- Rush University Medical Center (Chicago, IL)
- …benefit plans. The role ensures accurate, timely, and compliant claim submission, follow-up, and collections, while managing high-dollar, high-complexity accounts ... requirements. **Responsibilities** + Prepares and submits outpatient pharmacy (home infusion) claims covered by medical on a weekly basis. + Analyzes, resolves,… more
- Rush University Medical Center (Chicago, IL)
- …statements. The Specialty Billing Representative processes and follows up on claim denials, underpayments, and overpayments to ensure appropriate resolution and ... patient balance collections. **Responsibilities** + Prepares and submits medical claims weekly for Oncology, Infertility, Cystic Fibrosis, Transplant, and Pulmonary… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …your true colors to blue. Reporting to the Payment Integrity Program Manager , the Payment Integrity Consultant uses industry knowledge, research skills, payment ... impacts, inquiries and implementation efforts. + Assist in developing new facility claim editing logic and maintenance of existing facility rule logic to support… more
- American Medical Association (Chicago, IL)
- …member of the AMAI leadership team and advisor to the GVP and General Manager of AMAI, identify and execute business-wide initiatives to set AMAI direction including ... Administrative Operations management team and their customer service (call center), claims , and operations teams + Facilitate and oversee the performance management… more
- Ellis Medicine (Niskayuna, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , facilitating the accuracy and completeness of the practice's codes and charges ... the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements:...relationship with the PBO dept. to reduce and address claim issues and denials timely. + Assists in the… more
- Sedgwick (Irving, TX)
- …years account manager experience or five (5) years Workforce Absence claim experience including two (2) years in a supervisory capacity. **Skills & Knowledge** ... rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability to… more
- Southland Industries (Carrollton, TX)
- …Brandt's/Southland safety department, with heavy emphasis on workers compensation claims management. **Position Details** + Provide administrative support to group ... supervisor's first report of injury. Set-up and maintain w/c claim filing system. + Assist with case management of...filing system. + Assist with case management of open claims through to closure; notify safety director of safety… more
- AUI Partners (TX)
- …and tool inspections. + Investigate accidents, incidents, and worker compensation claims , ensuring timely and effective resolution. + Coordinate and conduct safety ... + Assist the Safety Supervisor/Safety Team on Worker Compensation claims and other claims involving the public,...as guidelines. Accident and Incident Investigations + Conduct Utility Claim Investigations within 24 hours and provide a report… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …and apply them to insurance claims . Research unpaid and denied insurance claims to ensure account resolution and claim payment . Verify accuracy and ... completeness of documentation included with paper claims prior to submission . Maintain strictest confidentiality adhering to HIPAA rules and regulations . Have an… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This ... **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain a solid… more