- Penn Medicine (Philadelphia, PA)
- …the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. They may assist with training and ... Hospital of the University of Pennsylvania- 3400 Spruce St ** Hours :** Mon-Fri office hours per department needs...PBO. This position will investigate and follow up on claim edits and work denials and underpayments by insurance… more
- Sharp HealthCare (San Diego, CA)
- …Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Other ** Hours ** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS ... Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift...nursing facility admission including requests for outpatient care, retrospective claim review, medical equipment, medication issues and acquisition, home… more
- Clark Construction Group, LLC (Mclean, VA)
- …with our in-house legal team and is responsible for managing Clark's claim and litigation docket, leading the Company's eDiscovery process, managing Clark's owner ... contracts. Will also assist in managing task trackers. + Provide support for claims management. + Oversee and manage all elements of the Company's eDiscovery… more
- State of Georgia (Fulton County, GA)
- …areas. + Primary point of contact, analyst, and responder for civil litigation and claims against the Department: + Serves as a designated recipient of service of ... and AGO for tender of lawsuits, ante-litem notices, and claims . + Serves as the Department's designated employee resource...organizes, and manages Legal Division case files. + Tracks claim and litigation data and maintains databases. + Processes… more
- Molina Healthcare (Pensacola, FL)
- …supports Molina's Florida state health plan and will work EST business hours M-F Job Summary Provides support for provider network administration activities. ... and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system… more
- Sedgwick (Spokane, WA)
- …Multi Line (Casualty/GL/Property) **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** ... + Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim . + Consults police and hospital records and inspects property damage… more
- CVS Health (AZ)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the... processing changes + Ensure daily reconciliation of electronic claim files + Maintain productivity and quality standards of… more
- Aston Carter (Bainbridge Island, WA)
- …follow-up activities. The ideal candidate will analyze unpaid, underpaid, and denied claims , identify their root causes, and take the necessary actions to resolve ... You will play a key role in ensuring the accuracy and timeliness of claims processing and payer interactions. Responsibilities + Serve as supplemental AR support for… more
- Cardinal Health (Indianapolis, IN)
- **Remote Hours : M-F 8:30-5:00 pm EST (or based on...rejected claims + Preparing, reviewing and billing claims via electronic software and paper claim ... getting the right things done. **_Responsibilities_** + Working unpaid or denied claims to ensure timely filing guidelines are meet. + Submitting medical… more
- Midwood EMS (Brooklyn, NY)
- …the end-to-end billing process, with a strong focus on New York State Medicaid claims . Candidate must be able to work 5 days in office. Responsibilities + Process ... patient billing and insurance claims accurately and efficiently. + Review Patient Care Reports,...+ Strong knowledge of medical billing processes and insurance claim submissions. + Familiarity with ICD-10 coding, DRG systems,… more