- 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
- Rush University Medical Center (Chicago, IL)
- …and payment variances using tools, and driving workflows that support timely claim filing and patient billing. Additionally, the Director provides strategic and ... required; Master's degree in Healthcare Administration, Business, or related field preferred . 7-10 years of progressive experience in physician/professional revenue… more
- Geisinger (Danville, PA)
- …reimbursement or recovery recommendations based on PI team's review of claims for appropriate coding, billed statistics, policies, industry standards and compliance ... Abuse and Program Integrity audits. + Responsible for Key Performance Indicators including claim edit and claim audit savings, dollars at risk, overpayment… more
- UTMB Health (Galveston, TX)
- …and inventory management is optimized to maximize benefits. Performs audits including claim analysis to determine if use is compliant per the 340B regulations ... + Partners with IS and RCO departments to ensure claims are going out with the correct modifiers and... are going out with the correct modifiers and claim data. + Adheres to internal controls and reporting… more
- LogixHealth (Dania Beach, FL)
- …and route the request to the proper person + Provide patient with their claim balance as requested + Update patient's insurance information in the system and then ... Perform daily mailings of letters to patients and HCFA claim forms Qualifications To perform this job successfully, an...experience required. Experience One to two years related experience preferred . Must be fluent in English and Spanish Specific… more
- Siemens Energy (Orlando, FL)
- …contractual risks, drafting and negotiating agreements, documenting, defending and enforcing claims , and advising and supporting project and site management in the ... complex contracts, able to handle multiple projects atthe same time and claim management. + Self-drivenindividual with the ability to formulate logical and pragmatic… more
- Veterans Affairs, Veterans Health Administration (Alexandria, LA)
- …and peer review. Participates in clinical review process such as tort claims , peer reviews, management reviews and administrative activities, as directed by the ... potential admissions. Performs Compensation and Pension exams and/or Tort Claim reviews. Interprets echocardiograms (including stress, dobutamine and transesophageal… more