- Rush University Medical Center (Chicago, IL)
- …and performing actions such as re-bills, debit & credit, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits. ... hospital setting, familiarity with medical terminology and patient fiscal matters. ** Preferred Job Qualifications:** * Prior experience using Epic for Hospital… more
- Holzer Health System (Bidwell, OH)
- The insurance clerk is responsible for working claims , processing edits, and doing their due diligence to ensure correct claim processing and payments from ... payer policies, and specific payer coding guidelines; follow-up on unpaid claims , process insurance takebacks, overpayments, and refunds, and perform other duties… more
- Sedgwick (Bay City, MI)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Creates accurate installment and per claim invoices for assigned clients; properly allocates revenue to appropriate ... degree in Accounting or Finance from an accredited college or university preferred . **Experience** Two (2) years of billing or related experience or equivalent… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** Position Summary: Reporting to the Director, Claims Operations & Quality Assurance, the Regulatory Compliance &...in Health Administration, Public Policy, or a related field preferred . Required Experience (must have): * 5+ years in… more
- Utilities Service, LLC (Pataskala, OH)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... + Must be 18 years or older + High School Diploma or GED equivalent preferred . + A minimum of 3120 hours of working experience in the line clearance industry… more
- Trinity Health (Ann Arbor, MI)
- …Experience in health care, insurance, or managed care industries is highly preferred . Experience performing medical claims processing, financial counseling and ... Experience in health care, insurance, or managed care industries is highly preferred . + Experience performing medical claims processing, financial counseling and… more
- 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