- Penquis (Bangor, ME)
- …+ Monitoring claim statuses, contacting MaineCare regarding pending or denied claims and taking necessary actions to resolve billing issues. + Reviewing payments ... in supporting the Accounting Manager and Senior Management in conducting the daily operations of the accounting department. This is a hybrid position based out of… more
- BrightSpring Health Services (Anaheim, CA)
- …calculations, including dosage and conversion tasks. + Investigate and resolve pharmacy claim denials; perform follow-up actions in POS systems. + Stay current with ... Medicaid claim regulations and ensure compliance in processing. + Track...ensure compliance in processing. + Track unpaid or delayed claims ; generate reports for management. + Provide excellent customer… more
- Philadelphia Insurance Companies (Pasadena, CA)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... insurance in a corporate setting and obtain an understanding of our business operations while gaining exposure to several departments within the Company such as… more
- Covenant Health Inc. (Knoxville, TN)
- …documentation for insurance appeals process, ensuring timely follow through. Processes claim adjustments for leadership approval and posts payments as necessary. ... Auditors and Patient Account Representatives as it relates to department operations . Recruiter: Suzie McGuinn || ###@covhlth.com Responsibilities + Analyze denials… more
- AdventHealth (Maitland, FL)
- …for the Physician Enterprise (PE) and works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing ... in Athena/Epic and MSOW Network Management thus releasing held claims and updating the status report for the practices....status report for the practices. + Reviews and resolves claim denials that are related to the credentialing and… more
- CommonSpirit Health (Prescott Valley, AZ)
- …+ Assists patients via telephone and/or written response regarding account/ claim status inquiries. Responds professionally and within appropriate timeframes to ... reconciling accuracy with outside vendors. + Generates bills or re-bills claims to insurance companies. Conducts timely follow up withinsurance companies regarding… more
- Health Systems Management, Inc. (Tifton, GA)
- …patient care and encouraging physician input while maintaining efficient business operations . We are currently seeking compassionate, dedicated, and highly motivated ... + RCM process encompasses patient registration, insurance verification, care documentation, claim submission and payment collection to maximize revenue and cash flow… more
- Nuvance Health (Danbury, CT)
- …Charge Integrity Auditors and Revenue Cycle to identify, analyze and resolve CDM-related claim submission issues. Assist in the CEWL and EBEW error resolution. The ... includes but is not limited to, collecting and analyzing revenue and usage claim data for the hospital, physicians and provider groups in preparation for regular… more
- Seek Now (KY)
- …growth. + Strong understanding of the P&C insurance industry, including carrier operations , claims processes, and vendor management dynamics. + Experience ... to deliver high-quality, reliable inspection services that speed up carriers' claim cycles while providing exemplary customer service. The company's unique… more
- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Reporting to the Director, Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. ... Medicaid) and CMS Medicare requirements. This role is housed within the Claims Operations & Quality Assurance team and works closely with Cognizant (TPA) to… more