- Abound Health Group, LLC (Charlotte, NC)
- …This role is responsible for various duties related to authorizations, billing claims , posting payments, and collecting accounts receivable. Our team's goal is to ... payers, families, and government entities per the mandatory process. + Resolve all claim denials per the mandatory process. + Contact payer by phone, email, fax,… more
- Novant Health (NC)
- …coding, charging, clinical documentation improvement operations, accuracy and timeliness, unbilled claims management, claim edits and denial management. + ... charging (including communications and escalation pathways), problems preventing payment of claims , issues in coding including barriers and successes, accurate and… more
- Nucor Steel Auburn, Inc. (Huger, SC)
- …customer accounts, and facilitate the acceptance and processing of customer claims for both quality and accounts receivable. Additional responsibilities will ... teams (operations, shipping, credit, metallurgy). + Coordinating efforts to resolve claims with customers, metallurgists, sales, and accounts receivable teams. +… more
- Bozeman Health (Bozeman, MT)
- …billing function for Bozeman Health and all related entities, including claims submission, follow-up, and denial management. The supervisor supports staff in ... maintaining accuracy and timeliness in claims processing to maximize reimbursement. Additional responsibilities include developing and implementing quality assurance… more
- Ellis Medicine (Schenectady, NY)
- …and related work lists to ensure complete, timely and accurate submission of claims , (3) facilitating the accuracy and completeness of the practice's codes and ... for ensuring the financial viability of the assigned practice(s), by producing claims in a timely, accurate and complete manner. Requirements: High School Diploma… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims . **T** **he selected candidate must live and work from one ... + Creates cost estimates for waivers. + Root causes claim denials, reprocesses, and submits claim appeals....assigned. + **Minimum Education:** + Bachelor's degree required. BSN preferred . + **Minimum Experience:** + 1 year of clinical… more
- Philadelphia Insurance Companies (Jersey City, NJ)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... closely with other internal departments such as Client Solutions, Loss Control, Claims , Accounting to meet client service goals and increase knowledge on accounts… more
- CVS Health (Hartford, CT)
- … * Proficient in Microsoft Word, Excel and other computer software ** Preferred Qualifications:** * Managed care/ claims review experience preferred ... areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to… more
- Cedars-Sinai (Los Angeles, CA)
- …underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all audits and ... work queues accounts and completes account follow-up activities including: obtaining claim status, responds to insurance company and other authorized third-party… more
- AdventHealth (Altamonte Springs, FL)
- …of the multi-disciplinary care team to effect timely, appropriate management of claims . + Utilizes advanced conflict resolution skills as necessary to ensure timely ... authorization. Evaluates clinical review(s) and physician documentation for at-risk claims ; performs additional reviews and/or include pertinent addendums to… more