- Robert Half Finance & Accounting (New York, NY)
- … claims to ensure effective resolution and settlement. + Monitors claim -handling performance, supervising the Claims Manager to ensure efficient operations. ... service agreements with brokers, presenting recommendations for approval to the HSO. Claims and Administrative Oversight + Works alongside Finance and Legal teams to… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …correct payer. Work all pre-billing/post-billing reports to ensure correct data on claims . Identify and resolve claim issues. Guarantee timely secondary billing ... & troubleshoot outstanding Accounts Receivable balances. Run reports including (but not limited to) claim aging, held claims , unbilled claims . Work with the… more
- Community Health Systems (Kingston, PA)
- …Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. ... contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational… more
- Community Health Systems (La Follette, TN)
- …operations required + Experience with charge entry, Medicare bad debt, and claims editing systems preferred **Knowledge, Skills and Abilities** + Proficiency ... for performing timely and accurate Medicare billing activities, including claims preparation, eligibility verification, census validation, and documentation review.… more
- New York State Civil Service (Albany, NY)
- …Duties Description The Pre-investigation Unit (PIU) has the responsibility of reviewing every claim of labor law violation, submitted to and under the purview of the ... have worked in NYS. The PIU staff review incoming claims and accept, reject, or recommend that claims...redress. If accepted by NYSDOL, PIU recommends where the claim should be routed for investigation. This pre-investigative work… more
- Love's Travel Stops & Country Stores (Oklahoma City, OK)
- …claimant if appropriate. + Develop a plan of action to monitor and accurately document claim details. + File new claims with proper carrier or state agency. ... plan of action to satisfactorily and efficiently resolve each claim . **Job Functions:** + Communicate consistently with all relevant...preferred + 1 year experience working as a claims adjuster, working in insurance claims , customer… more
- Great River Health (Mount Pleasant, IA)
- …and assists in the reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carriers. ... errors. Handles electronic billing functions which includes electronically filing claims and maintaining the electronic filing system. Prepares itemized statements,… more
- Amentum (Washington, DC)
- …a Lead Project Manager, performing the following duties: + Oversee all aspects of Claim Review and Intake team management. + Lead efforts to recruit, retain, and ... and graphs. + Oversee the coordination of Project Supervisors to direct the Claims Review and Intake teams. + Create, format, and refine Standard Operating… more
- Trinity Health (Davenport, IA)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer… more
- CDM Smith (Raleigh, NC)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more