- UPMC (Pittsburgh, PA)
- …support our hospital! This position will work Monday-Friday during business hours . Purpose: Responsible for the development, implementation and monitoring of ... for action, and assuring compliance with the program. + Maintain investigative, claim and legal files with strict adherence to confidentiality mandates. Assist, as… more
- CVS Health (Tallahassee, FL)
- …met. Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or ... state of Florida. **Preferred Qualifications** + Provider Data Management + Claim and/or Customer Service Experience **Education** + Bachelor's Degree or equivalent… more
- Hoffman Construction Company (Lake Oswego, OR)
- …and support In-House Associate General Counsel with contract-related needs and some claim handing of Hoffman Construction and its affiliates. The Staff Attorney will ... protect the company's interests. + Perform data analysis to proactively support claims identification and management to mitigate potential legal risk. + Support… more
- Access: Supports For Living (Middletown, NY)
- …Description Location:Middletown, NY Pay Rate:$81,000-$85,000/yr Status:Full-Time | Exempt Hours : Mon-Fri 8am-4:30p ON-Site Position The Revenue Cycle Directoris ... and payment processes. + Maintain a clear understanding of claims processing, payer denials, and appeals. + Prepare recurring...through KPIs: total revenue, collection rates, AR days, and claim denials. + Set and track goals for aging… more
- Allied Universal (Irvine, CA)
- …for all insurance carriers and third-party administrators for employee eligibility, claim and plan coverage inquiries, providing accurate and timely responses. ... qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, maintain… more
- University of Rochester (Rochester, NY)
- …America, 14624 **Opening:** Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours : 40 Department: 910401 Patient Self-Pay Services Work Shift: UR - Day ... the following: + Bankruptcy filings and resolution + Estate Claim verification + Presumptive financial assistance + Other recommendations...to: + Self Pay Work queues + Unbilled Cash Claims + Self Pay plans not final billed +… more
- Johns Hopkins University (Middle River, MD)
- …as warranted. + Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or ... of JHU/ PBS Billing Applications. + Utilize online resources to facilitate efficient claims processing. + Capable of advance problem solving in medical billing and… more
- Penn Medicine (Bala Cynwyd, PA)
- …and timely claim submission. . Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed . In ... Population Health** **Location: Penn Medicine Hospice- 150 Monument Road** ** Hours : Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist… more
- Hilton Head Christian Academy (Bluffton, SC)
- …with Broker for all health offerings; Assist employees with any claim issues or concerns; Process enrollments, changes, and terminations of participants ... relationships with 401k Partners; Administer disability and worker's compensation claims + Employee Retention - Assist as required with...and to the community. Benefits This position is 30 hours per week, thus eligible for all benefits including:… more
- CVS Health (Bassett, VA)
- …including co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case management and eligibility. ... cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and… more