- 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
- City of New York (New York, NY)
- …regulations concerning employees' salary history in order to accurately process compensation claims and verify the entry of payment dispositions for active and ... prepares all documentation necessary to support the agency's overpayment claim , and work on other Payroll Operations tasks and...and projects as needed. Work Location: 33 Beaver Street Hours /Schedule: 9 AM - 5 PM STAFF ANALYST -… 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
- Stony Brook University (East Setauket, NY)
- …Experience in utilizing insurance websites to check for eligibility and claim status. + Experience investigating, reviewing and following-up on rejected/denied ... inpatient and outpatient hospital claims . + Knowledge of CPT, HCPCs and ICD-10 coding...Office **Schedule** : Full-time **Shift** : Day Shift **Shift Hours :** : 8:30am-5:00pm **Pass Days:** : Sat, Sun **Posting… 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