- Conduent (Springfield, MA)
- …with occasional overtime on Saturdays. + Sort, prepare, and scan up to 2,000 insurance claims and related documents daily. + Enter claim data into client systems ... copying document types, and inserting patch sheets to separate claims ). + Deliver and collect all mail and place...safe, clean, and organized work area. + Support daily operations by lifting boxes up to 20 lbs and… more
- Centene Corporation (Tallahassee, FL)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting, utilization management, or clinical operations . Project ... to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Engage with and educate providers regarding policies… more
- Fairview Health Services (St. Paul, MN)
- …for managing effective and efficient charge master and fee schedule pricing operations including people, processes and technology that results in leading practice ... clean and compliant claim creation. Leads employees and influences stakeholders to follow...Epic applications: Resolute Hospital Billing Charging, Resolute Professional Billing Claims , Resolute Hospital Billing Claims , OR ability… more
- Robert Half Accountemps (Los Angeles, CA)
- …Maintain and analyze financial and operational performance metrics related to claims processing, denial management, and payment posting. + Collaborate with ... as billing and collections, to streamline processes and improve revenue cycle operations . + Research industry regulations and payer policies to ensure compliance and… more
- Cognizant (Austin, TX)
- …with configuration analysts and other operational stakeholders to maintain and improve claims reimbursement systems. **In this role, you will:** + Review health ... standards (CPT, CCI, CMS). + Manage and update the Claims Reimbursement database to ensure edit rules and tables...edit rules and tables remain current. + Partner with operations teams to support organizational growth and process improvements.… more
- UNC Health Care (Durham, NC)
- …transplant 4. Maintain data tables for systems that support Patient Accounting operations . Evaluate carrier and departmental information and determines data to be ... billing issues, credit balances, sequencing of charges, and non-payment of claims . Contact patients, physicians and insurance companies to obtain information… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …data layers that power cross-sell/up-sell recommendations and lifecycle marketing based on claims or policy behavior. * Adopt agile methodologies for iterative data ... working with Applied Epic and Guidewire (Policy Center, Billing Center, or Claim Center). * Familiarity with Salesforce Financial Services Cloud (FSC) or core… more
- The Hartz Mountain Corporation (Covington, KY)
- …Harris Teeter specific:** + 84.51/Stratum -- all POS Reporting + Supplier Hub + Lavante - claims processing + Claim Trax - claims processing + DemandTec -- ... customer events, trade/trade show events, and company sales/marketing meetings. ** Operations and Administration** + Effectively manage the administrative responsibilities,… more
- Office of Administration (Washington, DC)
- …publication pattern is correct and all journal elements are accurately entered. Tracks claims for missing and damaged materials. Contacts publishers to claim ... identifying and resolving discrepancies in publication patterns, initiating and tracking claims for missing or damaged issues, and coordinating with publishers or… more
- BD (Becton, Dickinson and Company) (Vernon Hills, IL)
- …product marketing-from market research and messaging to performance tracking and claim development. In addition to supporting internal communications and dashboard ... process. The position also includes identifying gaps in product claims and helping generate new claims based...to maintain our culture of excellence and ensure smooth operations , while also recognizing the importance of flexibility and… more