- Covenant Health Inc. (Knoxville, TN)
- …Registration and Business Office personnel to resolve issues related to claims , coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster ... in response to regulatory changes and identified areas of deficiency. + Monitors claim rejections and systematically assesses specific types of denial as it relates… more
- SSM Health (MO)
- …Cycle processes, including patient inquiries, insurance handling, payment collection, and claim resolution. + **Teach Technical Skills** : Provide instruction on ... on outstanding balances, effective and efficient resolution of denied and outstanding claims and applying payment and denial information to patient accounts. +… more
- Elevance Health (Mason, OH)
- …patient, and prescriber encounters, including, but not limited to prescription claim adjudication exceptions, returns, reships, drug recalls, and patient and ... of 5 years of pharmacy experience. + Requires an active, professional license , if required by state law(s), State Pharmacy Technician Certification or National… more
- Library of Congress (Washington, DC)
- …records documents relating to copyright chain of title; administers statutory license provisions of the law, including collecting and distributing royalties; ... 17 of the US Code, including matters related to registration and recordation of claims but also emerging technological issues such as those involved in 17 USC 1201,… more
- City of New York (New York, NY)
- …to oversee the timely planning, preparation, processing and submission of NYCDOT's claim reimbursement requests to the New York State Department of Transportation ... Than Personnel Services (OTPS) expenses related to the reimbursement claims incurred in the DOTs expense budget. - Become...2. A valid New York State Certified Public Accountant license . To be eligible for placement in Assignment Level… more
- CVS Health (New Albany, OH)
- …including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility. ... at case conferences for multidisciplinary focus to benefit overall claim management. + Utilizes case management processes in compliance...+ Must have an active current and unrestricted RN license in state of residence. With the willingness and… more
- UNUM (Chattanooga, TN)
- …reviewing, analyzing and interpreting medical information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple ... Responsibilities** + Application of medical knowledge through assessment and synthesis of claim file information and ability to offer balanced conclusions + Ability… more
- HUB International (Rockville, MD)
- …both the business and earnings implications of the Company. + Address and resolve carrier claim challenges with support from the HUB claims team. + Keep informed ... An active or ability to obtain state property and casualty insurance license is required. + Strong verbal and written communication, organizational, and multitasking… more
- Hunterdon Health Care System (Flemington, NJ)
- …and a working knowledge of all payer contractual requirements, particularly initial claim filing periods. Utilizes all (Facility) software systems in accordance with ... to maintain an efficient system for the daily electronic submission of claims , identifying errors and making the necessary corrections to ensure timely submission… more
- J&J Family of Companies (Jacksonville, FL)
- …(ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals/grievances); REMs certification; Medicare and Medicaid rules ... monitoring. + Educate staff on payer requirements, coding, billing, claim submission, and acquisition. + Share TC insights with...minimum of a bachelor's degree + A valid driver's license issued in one (1) of the fifty (50)… more