Qualifications you'll bring:** + An Associate Degree in Health Administration, business, economics, computer science. Three years ... rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high integrity + Continuously monitor the statuses… more
- UNUM (Chattanooga, TN)
- …to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition ... reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple… more
- Stanford Health Care (Palo Alto, CA)
- …to leaders and team members on leave policies and practices, including claim filing process; act as liaison betweenteam members, leaders, Benefits, Payroll, WHW ... Leave Team to resolve leave issues; provide follow-up with teammembers on claims , payments and related worker's compensation issues. In collaboration with leader and… more
- CVS Health (Frankfort, KY)
- …to evaluate the medical and psychosocial needs of the member to facilitate and support the member's improved health. The Case Manager develops a proactive course of ... plans to comprehensively address member biopsychosocial care needs. * Reviews prior claims to address potential impact on current case management and eligibility. *… more
- University of Rochester (Rochester, NY)
- …party payer issues. **ESSENTIAL FUNCTIONS** + Reviews reports of unbilled cash claims , self-pay plans not final billed, hold bill worklists, statement edits, credit ... the collection agency liaison to provide cross coverage, including estate claim verification, settlement offers for collection agency accounts, bankruptcy filings… more
- Carrington (Raleigh, NC)
- …forms, IT access and change forms, and FedEx labels. + Conduct pre- claim title review including reviewing title records, organizing documents, creating chronologies, ... preparing and submitting title claims , monitoring for response from insurers and working with...attorneys, and other stakeholders. + Provide legal and administrative support to departmental staff, including scheduling meetings, managing phone… more
- Independent Health (Buffalo, NY)
- …and resolve inquiries; provide benefit clarification and eligibility; communicate claim and reimbursement information, facilitate proper utilization of policies and ... - Sunday 8:00am - 9:00pm** **Qualifications** + High School or GED required; Associate degree preferred + Six (6) months experience working for a health insurance… more
- University of Rochester (Rochester, NY)
- …related to the following: + Bankruptcy filings and resolution + Estate Claim verification + Presumptive financial assistance + Other recommendations to resolve ... to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +...Based Reports + Budget Plans + Insurance billing **QUALIFICATIONS:** Associate 's degree in Business Administration and 2 years of… more
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