- CVS Health (Virginia Beach, 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
- Racker (Ithaca, NY)
- …Generates reports to track utilization data and trends. + Processes Workers' Comp claims and follow up for injured employees. Tracks trends and generates reports for ... of benefits-related data, including PPACA oversight. + Assists employees regarding benefits claim issues and plan changes. + Assists with distributing all benefits… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …off-phone work, and email concerning, but not limited to, contract benefits, claim payments, and enrollment in accordance with MTM, Corporate Service strategy, NCQA, ... Contact Resolution, and performance. + Provides outreach related to claims , onboarding, effectuation, retention, provider inquiries, and any other...using a keyboard and mouse for 3 or more hours at a time. + Must be able to… more
- Hawaii Pacific Health (Honolulu, HI)
- …for the accurate and timely preparation and submission of physician claims ; follow-up on accounts receivable; making necessary corrections to charges; and ... people. **Location:** First Insurance Center **Work Schedule:** Day - 8 Hours **Work Type:** Full Time Regular **FTE:** 1.000000 **Bargaining Unit:** Non-Bargaining… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Specialist Senior* to join our Admitting and Registration. This 0.20 FTE (16 hours per pay period) role will work on-site (Nights and Every Other Weekend; ... and eligible payer information, along with financial responsibility, prior to claims processing * Makes appropriate referrals (ie Patient Financial Counselors,… more
- Independent Health (Buffalo, NY)
- …Williamsville, NY)** **Schedule:** Associates will work a regular shift **between the hours of** **8am and 5pm** **Monday through Friday** . **Overview** The ... Research and respond to escalated and complex provider and member inquiries, including claim and billing research requests. + Provide written and verbal response to… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- …and peer review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as directed by the ... credits, credentialing, professional licensure -Utilize the EMR system appropriately -Participate in after- hours "call" as scheduled by the chief of the section -Be… 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
- 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
- University of Utah (Salt Lake City, UT)
- …C **Track Level** **FLSA Code** Nonexempt **Patient Sensitive Job Code?** Yes **Standard Hours per Week** 40 **Full Time or Part Time?** Full Time **Shift** Day ... and initiates and amends hospital and attorney liens. 10. Initiates claim process with third-party payor (ie: auto insurance company, worker's compensation)… more