- System One (Washington, DC)
- …Healthcare Technical Writer with a strong background in health insurance and claims documentation. This role will be responsible for creating, reviewing, and ... maintaining clear, accurate, and compliant documentation related to claims processes, policies, systems, and standard operating procedures (SOPs). The ideal… more
- Cedar Rapids Community School District (Cedar Rapids, IA)
- …the support for all leave of absence cases and workers' compensation claims . Effectively coordinates all cases/ claims to include general administration, ... the Incident reporting system with daily review of new claims and processing the claims to 3rd...or equivalent experience in lieu of a degree is preferred . ESSENTIAL FUNCTIONS: To perform this job successfully, an… more
- Molina Healthcare (GA)
- …+ Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission. + Ability ... and timely implementation and maintenance of critical information on claims databases. Validate data to be housed on databases...SharePoint, PowerPoint, and Visio + Advanced knowledge of Excel preferred + SQL knowledge preferred + Coding… more
- Datavant (Charleston, WV)
- …for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement ... payer policy changes, CMS updates, and healthcare regulations affecting claim adjudication. **What you will bring to the table:**...field required. + RHIT, RHIA, CCS, or CPC certification preferred . + Minimum 3-5 years of experience in healthcare… more
- AdventHealth (Altamonte Springs, FL)
- …from the payers in Athena/Epic and MSOW Network Management thus releasing held claims and updating the status report for the practices. + Reviews and resolves ... claim denials that are related to the credentialing and...+ Bachelor's in healthcare, business administration **or** related field ** Preferred ** + In depth knowledge of Commercial and Government… more
- Avera (Sioux Falls, SD)
- …Verifies, submits and adjudicates patient billing information, submits necessary claim forms and reconciles accounts receivable remittances appropriately and ... accounts. Additional responsibilities include verifying and correcting billing input for claim processing and reconciles Point of Sale cash flow. A successful… more
- International Medical Group (Indianapolis, IN)
- …updates to policies, helping customers set up a new claim and giving claim status on existing claims . JOB DETAILS + Location: Position will start in-office ... to work in a fast-paced environment. + Analytical and problem-solving skills PREFERRED SKILLS + Bilingual - Proficient verbal and written communication skills in… more
- Amgen (Jacksonville, FL)
- …insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices using approved materials + Review ... + Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical… more
- Philadelphia Insurance Companies (New York, NY)
- …staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work ... + Work closely with other internal departments such as operations, loss control, claims , marketing, audit and accounting to meet client service goals and increase… more
- Modivcare (NY)
- …+ Collaborates with the billing team to ensure accurate and complete claim submissions, resolving any billing discrepancies or errors. + Maintains updated records ... disputes in a timely manner. + Investigates and resolves billing discrepancies or claim denials, working closely with payers and the billing team to facilitate… more