- Robert Half Accountemps (Minneapolis, MN)
- …underpayments. * Ensure accurate charge capture, coding, and timely submission of medical claims . * Collaborate with finance and operations teams to forecast ... a skilled Revenue Cycle Management Specialist to oversee and enhance revenue operations within a healthcare setting in Minneapolis, Minnesota. This Contract to… more
- Boswell Engineering (South Hackensack, NJ)
- …Administrator. This is a specialized role driven by the complexities of multi-state operations . You will be the primary guardian of our Total Rewards program, ... ACA reporting (1094-C/1095-C), Form 5500s, and EEO-1 reporting. + Disability & Claims Management: Manage the full lifecycle of Short-Term and Long-Term Disability … more
- Breakthru Beverage Group (Minneapolis, MN)
- **Time Type:** Full time **Remote Type:** **Job Family Group:** Market Operations **Job Description Summary:** The Safety & Security Manager is a consultant to ... senior operations & sales leaders in the state and is...Safety related programs and policies. Manages the Workers Compensation claims and works to reduce the financial impact of… more
- City of Lakeland (Lakeland, FL)
- …the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and ... initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and Wellness… more
- Fresenius Medical Center (Kennesaw, GA)
- …Representative - Collections, provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, ... the Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient Account… more
- Robert Half Accountemps (Fayetteville, NC)
- …The role plays a vital part in supporting the facility's operations and maintaining compliance with healthcare billing standards. Responsibilities: * Process ... and submit accurate medical claims to insurance providers in a timely manner. *...ensure adherence to regulatory guidelines. * Investigate and resolve claim discrepancies or denials to ensure proper reimbursement. *… more
- BrightSpring Health Services (Knoxville, TN)
- …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
- CareFirst (Baltimore, MD)
- …terms, conditions, definitions, and financial guarantees, translating them into claim -level mapping and reconciliation processes. Validate that each eligible ... claim receives the correct rebates and discounts, applying exclusions...and Abilities (KSAs)** + Strong knowledge of PBM contracting, claims adjudication, pharmacy network management, formulary design, financial processes… more
- Fresenius Medical Center (Savannah, GA)
- …Representative - Collections provides administrative support to the collections operations within the assigned function(s). Through ongoing database maintenance, the ... Patient Account Representative - Collections ensures the timely receipt of claim payments and minimizes bad debt accrual. In this capacity, the Patient Account… more
- Air National Guard Units (Phoenix, AZ)
- …quality standards and internal controls are in place at base level operations . Ensures the unit is performing in accordance with established standards. Researches, ... You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more