- ConvaTec (Oklahoma City, OK)
- …requires some explanation or interpretation. **Key Responsibilities:** + Responsible for claim review and submission to Medicare, Medicaid, commercial and private ... prior to submission. + Follows up with insurance companies on unpaid or rejected claims . Resolves issues and resubmits claims . + Reads and interprets insurance… more
- AutoZone, Inc. (Little Rock, AR)
- …and communicate flawlessly with Merchandising and Vendors to successfully resolve claims and recover all vendor funding dollars due AutoZone. **Responsibilities** ... include but not limited to the following: assist with onboarding; research claims to ensure accuracy and consistency with internal guidelines and processes; provide… more
- Zelis (Plano, TX)
- …public and private healthcare payment systems, medical claims , standard claim coding, claim editing, contracting, preferred -provider organizations, ... team to refine into user stories with acceptance criteria, including creating test cases/ claims with expected pricing outcomes . + Perform analysis of various data… more
- UCLA Health (Los Angeles, CA)
- …Maintain compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve ... of experience with hospital billing systems and third-party billing requirements, preferred + Experience in revenue integrity operations, clinical charge capture,… more
- Rush University Medical Center (Chicago, IL)
- …feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies ... to other coding staff. * Strong communication and organizational skills. ** Preferred Job Qualifications:** * Certified Professional Medical Auditor (CPMA) and/or… more
- PeaceHealth (Vancouver, WA)
- …multi-facility, multi-specialty organization. **Details of the position** + Resolves insurance claim rejections/denials, and non-payment of claims by payors. + ... Responsible for all areas of billing and account follow-up including claims submission, account follow-up with insurance payors, and resolution of reimbursement… more
- MVP Health Care (Rochester, NY)
- …virtual, in Schenectady or Rochester, NY + 1-2 years of data entry or claims experience preferred . High accuracy and attention to detail. + Strong data ... entry skills (5,000-7,000 keystrokes per hour preferred ). + Proficiency in Microsoft Word and Excel. +...Word and Excel. + Familiarity with medical terminology and claims processing. + Curiosity to foster innovation and pave… more
- Elevance Health (Middletown, NY)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...network contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review,… more
- Sedgwick (Dallas, TX)
- …& Insurance National General Adjuster **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Molina Healthcare (Provo, UT)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more