- Covenant Health Inc. (Knoxville, TN)
- …Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible ... coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services...for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals. +… more
- The County of Los Angeles (Los Angeles, CA)
- …Closing Date: Continuous THE FILING PERIOD MAY BE SUSPENDED AT ANY TIME WITHOUT PRIOR NOTICE. THIS EXAMINATION MAY REOPEN AS THE NEEDS OF THE SERVICE REQUIRE. WHO ... a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal services,… more
- Synergy Healthcare Solutions (Dunwoody, GA)
- …team, facilities, and insurance carriers. **Key Responsibilities** + Set up new workers' compensation claims and maintain claim records. + Submit claims and ... and Risk Management Department. This role ensures workers' compensation claims and related documentation are managed accurately and efficiently...as needed. + Track and report open and closed claim activity on a regular basis. + Process and… more
- The County of Los Angeles (Los Angeles, CA)
- …until the needs of the service are met and is subject to closure without prior notice EXAM NUMBER: b2574A-EA The LA County Board of Supervisors recently declared a ... Analyst Contact Phone:Nicholas Jordan, ### Analyst Contact Email:###@dmh.lacounty.gov ADA COORDINATOR PHONE: ### TELETYPE PHONE : ### CALIFORNIA RELAY SERVICES… more
- Commonwealth of Pennsylvania (PA)
- …and operational practices, along with classroom sessions led by the program coordinator . As you progress, your duties will expand to include assessing occupancy ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using… more
- Fair Haven Community Health Care (New Haven, CT)
- …various insurance companies either electronically or by paper when necessary + Work claims and claim denials to ensure maximum reimbursement for services ... Haven prides itself on efficient billing services including the filing of claims , appeals processing, authorizations, and, above all, a great passion for helping… more
- University of Utah Health (Murray, UT)
- …(EDI) setups. Responds to inquiries regarding EDI issues with enrollment, claims , payments and/or clearinghouse activities. This position is not responsible for ... data and standards. + Knowledge of processes and procedures of various health plan claim flows from intake to provider payment. + Knowledge of Encounters and ability… more