- MVP Health Care (Schenectady, NY)
- …justice or a related field, and minimum of five years ofinsurance claims investigation experience; or five years of professional investigation experience with law ... CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data. + Working knowledge of MS Office (Word, Excel and Outlook) +… more
- Air National Guard Units (Madison, WI)
- …science, engineering, information science, information systems management, mathematics, operations research, statistics, or technology management or degree that ... provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide...NOT QUALIFIED. If you are unsure if you can claim Veteran's Preference click the link to see if… more
- Omni Hotels (San Antonio, TX)
- …accurate documented enrollment for all eligible associates. + Monitor unemployment insurance claims and actively work to reduce claim liability through detailed ... Commitments are projects that will allow LIDs to learn about general hotel operations , as well as the details and functions of their division. Each commitment… more
- UNC Health Care (Chapel Hill, NC)
- …all 3rd party appeals including researching and determining if carrier denial of claim is valid and if not, abstracts information from medical records to support ... billing. 10. Other: Responsible for processing Part B split claims . Accurately and thoroughly document the pertinent collection or...System, in a department that provides shared services to operations across UNC Health Care; except that, if you… more
- Penn Medicine (Bala Cynwyd, PA)
- …and timely claim submission. + Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed + In ... action plans + Assure consistent quality and cost effectiveness of daily operations through coordination with physicians, patients, process assessment, and review of… more
- Superior Ambulance Service (Elmhurst, IL)
- …Onboarding new staff + Assuring Medicare/Medicaid requirements are met by staff working claims by revising and creating policies for employees to follow + Assuring ... Oversee the accurate and timely follow up of accounts including claim submission, verification, denials, and adjustments to customer accounts in accordance… 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. ... staff and external vendors as it relates to department operations . Serves as a liaison between Revenue Integrity and...end and back end appeals hand-offs, payer correspondence, and claims processing. + Participates in the education and training… more
- The Hartford (Unionville, CT)
- …well versed in commercial auto a plus. Open to candidates with Underwriting, Claims , Operations , Sales, and related backgrounds + Sound decision-making and ... standards. + Researches and prepares any unique coverage forms + Monitors claim experience on written policies + Establishes & maintains quality submission pipeline… more
- University of Miami (Medley, FL)
- …receipts, and refers accounts to collection agencies. + Processes third-party insurance claims , requests and submits claim forms, and processes insurance ... core value + Ability to direct, manage, implement, and evaluate department operations . + Ability to establish department goals and objectives that support the… more
- University of Miami (Medley, FL)
- …completed batches to appropriate billing offices daily. + Follows up on claims submitted routinely to monitor payment status. + Transmits coded patient treatment ... demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements. + Runs… more