- Ventura County (Ventura, CA)
- …general direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... analyzes credits, payments, and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor within billing… more
- Penn Medicine (Philadelphia, PA)
- …the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. The position will begin with a ... of the University of Pennsylvania - 3400 Spruce St ** Hours :** Mon-Fri hybrid schedule regular office hours ....position will work out of assigned work queues handling claim edit work queue resolution as well as follow… more
- Essentia Health (Superior, WI)
- …nursing staff, pharmacies, third parties, and software vendors to work through claims adjudication and processing issues to ensure payment from third-party payers ... help ensure Medicare rules are followed when processing Medicare B billed claims + Provide direct patient interaction by assisting patients with manufacturer-based… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **This role will have standard EST business hours .** **Job Summary** Provider Network Administration is responsible for the accurate and timely ... validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of… more
- Commonwealth of Pennsylvania (PA)
- …public in this rewarding role! Work Schedule and Additional Information: + Full-time employment, 35 hours per week + Work hours are 8:30 AM to 4:30 PM, Monday ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Select the "Level of Performance" which best describes your claim . + A. I have experience sorting, filing, and… more
- Commonwealth of Pennsylvania (PA)
- …Work Schedule and Additional Information: + Full-time employment, 37.5 hours per week. + Work hours are 8:30 ... PerformanceSelect the "Level of Performance" which best describes your claim . + I have experience sorting, filing, and retrieving...addresses the items listed below which relate to your claim . If you indicated you have no work experience… more
- Commonwealth of Pennsylvania (PA)
- …Schedule and Additional Information: + Limited term, full time employment, 37.5 hours per week. + Limited-term, full-time wage position with benefits (Bronze Plan). ... possible extension for an additional 6 months. + Work hours are 3:00 PM to 11:00 PM, with a...Select the "Level of Performance" which best describes your claim . + I have experience sorting, filing, and retrieving… more
- Commonwealth of Pennsylvania (PA)
- …. Work Schedule and Additional Information: + Full-time employment, 40 hours per week + Work hours are 7:30 AM ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Select the "Level of Performance" which best describes your claim . + A. I have provided vocational training in… more
- Robert Half Legal (Atlanta, GA)
- …companies and small businesses, typical duties will include investigating claims , developing defense strategies, negotiating settlements, and litigating cases in ... court. + Investigate claims : This may involve reviewing police reports, medical records,...evidence to determine the validity and extent of the claim . + Develop defense strategies: The attorney will analyze… more
- CVS Health (Harrisburg, PA)
- …review a clinical determination and understand rationale for decision. * Able to research claim processing logic and various systems to verify accuracy of claim ... person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as...1 years of experience in research and analysis of claim processing. - 1-2 years Medicare part C Appeals… more