- Cardinal Health (Richmond, VA)
- …**_Qualifications_** + 2-3 years' experience working in health insurance accounts receivable preferred . + Strong knowledge of insurance claim processing and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- KPH Healthcare Services, Inc. (Concord, NH)
- **Overview** Assist in centralized billing of all claims **Responsibilities** **Job Duties:** + Responsible for accurate data entry of resident insurance ... resolution to assigned facilities + Identify errors that caused claim denial on a daily basis + Correct all...daily basis + Correct all necessary data + Re-bill claims as needed + Interact with Kinney Employees (Store… more
- LA Care Health Plan (Los Angeles, CA)
- …medical necessity; benefit coverage appeals and reconsiderations, and complex provider claim disputes. The position is further responsible for tracking, trending and ... lieu of degree, equivalent education and/or experience may be considered. Education Preferred Bachelor's Degree Experience Required: At least 2 years of experience… more
- University of Utah Health (Murray, UT)
- …risk adjustment program. + This role is responsible for analyzing medical claims , encounter, and risk adjustment targeting data to identify opportunities for ... knowledge with various types and sources of healthcare information, including claim , provider, and patient-level data. + Ability to perform complex research… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …bad debt processing + Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up + Track and re-bill pending Medicaid accounts + ... Re-bill claims as needed + Identify pattern problems (improper patient...Requirements:** + Required: High School Diploma or GED + Preferred : Associates Degree or Higher in Accounting or related… more
- NextEra Energy (Palm Beach Gardens, FL)
- …program optimization across NextEra's renewable energy fleet through data analysis, claim processing, and operational coordination. The role assists in OEM ... patterns, and improvement opportunities * Maintains and updates ClaimTrax internal claim management system with accurate data entry * Assists operations teams… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …verification (Epic RTE), Denials (research root cause, identify trends, correct, appeal), Claim Edits (ensure clean claim submission) & Transaction history ... payor websites to research policies and coverage eligibility for use in claim adjudication, trend identification, and application for process improvement. + Utilize… more
- Stony Brook University (East Setauket, NY)
- …up on rejected/denied insurance claims and/or experience using claims scrubber system. ** Preferred Qualifications** + Experience investigating, reviewing, ... support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties… more
- Beth Israel Lahey Health (Charlestown, MA)
- …identify opportunities for process improvement. + Process and track benefits related claims and invoices, including life insurance claims , premium billing, and ... others as needed. + Research and resolve enrollment, billing, and claim issues, collaborating with vendors as necessary. + Supports the benefits department and… more
- BrightSpring Health Services (Anchorage, AK)
- …of claims , by maintaining current knowledge of Medicaid claim regulations and processes + Participates in orientation, training, competency assessment, and ... progression! + State pharmacy tech license as required + National certification preferred + Previous pharmacy experience preferred Schedule:Mon-Fri 930a-6p Our… more