- CareOregon (Portland, OR)
- …Management Level n/a Direct Reports n/a Manager Title Provider Data Supervisor * Claims Department Claims Requisition 25043 Pay & Benefits Estimated hiring range ... data plays a critical role in the success of claims payment, OHA Health Systems (DMAP) and CMS encounter...year experience with data entry, data management, or credentialing Preferred + Experience with Database Configuration + Experience with… more
- UNC Health Care (Hendersonville, NC)
- …denials, secondary billing issues, sequencing of charges, and non-payment of claims . Responsibilities: * Reconciles accounts, researches and resolves a variety of ... charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims . * Evaluate and resolve errors on insurance claims for… more
- AdventHealth (Maitland, FL)
- …+ Applies significant understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes + ... you'll need to succeed:** + 3 years Healthcare, Managed Care, Hospital or Ancillary claims analysis, Hospital or Ancillary claims payment, or related field with… more
- St. Luke's University Health Network (Sellersville, PA)
- …and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between ... point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting… more
- St. Luke's University Health Network (Reading, PA)
- …and various revenue cycle departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between ... point of service cash collections. This also includes patient, account, and claim edit level work queue errors related to registration. Can require contacting… more
- Snapsheet (Chicago, IL)
- …Job Type: Full-time, direct hire About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative claims ... the end-to-end claims process - delivering faster, modern experiences for claims organizations of all sizes. Job Overview : The Senior Implementation Engineer at… more
- Commonwealth of Pennsylvania (PA)
- …documents and reports in the IT system; representing the Department in claims /disputes; and ensuring effective and efficient customer care to all client agencies ... You must be able to perform essential job functions. Preferred Qualifications (not required): + A working knowledge of...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... create predictive impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results post-implementation… more
- Trinity Health (Livonia, MI)
- …Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Responsible for proofing daily charges for accuracy and ... clean claim submission Responsible for balancing charges and adjustments Maintains...Practical Nurse licensure is required. CHC (Healthcare Compliance Certification) preferred . CHRI certification/membership strongly preferred . Must… more
- State of Colorado (Denver, CO)
- …from inception through hearings and appeals, including fully contested claims , challenges to specific disability and medical benefits, penalty allegations, ... Workers' Compensation Division, state agencies, and the State's third party- claims administrator, regarding workers' compensation law, liability exposure, and… more